Peritoneal Cavity and Mesentaries Flashcards
1
Q
- Peritoneum
A
- Continuous transparent serous membrane
- Lines abdominal cavity
2
Q
- What are the two layers of the peritoneum?
A
- Parietal
- Visceral
3
Q
- Parietal peritoneum
A
- Lines body wall
- Supplied by same NVB and lymph structures as region that lines the wall
- Highly localized pain
4
Q
- Visceral peritoneum
A
- Covers organs
- Supplied by same NVB and lymph as organ it surrounds
- Poorly localizaed pain
- Sensitive to stretch and chemical irritation
5
Q
- Intraperitoneal versus retroperitoneal
A
- Intraperitoneal
- Mostly covered with visceral peritoneum
- Retroperitoneal
- Outside peritoneal cavity, only partially covered with peritoneum
6
Q
- Intraperitoneal structures
A
- SALTD SPRSS
- Stomach
- Appendix
- Liver
- Transverse colon
- Duodenum (1st part)
- Small Intestine
- Pancreas (Tail only)
- Sigmoid Colon
- Spleen
7
Q
- Retroperitoneal structures
A
SAD PUCKER
- Suprarenal gland
- Aorta and IVC
- Duodenum (2-4)
- Pancreas (except tail)
- Ureters
- Ascending and Descending Colon
- Kidneys
- Esophagus
- Rectum
8
Q
- What are some examples of primary retroperitoneal structures?
A
- Kidney
- Ureter
- Aorta
- IVC
9
Q
- What are some examples of some secondary retroperitoneal structures?
A
- Ascending and descending colon
- Pancreas
- Duodenum
10
Q
- Parts of the greater omentum
A
- Gastrohepatic ligament
- Gastrosplenic ligament
- Gastrocolic ligament
11
Q
- Parts of the lesser omentum
A
- Gastrohepatic ligament
- Hepatoduodenal ligament (which contains the portal triad: hapatic portal vein, common bile duct, proper hepatic a.)
12
Q
- The lesser omentum is part of _ mesentary
- The greater omentum is part of _ mesentary
A
- Ventral
- Dorsal
13
Q
- Which arteries run through the hepatoduodenal ligament?
A
- Right gastric a.
- Proper hepatic a.
- Cystic a.
14
Q
- Which arteries run through the hepatogastric ligament?
A
- Left and right gastric arteries
15
Q
What artery runs through the splenorenal ligament?
A
- Splenic a.
16
Q
- What arteries run through the gastrophrenic ligament?
A
- Posterior gastric artery
17
Q
- Which arteries run through the gastrosplenic ligament?
A
- Short gastric a.
- Left gastro-omental artery/left gastroepiploic a.
18
Q
- What arteries run through the gastrocolic ligament?
A
- Left and right gastroomental/gastroepiploic arteries
19
Q
- Which arteries run through the transverse mesocolon?
A
- Middle colic artery
- Marginal artery
20
Q
- Which arteries run through the mesentary?
A
- Superior mesenteric a.
- Ileal a.
- Jejunal a.
21
Q
- Which arteries run through the root of the mesentary?
A
- Ileocolic a.
22
Q
- Which arteries run through the sigmoid mesocolon?
A
- Sigmoid arteries
23
Q
- The greater sac communicates with the lesser sac/omental bursa via the _
A
- Epiploic foramen
24
Q
- Anterior boundary of the epiploic foramen
A
- Hepatoduodenal ligament
- Portal triad (from anterior to posterior)
- Proper hepatic artery
- Common bile duct
- Hepatic portal v.
25
* **Posterior boundaries of the epiploic foramen**
* Inferior vena cava
* Right crus of the diaphragm
26
* **Superior boundary of the epiploic foramen**
* Caudate lobe of the liver
27
* **Inferior boundary of the epiploic foramen**
* **1st part of the duodenum**
28
* **Lesser sac relationships:**
* **Anterior**
* Gastrocolic ligament
* Lesser omentum
* Stomach
29
* **Lesser sac relationships:**
* Posterior
* Pancreas
* Left suprarenal gland
* Left kidney
* Aorta
* IVC
* Splenic artery and vein
30
* **Lesser sac relationships**
* Superior
* Inferior
* Superior
* Liver
* Diaphragm
* Inferior
* Transverse mesocolon
* 1st part of duodenum
31
* **Lesser sac relationships**
* ****Left
* Right
* Left
* Hilium of spleen
* Gastrosplenic ligament
* Right
* Epiploic foramen
32
* Clinical issues that can affect the lesser sac/omental bursa
* Posterior rupture of the stomach
* Trauma to the anterior pancreas (pancreatic pseudo-cyst)
* Intestine entering lesser sac (need to draw fluid out via centesis)
33
* The _ divides the peritoneal cavity into two subdivisions
* What are these two subdivisions and what are their contents?
* How do these two components communicate with one another?
* **Transverse mesocolon**
* **Supracolic**
* Stomach
* Liver
* Spleen
* **Infracolic**
* Small intestine
* Ascending colon
* Descending colon
* **Paracolic gutters**
34
* The right and left suphrenic spaces are separated by what ligament?
* What is the deepest space that fluid can accumulate in the peritoneal cavity in males, females?
* Falsiform
* Rectovescicular (males)
* Urovesicular (females)
35
* Peritonitis
* Infection in peritoneal cavity
* Can occur from rupture of infected organ or from external wound
* Can lead to abscess
36
* Ascites
* Excess fluid in peritoneal cavity
* Can be caused from many different factors
37
* Paracentesis
* Should drain in LLQ (to avoid hitting inferior epigastrics)
* Drainage of large volumes of blood or serous fluid that accumulates in the abdominal cavity
* Rectouterine pouch in females
* Rectovesicular pouch in males
38
* Pancreas relationships
* Anterior
* Posterior
* **Anterior**
* Lesser sac and stomach
* **Posterior**
* Aorta
* IVC
* Splenic vein
* Bile duct
* Right crus of diaphragm
* Left kidney and vessels
* Left suprarenal gland
* SMA and SMV (important in pancreatic cancer)
39
* Pancreas relationships
* Right
* Left
* Inferior
* **Right**
* 2nd part of duodenum
* **Left**
* Spleen
* Tail
* **Inferior**
* Third part of duodenum
