Peritoneum Flashcards
What is peritoneum?
It is a thin, serous membrane lining the walls of the abdominal and pelvic cavities, and reflects onto the viscera providing complete or partial covering.
What are the 2 layers of peritoneum?
Parietal peritoneum
Visceral peritoneum
What is found between the 2 layers of peritoneum?
The peritoneal cavity, which is normally filled with only a few mm of serous fluid
What is parietal peritoneum?
The layer of peritoneum applied to the inner aspect of the abdominal and pelvic walls, and continues superiorly to the undersurface of the diaphragm
Which somatic nerves serve the parietal peritoneum?
Those that provide sensory innervation to the body wall
What is the parietal peritoneum sensitive to?
Pain, touch, pressure, heat and cold
Is pain poorly or well localised by the parietal peritoenum?
Well localised
What does the parietal peritoneum form anteriorly?
It forms peritoneal folds containing structures and vessels from foetal development
What parietal peritoneal folds are found below the umbilicus?
Median umbilical ligament
Medial umbilical ligament
Lateral umbilical ligament
What does the median umbilical ligament contain?
Urachus
What does the medial umbilical ligament contain?
Obliterated umbilical artery
What does the lateral umbilical ligament contain?
Inferior epigastric artery
What parietal peritoneal folds are found superiorly to the umbilicus?
Round ligament of the liver or Ligamentum teres hepatis
What is contained within the round ligament of the liver?
Obliterated umbilical vein
What does the visceral peritoneum line?
It lines the viscera
Which nerves serve the visceral peritoneum?
The nerves that serve the viscera
What is the visceral peritoneum sensitive to?
It is sensitive to stretching, but not heat, cold and touch
Is pain poorly or well localised by the visceral peritoneum?
It is poorly localised
Where is pain from the visceral peritoneum lining the foregut experienced?
Epigastric region
Where is pain from the visceral peritoneum lining the midgut experienced?
Umbilical region
Where is pain from the visceral peritoneum lining the hindgut experienced?
Pubic region
When is an organ classified as intraperitoneal?
When all of its surfaces are covered by peritoneum, thus the entire organ is covered by peritoneum
When is an organ classified as retroperitoneal?
When only its anterior and/or lateral surfaces are covered by peritoneum, thus the organ lies outside the peritoneal cavity
When is an organ classified as subperitoneal?
When only the superior surface of the organ is covered by peritoneum
Which organs are intraperitoneal?
Stomach
Liver
Spleen
Gallbladder
Appendix
Caecum
Jejunum
Ileum
Transverse and sigmoid colon
Part of duodenum and pancreas
Which organs are retroperitoneal?
Parts of duodenum and pancreas
Ascending and descending colon
Kidneys and ureters
Rectum
Which organs are subperitoneal?
Bladder
Uterus
What is the peritoneal cavity?
The potential space that lies between parietal and visceral peritoneum