Peritoneum Flashcards
Extraperitoneal
Inferior rectum
Retroperitoneal structures
Pancreas Ureter/ urinary bladder/ uterus Kidney Inferior vena cava Duodenum (2-4) Ascending colon Descending colon Abdominal aorta
Fallopian tube, suprarenal gland, middle rectum
Foramen of Winslow
Ant: hepatoduodenal lig, portal vein, hepatic a., bile duct
Post: IVC
Sup: caudate lobe
Inf: superior part of duodenum
Connects stomach and duodenum to the liver
Lesser omentum/ hepatogastric lig
Hepatoduodenal lig.
Conducts portal triad
Portal vein lying posterior
Common bile duct lying anterior and to the right
Hepatic artery lying anterior and to the left
Ligation of hepatoduodenal lig
Prengle’s maneuver
Paracentesis
Midline: skin, superficial fascia, deep fascia, linea alba, Transversalis fascia, extraperitoneal fat, parietal peritoneum
Blood supply of the foregut
Celiac trunk
Blood supply of the midgut
Superior Mesenteric artery
Blood supply of hind gut
Inf Mesenteric artery
Foregut
Esophagus, stomach, duodenum prox to opening of bile duct
Midgut
SI including remaining Duodenum, cecum, appendix, colon until 2/3 of transverse
Hindgut
Distal 3rd of transverse colon, descending colon, sigmoid, rectum, superior part of anal canal
Common site of aortic aneurysm
L4
All abdominal v. will directly drain to IVC except
L suprarenal, L gonadal–> L renal–> IVC
Tributaries of the portal venous system
Superior mesenteric Splenic Inferior mesenteric Left gastric Paraumbilical
Portal-Caval anastomoses
L gastric: Azygous
Superior rectal: middle and inferior rectal
Paraumbilical: superficial veins of ant abdominal wall
Colic: retroperitoneal
R and L hepatic vins drains to
IVC
R gonadal and R suprarenal drains to
IVC
R gastroepiploic drains to
SMV
L gastroepiploic drains to
Splenic v
R colic drains to
SMV
L colic drains to
IMV
