Peritoneum and Upper Abdomen Flashcards
True or False:
Parietal Peritoneum and Visceral Peritoneum are continuous with one another.
True
Vessels tend to travel _______ the peritoneal layers.
between
_____ ______ is the continuous area of all visceral and parietal peritoneal membranes.
Peritoneal Sac
_____ ______ is a potential space within the sac.
- contains only a small amount of serous fluid
- allows organs to move freely w/out friction (peristalsis)
Peritoneal Cavity
Liters of fluid pertaining to the actual space in the Peritoneal Cavity:
ascites
Double layers of Peritoneum create:
anchoring and restrict movement
Portal Triad: (a,d,v)
hepatic artery
bile duct
hepatic portal vein
Portal Triad is in:
hepatoduodental ligament
What do hepatoduodenal ligament, hepatogastric ligament, gastrosplenic ligament, and splenorenal ligament have in common?
double layers (pockets) of peritoneum
____ _____: attaches to greater curvature of stomach and transverse colon
Greater Omentum
_____ ______: drapes over small intestines like an “apron”
Greater Omentum
“Apron” of the Greater Omentum is from what ligament?
gastrocolic ligamen
How many layers is the “apron” of the Greater Omentum?
4 layers of peritoneum
______ _______: functionally it can wall off infections and inflammation sites
Greater Omentum
-resulting in the formation of adhesion (BAD=limit mobility)
______ ______: attaches to lesser curvature of stomach and duodenum
Lesser Omentum
____ _____: 2 portions connect the stomach/duodenum to the live
- _____ ______
- _____ ______
Lesser Omentum
hepatogastric ligament
hepatoduodenal ligament (contains portal triad)
______ ______: anchors most of the small intestine to posterior abdominal wall
Mesentery Proper
_____ _____: runs diafonally from duodenojejunal jxn to ileocecal jxn (15-20 cm in adults)
Mesentery Proper
_____ anchored to abdominal wall by suspensory ligament of Treitz
duodenum
_____ _____ of _____: fibromuscular ligament descends from R. crus of diaphragm
suspensory ligament of Treitz
____ ____ of _____: crosses over L crus and holds distal duodenum in places
suspensory ligament of Treitz
____ _____of _____: prevents duodenojejunal jxn from sagging
suspensory ligament of Treitz
______: anchors portions of the colon to posterior abdominal wall
mesocolon
______ and _____ colon have no mesentery and attach directly to the posterior wall
ascending and descending colon
_____ only partially covered w/ peritoneum
rectum
_______ ______: divides liver into R and L lobes
Falciform Ligament
____ _____: anchors liver to diaphragm and anterior body wall
Falciform Ligament
____ _____: round ligament of the liver (obliterated umbilical vein)
Falciform Ligament
_____ ______: reflections of peritoneum around the bare area of the liver
coronary ligament
____ ______: attach liver to inferior surface of diaphragm
coronary ligament
_____ ______: upper posterior part of liver
bare area
Single Layered Peritoneal Fold that covers the fetal urachus:
median umbilical fold
Single Layered Peritoneal Fold that covers the fetal umbilical aa:
medial umbilical folds
Single Layered Peritoneal Fold that covers inferior epigastric vessels:
lateral umbilical folds
______ ______: potential peritoneal spaces in standing pts
peritoneal pouches
_____ _____: becomes actual spaces in recumbent pts
- _____
- _____/______
peritoneal pouches
- hepatorenal pouch
- rectovesical/retrouterine pouch
_______ pouch: deepest/most inferior of peritoneal pouches
hepatorenal
______ pouch: highest pouch; liquid can go over pelvic brim into hepatorenal pouch
rectovesical/retrouterine
_____ _____: bounded by liver, R kidney, colon, duodenum
Hepatorenal Pouch
_____ _____: lowest part of peritoneal cavity when recumbent
Hepatorenal Pouch
______ ______: fluids may move down to rectovesical/rectrouterine pouch- when in reclining positions or sitting up
Hepatorenal Pouch
_______: between rectum and bladder in males
Rectovesical Pouch
_____/______ ______: fluids here may move up to hepatorenal pouch when in Trendelenburd position
Rectovesical and Retrouterine Pouch
______ ______: between rectum and uterus
Retrouterine Pouch
_______: detoxifies chemical products and produces bile
liver
______:stores bile for emulsification of fats
gallbladder
______: produces enzymes from digestion
pancreas
_____: produces lymphocytes and filters blood
spleen
_____: attached to inferior surface of liver
gallbladder
______: contacts duodenum, colon, anterior abdominal wall
gallbladder
______: receives bile produced by liver via bile duct
-bile then drains into duodenum thru several ducts
gallbladder
______: receives bile from R and L lobes of liver
R and L hepatic ducts
______: receives R and L hepatic ducts
Common Hepatic Duct
______: connected to gallbladder
Cystic Duct
______: receives cystic and common hepatic ducts
Common Bile Duct
Common bile duct joins ____ ______ duct.
main pancreatic duct
Common bile duct and main pancreatic duct empty into______ ______ ______ in descending part of duodenum.
major duodenal papilla
_______: consists of a head, neck, body, tail, and uncinate process
Pancreas
_______: retroperitoneal and transverse across posterior abdominal wall
Pancreas
_____: surrounded by C-shaped duodenum (R) and spleen (L)
Pancreas
____ _____ duct: enters duodenum w/ bile duct at major duodenal papilla
main pancreatic duct
____ ____ duct: may enter duodenum as well; ~2cm superior to major papilla
accessory pancreatic duct
______: diaphragmatic surface- contacts diaphragm along ribs 9-11
spleen
______: visceral surface- gastric:superior; renal:inferior; colic:anterior extremity
spleen
____ _____: first major branch of abdominal aorta
Celiac Trunk
____ ____: supplies liver, gallbladder, esophagus, stomach, pancreas, spleen
Celiac Trunk
______ ____: main branches:
- common hepatic
- L gastric
- splenic aa
Celiac Trunk
____ ____ A: right branch of celiac trunk
Common Hepatic A
____ ___ A: runs toward liver and gallbladder
Common Hepatic A
_____ ____A: branches
- proper hepatic a
- gastroduodenal a
Common Hepatic A
___ ____A: superior branch of common hepatic a
Proper Hepatic A
____ ____ A: runs toward liver
Proper Hepatic A
____ ____ A: medial to common bile duct and superficial to portal v
Proper Hepatic A
____ ____A: splits to R and L hepatic aa supplying R and L lobes of liver
Proper Hepatic A
_______ A: inferior branch of common hepatic a
Gastroduodenal A
_____ A: runs toward junction of stomach and duodenum
Gastroduodenal A
______A: sens superior pancreaticoduodenal aa to pancreas/duodenum
Gastroduodenal A
____A: sends R gastroepiploic a to greater curvature of stomach
Gastroduodenal A
_____A: sends supraduodenal a to superior duodenum
Gastroduodenal A
____ _____A: superior cranch of celiac trunk
Left Gastric A
____ ____ A: runs left toward lesser curvature of stomach
Left Gastric A
____ ____A: supplies stomach and esophagus via esophageal branches
Left Gastric A
_____ A: left branch of celiac trunk
Splenic A
_____ A: runs toward spleen
Splenic A
____ A: supplies pancreas and spleen
Splenic A
_____ A: sends short gastric aa and left gastroepiploic a supplying greater curvature of stomach
Splenic A
Arterial Supply of Upper Abdomen:
Celiac Trunk
