Peritoneum and Upper Abdomen Viscera Flashcards

1
Q

What is the foramen that allows the greater and lesser sac (omental bursa) to communicate?

A

Omental foramen

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2
Q

What makes up the portal triad?

A

The portal vein, bile duct, and hepatic artery proper

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3
Q

What two structures does the greater omentum attach to?

A

Greater curvature of the stomach and transverse colon

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4
Q

What two structures does the lesser omentum attach to?

A

The lesser curvature of the stomach and the duodenum

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5
Q

Which ligament contains the portal triad?

A

The hepatoduodenal ligament, which is part of the lesser omentum

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6
Q

Which structure overlays the omental foramen?

A

The hepatoduodenal ligament

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7
Q

Describe the path that the mesentery proper runs.

A

Diagonally from duodenaljejunal jxn to ileocecal jxn

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8
Q

Where do the SI’s go from retro to intraperitoneal?

A

At the duodenojejunal jxn

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9
Q

The entire vascular supply for the jejunoileal tract runs through what structure?

A

Mesentery proper

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10
Q

What helps anchor the duodenum at the duodenojejunal jxn?

A

Suspensory ligament of Treitz

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11
Q

What anchors the majority of the colon to the posterior abdominal wall and which part(s) of the colon does it attach to?

A

Transverse Mesocolon; attaches to the transverse colon

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12
Q

Which two subdivisions create the overall greater sac?

A

The supracolic and infracolic compartments/spaces

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13
Q

What is the embryological origin of the round ligament of the liver?

A

The obliterated umbilical v.

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14
Q

What are the reflections of peritoneum around the area of the liver with no visceral peritoneum (bare area)?

A

The anterior and posterior coronary ligaments

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15
Q

Which space is the potential site for the most common type of hernia (indirect inguinal) and where is this space located?

A

Lateral inguinal fossa; lateral to the lateral umbilical folds

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16
Q

What is the lowest point of the abdominopelvic cavity?

A

The hepatorenal pouch/recess

17
Q

What is the lowest point of the pelvic cavity (name the different ones for males v. females)?

A

Rectovesical pouch for males, recto-uterine pouch for females

18
Q

The hepatorenal pouch is bounded by which 4 organs?

A

Liver, R kidney, colon, and duodenum

19
Q

In females, we have an additional pouch created by the uterus. What are the names of the two pouches created by the uterus and what is their directionality in relation to the uterus?

A

Recto-uterine pouch (posterior to uterus) and vesico-uterine pouch (anterior to uterus)

20
Q

What is the name for the point where the common bile duct drains into the descending duodenum?

A

Major duodenal papilla

21
Q

What does the major duodenal papilla indicate in terms of embryological origin?

A

The junction of the foregut and midgut

22
Q

Is the pancreas anterior or posterior to the stomach and duodenum?

A

Posterior

23
Q

Where does the accessory pancreatic duct drain into the duodenum?

A

The minor duodenal papilla

24
Q

The spleen contacts the diaphragm at the levels of what ribs?

A

Ribs 9-11

25
Q

Which vessels supply the lesser curvature of the stomach?

A

Left gastric (from the celiac trunk) and R gastric (from the gastroduodenal a.)

26
Q

What are the two terminal branches of the common hepatic artery?

A

proper hepatic and gastroduodenal

27
Q

Where do the superior pancreaticoduodenal aa branch from?

A

The gastroduodenal

28
Q

What vessel supplies the greater curvature of the stomach?

A

The RIGHT gastro-epiploic a (RIGHT gastro-omental)

29
Q

Which vessels supply the greater curvature of the stomach?

A

The R and L Gastro-omentals (Gastroepiploic)

30
Q

What 3 ligaments make up the greater omentum?

A

Gastrocolic ligament, gastrosplenic ligament and gastrophrenic ligament

31
Q

Where does the cystic artery branch from?

A

The right hepatic a.

32
Q

Flow of bile into the duodenum at the majoir duodenal papilla.

A

R & L hepatic duct -> Common hepatic duct -> joins with cystic duct ->bile duct ->joins with main pancreatic duct -> major duodenal pallilae

33
Q

The gastrosplenic ligament contains which 2 vessels?

A

1.The short gastric 2.Gastro-omental

34
Q

In which ligament do the splenic vessels travel?

A

The splenorenal ligament

35
Q

Which vessel usually gives rise to the R gastric a?

A

Proper hepatic a

36
Q

Usually, what are the two branches of the gastroduodenal a?

A

The superior pancreaticoduodenal aa. and R gastro-omental a (gastroepiploic a)

37
Q

What are the two branches of the splenic artery and what do they supply?

A

Short gastric and L gastro-omental; the greater curvature of the stomach

38
Q

Which ligament contains the short gastric a and the gastro-omental vessels?

A

The gastrosplenic ligament