Peritoneum and Upper Abdomen Viscera

Question 1

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

Answer 1

Omental foramen

Question 2

What makes up the portal triad?

Answer 2

The portal vein, bile duct, and hepatic artery proper

Question 3

What two structures does the greater omentum attach to?

Answer 3

Greater curvature of the stomach and transverse colon

Question 4

What two structures does the lesser omentum attach to?

Answer 4

The lesser curvature of the stomach and the duodenum

Question 5

Which ligament contains the portal triad?

Answer 5

The hepatoduodenal ligament, which is part of the lesser omentum

Question 6

Which structure overlays the omental foramen?

Answer 6

The hepatoduodenal ligament

Question 7

Describe the path that the mesentery proper runs.

Answer 7

Diagonally from duodenaljejunal jxn to ileocecal jxn

Question 8

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

Answer 8

At the duodenojejunal jxn

Question 9

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

Answer 9

Mesentery proper

Question 10

What helps anchor the duodenum at the duodenojejunal jxn?

Answer 10

Suspensory ligament of Treitz

Question 11

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

Answer 11

Transverse Mesocolon; attaches to the transverse colon

Question 12

Which two subdivisions create the overall greater sac?

Answer 12

The supracolic and infracolic compartments/spaces

Question 13

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

Answer 13

The obliterated umbilical v.

Question 14

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

Answer 14

The anterior and posterior coronary ligaments

Question 15

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

Answer 15

Lateral inguinal fossa; lateral to the lateral umbilical folds

Question 16

What is the lowest point of the abdominopelvic cavity?

Answer 16

The hepatorenal pouch/recess

Question 17

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

Answer 17

Rectovesical pouch for males, recto-uterine pouch for females

Question 18

The hepatorenal pouch is bounded by which 4 organs?

Answer 18

Liver, R kidney, colon, and duodenum

Question 19

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?

Answer 19

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

Question 20

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

Answer 20

Major duodenal papilla

Question 21

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

Answer 21

The junction of the foregut and midgut

Question 22

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

Answer 22

Posterior

Question 23

Where does the accessory pancreatic duct drain into the duodenum?

Answer 23

The minor duodenal papilla

Question 24

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

Answer 24

Ribs 9-11

Question 25

Which vessels supply the lesser curvature of the stomach?

Answer 25

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

Question 26

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

Answer 26

proper hepatic and gastroduodenal

Question 27

Where do the superior pancreaticoduodenal aa branch from?

Answer 27

The gastroduodenal

Question 28

What vessel supplies the greater curvature of the stomach?

Answer 28

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

Question 29

Which vessels supply the greater curvature of the stomach?

Answer 29

The R and L Gastro-omentals (Gastroepiploic)

Question 30

What 3 ligaments make up the greater omentum?

Answer 30

Gastrocolic ligament, gastrosplenic ligament and gastrophrenic ligament

Question 31

Where does the cystic artery branch from?

Answer 31

The right hepatic a.

Question 32

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

Answer 32

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

Question 33

The gastrosplenic ligament contains which 2 vessels?

Answer 33

1.The short gastric 2.Gastro-omental

Question 34

In which ligament do the splenic vessels travel?

Answer 34

The splenorenal ligament

Question 35

Which vessel usually gives rise to the R gastric a?

Answer 35

Proper hepatic a

Question 36

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

Answer 36

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

Question 37

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

Answer 37

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

Question 38

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

Answer 38

The gastrosplenic ligament