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Block 4 > Stomach, Spleen and Liver Dissector > Flashcards

Stomach, Spleen and Liver Dissector Flashcards

1
Q

Name the attachments of the Gastrocolic Ligament

A

Extends inferiorly from the greater curvature of the stomach to attach to the transverse colon.

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2
Q

Name the 3 ligaments that contribute to the greater omentum.

A

Gastrocolic, Gastrolenial (Gastrosplenic), and Gastrophrenic

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3
Q

Attachments of the gastrolenial ligament.

A

greater curvature of the stomach and the spleen

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4
Q

Attachments of the gastrophrenic ligament.

A

diaphragm and stomach

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5
Q

Name the two ligaments that compose the lesser omentum, and their attachments.

A

Hepatogastric ( liver and lesser curvature) and Hepatoduodenal (liver and first part of duodenum)

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6
Q

What attaches the liver to the anterior body wall and the diaphragm?

A

Falciform ligament

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7
Q

What structure does the falciform ligament contain?

A

Ligamentum Teres (obliterated umbilical vein)

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8
Q

The continuations of the falciform ligament are what?

A

Coronary ligaments

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9
Q

What ribs protect the spleen

A

Left side, ribs 9,10,11

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10
Q

What two ligaments attach to the spleen?

A

gastrosplenic and splenorenal

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11
Q

The spleen rests on which part of the transverse colon?

A

The splenic flexure (left colic flexure)

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12
Q

The mesentery proper is attached to what body parts

A

Jejunum and ileum

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13
Q

What connects the large and small intestine?

A

iliocecal valve

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14
Q

Where does the appendix attach?

A

inferior portion of the cecum

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15
Q

The peritoneal cavity is divided into what two compartments?

A

Greater and Lesser Sacs

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16
Q

What is another name for the lesser sac?

A

Omental Bursa

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17
Q

If you were standing inside the omental bursa on the transverse colon, facing anteriorly, what would be around you?

A

In front: Posterior surface of stomach, gastrocolic ligament, and lesser omentum.
Underneath: Transverse colon and mesocolon
Above: Left lobe of the liver and left coronary ligament (falciform specialization)
Behind: Pancreas

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18
Q

The omental bursa communicates with the greater sac via……?

A

The Epiploic foramen of Winslow

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19
Q

What are the boundaries of the epiploic foramen?

A

Inferior: First part of duodenum
Superior: Caudate lobe of liver
Posterior: IVC
Anterior: Hepatic Portal vein in the hepatoduodenal ligament of the lesser momentum

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20
Q

What quadrant is the stomach in?

A

Upper Left

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21
Q

The transpyloric plane crosses what level vertebrae?

A

L1

22
Q

Name the four major parts of the stomach.

A

Cardia, Fundus, Body, and Pylorus

23
Q

The cardia is continuous with….

A

the esophagus

24
Q

Which two parts of the stomach are protected by the left costal margin?

A

Cardia and Fundus

25
Q

The body of the stomach is related to what structures anteriorly and posteriorly?

A

Anteriorly: abdominal wall
Posteriorly: omental bursa

26
Q

The visceral surface of the spleen has 3 facets. Name them.

A

Renal (posterior), Colic (inferior), and Gastric.

27
Q

Which parts of the stomach are located in the transpyloric plane?

A

pyloric canal and sphincter

28
Q

The SPLENORENAL ligament contains?

A

The tail of the pancreas and the splenic vessels.

29
Q

At what vertebral level does the celiac trunk arise?

A

L1 - TRANSPYLORIC PLANE

30
Q

Three main branches of the celiac trunk.

A

Splenic, Left Gastric, and Common Hepatic

31
Q

What branches off the distal end of the Splenic Artery?

A

Short gastric branches to the fundus of the stomach, and the left gastroepiploic artery to the greater curvature of the stomach.

32
Q

The Gastroepiploic arteries run in and supply what ligament?

A

Gastrocolic

33
Q

The gastric arteries run through what ligament?

A

Hepatogastric (NOT HEPATODUODENAL)

34
Q

The right gastric artery is a branch of the…..

A

Proper Hepatic Artery

35
Q

Where does the common hepatic artery fork and what branches does it form?

A

Splits at the duodenum to form the proper hepatic artery and the gastroduodenal artery.

36
Q

What is the pathway of the proper hepatic artery?

A

Runs through the hepatoduodenal ligament to the porta hepatis, where it splits into right and left hepatic arteries.

37
Q

What is the one branch of the Right Hepatic Artery called?

A

Cystic artery (to the gallbladder)

38
Q

What is the pathway of the gastroduodenal artery?

A

Runs posteriorly to the first part of the duodenum then terminates into the right gastroepiploic, supra duodenal and the anterior/ posterior superior pancreaticoduodenal arteries.

39
Q

From what artery does the anterior inferior pancreaticoduodenal artery arise?

A

Superior Mesenteric Artery

40
Q

What anastomosis does the pancreaticoduodenal arteries create?

A

An anastomosis between the celiac trunk and the SMA.

41
Q

What is the largest gland in the body?

A

The liver

42
Q

What quadrant is the liver located in?

A

Upper Right

43
Q

Name the two surfaces of the liver.

A

Diaphragmatic and visceral

44
Q

Where does the falciform ligament end?

A

Superior to the umbilicus

45
Q

Name the 3 structures in the hepatoduodenal ligament.

A

Portal Vein, Hepatic artery, and Common bile duct.

46
Q

Where are the hepatic veins located?

A

Hepatic veins empty directly into the IVC and can be seen in the fossa of the IVC

47
Q

The H-shaped area of the liver contains what structures?

A

1-Ligamentum teres
2- Ligamentum venosum
3- Gallbladder
4-IVC

48
Q

The IVC touches which lobe of the liver?

A

Caval/CAUDATE

49
Q

What lobe of the liver is located in between the gallbladder and the ligamentum teres?

A

Quadrate lobe

50
Q

What lobe of the liver is located between the IVC and the ligamentum venosum?

A

Caudate

51
Q

The cystic duct joins with what to become the common bile duct?

A

Common hepatic duct (formed by fusion of R&L hepatic ducts)

Block 4 (7 decks)

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