The Abdomen: Gut Embryology Flashcards

1
Q

Parietal peritoneum origin

A

Somatic mesoderm

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2
Q

Visceral peritoneum origin

A

Splanchnic mesoderm

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3
Q

What structure does the intra-embryonic mesoderm give rise to?

A

Peritoneal cavity

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4
Q

The dorsal mesentery suspends which areas of the gut?

A

Foregut, midgut, and hindgut

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5
Q

Innervation to midgut

A

Sympathertic motor: Least splanchnic nerve (superior mesenteric ganglion)

Parasymp motor: Vagus

Sensory: Enteric nervous system

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6
Q

Which area of the gut is suspended by ventral mesentery?

A

Foregut

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7
Q

Match the ligaments to the associated mesentery and gut area:

Foregut

Mesocolon (transverse, ascending, descending)

Lienorenal

Midgut

Falciform ligament

Lesser omentum

Hepatogastric

Hepatoduodenal

Hindgut

Mesoduodenum

Greater omentum

Gastrosplenic

Ligamentum teres

A

Dorsal mesentery:

Foregut: greater omentum; gatsrosplenic, lienorenal,mesodueodenum

Midgut/Hindgut: Mesocolon (transverse, ascending, descending)

Ventral mesentery:

Foregut: lesser omentum (hepatogastric, hepatoduodenal), Ligamentum teres, falciform ligament

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8
Q

List the location of the following ligaments in the gut and or what they connect:

Greater omentum

Gastrosplenic ligament

Mesocolon

Lienorenal ligament

Falciform Ligament

Lesser omentum

Ligamentum teres

A

Greater omentum, gastrosplenic, lienoral ligaments all belong to the foregut.

Greater omentum: Curtain over the entire abdomen

Gastrosplenic: stomach and spleen

Lienorenal (“spleeno”-renal): kidney and spleen

The mesoduodenum belongs to both the mid and hindguts. It connects the duodenum to posterior abdomnal wall

Falciform ligament, Lesser omentum, and ligamentum teres are all foregut ligaments.

Falciform ligament: connects liver to the anterior abdominal wall

Lesser omentum: connects liver to stomach (hepatogastric), and liver to duodenum (hepatoduodenal)

Ligamentum teres: connects the liver to the umbilicus

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9
Q

Innervation to the foregut

A

Sympathetic motor: Greater splanchnic (celiac ganglion)

Parasympathetic motor: Vagus

Sensory: Enteric nervous system

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10
Q

Innervation to hindgut

A

Symp motor: least splanchnic nerve (inferior mesenteric ganglion)

Parasymp motor: S2,S3,S4 (pelvic splanchnic)

Sensory: Enteric Nervous System

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11
Q

Foregut Organ/Origin/Associated Ligament (s)

Stomach/___\_/___\_ (3x)

___\_/___\_/Hepatogatsric + 2 others

Duodenum/___\_/____\_

____\_/dorsal and ventral buds/___\_

Gall bladder/___\_/___\_

A

Stomach/Dilation of the gut tube (longitudinal and anteroposterio rotations)/hepatogastric (lesser omentum); greater omentum; gastrosplenic

Liver/Hepatic diverticulum/hepatogatsric, hepatoduodenal, falciform

Duodenum/distal extension of stomach/hepatoduodenal

Pancreas/Dorsal and ventral pancreatic buds/none

Gall bladder/outgrowth of the bile duct/none

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12
Q

3 steps of midgut development

A
  1. Elongation
  2. Rotation
  3. Retraction
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13
Q

Describe the elongation step of midgut development. At what stage in fetal development does this occur (in terms of weeks?)

A

a. Formation of primary intestinal loop
b. Umbilical herniation (when guts herniate into the umbilicus)

Week 5

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14
Q

What structures arise from the cephalic and caudal portions of the primary intestinal loop?

A

Cephalic: upper part of ileum; duodenum and jejunum (basically the small intestines)

Caudal: lower part of ileum; appendix, cecum; ascending colon; 2/3 of transverse colon

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15
Q

Around what important blood vessel does the primary intestinal loop rotate during midgut development?

What issue may arise from occlusion of this blood vessel?

What structures arise during the rotation step?

What tendinous structures can you follow from the colon to lead you to the appendix?

A

The SMA: Superior Mesenteric Artery

Intestinal atresia (e.g. Apple peel atresia) resulting in severe underdevelopment of intestines

Cecum and Appendix

Taenia coli

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16
Q

What stage in development does the retraction step of midgut development occur?

What is a possible variation of the appendix that may develop during this process?

What 2 issues may arise from failed retraction of the intestines?

A

Week 10

Retrocecal appendix

Omphalocel and Gastroschisis

17
Q
A
18
Q
A
19
Q
A