The Anterolateral Wall of the Abdomen, Abdominal Cavity, Its Contents and Major Viscera Flashcards
Prominent visual features of the anterior abdominal wall
- Epigastric region
- Umbilicus
- Periumbilical region
- Hypogastric region
- Anterolateral wall tissues and muscles
- Anterior superior iliac spine
- Iliac crest
- Pubic tubercle
- Linea alba
- Semilunar line
Theoretical landmarks of the anterior abdominal wall
- Transpyloric plane
- Trans-tubercular plane
- Spino-umbilical line
- McBurney’s point
- Mid-clavicular line
- Mid-inguinal line
- Arcuate line
What does the transpyloric plane pass through?
Pylorus of the stomach
What vertebral level is the transpyloric plane at?
L1
What is the transpyloric plane midway between? (2 sets)
- Jugular notch of sternum and pubic symphysis
- Xiphoid process and umbilicus
What does the mid-inguinal point form the midpoint of?
Imaginary line joining anterior superior iliac spine and pubic symphysis
What does the mid-inguinal point mark?
Position where the external iliac artery leaves the abdomen to become femoral artery
What is McBurney’s point?
Point on right side of abdomen 1/3 of the distance from anterior superior iliac spine to umbilicus
Gross boundaries of abdominal cavity
- Diaphragm (superior)
- Pelvic brim (inferior)
- Anterolateral abdomino-pelvic wall (ant-lat)
- Posterior abdominal wall (posterior)
2 groups of the muscles of the anterolateral wall
- Lateral group
- Midline group
Muscles of the lateral group
- External oblique
- Internal oblique
- Transversus abdominis
Muscles of the midline group
- Rectus abdominis
- Pyramidalis
Where is the arcuate line found?
- Posterior to rectus abdominis
- Half distance from umbilicus to pubic crest
Tissue layers of rectus sheath superior to arcuate line
- Aponeurosis of external oblique (anterior to rectus abdominis
- Aponeurosis of internal oblique (surrounds RA)
- Aponeurosis of transversus abdominis (posterior to RA)
- Transversalis fascia (posterior to RA)
Tissue layers of rectus sheath inferior to arcuate line
- Aponeurosis of all 3 muscles anterior to rectus abdominis
- Transversalis fascia (posterior to RA)