The Peritoneum Flashcards

1
Q
A
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2
Q

what are the names for the different connections of the peritoneum between:

liver & stomach:?
stomach & apron like small intestine:?
transverse colon to posterior ab wall:?
posterior ab wall to small intestine:?

A

peritoneum between

liver & stomach: lessor omentum
stomach & apron like small intestine: greater omentum
transverse colon to posterior ab wall: mesocolon
posterior ab wall to small intestine: mesentary

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3
Q

what is the space in peritneal sac / fluid:

a) before the stomach
b) behind the stomach?

A

a) before the stomach: greater sac
b) behind the stomach: lesser sac

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4
Q
A
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5
Q

during fetal develop, the foregut, midgut and hindgut develop from what?

A

foregut: perotineum develops from ventral mesogastrium & dorsal mesogastrium:
i) the liver develops within the ventral mesogastrium. it exapnds

ii) dorsal mesogastrium: spleen develops in it,

get shift from

midgut & hindgut develop from dorsal mesogastrium

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6
Q

how does the forgut develop:

a) from the ventral mesogastrium?
b) from the dorsal mesogastrium?

which / how do the peritoneal folds form?

A
  • *forgut development**
    i) initially, the liver develops within the ventral mesogastrium. it expands rapid. moves to the right hand side. forms the falicform ligament.

ii) dorsal mesogastrium: spleen develops in it, get shift from dorsal mesogastrium to left side. other structures like stomach also move to left

as development occurs, peritoneal folds connect organs:

  • falciform ligament: connects liver to anterior abdominal wall
  • lesser omentum: liver & stomach
  • dorsal mesogastrium forms connections between stomach & spleen, & spleen and posterior ab. wall.
  • greater omentum descends into abdomen.
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7
Q

label the anatomy thats undergoing forgut developement at 10 weeks

A
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8
Q
A
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9
Q
A

get a fusion of the dorsal mesogastrium & the transverse mescolon !

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10
Q

& what are the two pink arrows pointing at?

A

- lesser omentum: liver and stomach

  • gastrosplenic ligament: stomach and spleen

top pink arrow: lesser sac
bottom pink arrow: epiploic foramen

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11
Q

the lesser omentum runs from the .WHAT to the WHAT?

where do we find the epiploic foramen?

A

the lesser omentum runs from the lesser curvature of the stomach to the inferior part liver

epiploic foramen: behind the free margine of the lesser omentum

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12
Q

the lesser omentum is split into two different bits. name them xoxox

A
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13
Q

migdut development:

A

midgut development:

6 weeks: forms a looping of gut tube. projects anteriorly into umblical cord

8 weeks: once in this region, get rotation anticlockwise.

9 week: twisting and turning

11 weeks: intestine moves back into abdominal cavity & get another rotation. started developing large intestine

12 weeks: large intestine develop

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14
Q

WHAT IS OMPHALOCELE?

A

failure of central fusion at the umbilical ring = incomplete closure of the abdominal wall and persisntant herniation of the midgut

1/2000 births !

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15
Q

label A-E xox

A

A - falciform ligament
B- lesser omentum
C - greater omentum
D - mesocolon
E - mesentary
F- lesser sac
​F- greater sace

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16
Q

what is this bit?

A

ligamentum teres: inferior aspect of the falciform ligament

17
Q

which three strucutres do you find in the free border of the lesser omentum?

A
  • *1. bile duct
    2. hepatic artery proper
    3. hepatic portal vein**
18
Q

which arteries do u find in the greater omentum?

A

= gastroepiploic arteries

19
Q
A
20
Q
A
21
Q

answer theses !!

A
  1. lesser sac
  2. structures: bile duct, hepatic artery proper, hepatic portal vein

3 blood supply: superior mesentary artery

22
Q

what is peritoneal dialsysis?

A

= treatment for kidney failure which uses your liining of peritonemum to filter blood inside ur body

23
Q

what are the potential spaces

A
  • *subphrenic recesses:**
  • divided into L&R by falciform ligament
  • *subhepatic recesses:**
  • lesser sac on L
  • hepatorenal recesss / pouch of morrison on the R
24
Q
A
25
Q
A
26
Q
A
27
Q

what divides the peritoneal cavity into the supracolic and infracolic regions?

A

transverse mesocolon

28
Q

what is this?

A

infracolic compartment

29
Q

why are the peritoneal recesses of clinical importance?

A
  • sites of collection of inflammatory fluid (may go undiagnose). inflammatory fluid can spread via epiploic foramen: peritonitis

-

30
Q

whats the difference between primary or secondary strucutres?
give e.g.s

A

primary retroperitoneal srtuctures:
develop along posterior peritoneal wall & stay !
-great vessesl
- kidneys
- ureter
- lower rectum / anal canal

secondary retriperitoneal structures:
develop intrapetrioneally but move retro
- pancreas
- distal parts of duo
- upper rectum

31
Q

what is ascites?

A

ASCITES

fluid in the cavity. This is caused by liver cirrhosis which prevents the production of albumen and so fluid leaves the vasculature et