WEEK 6 PERITONEUM AND PERITONEAL CAVITY FINISHED Flashcards

1
Q

What does peritoneum mean? What is it? How many layers does it have and what are they called?

A

A continuous transparent serous membrane.

An extensive serous membrane that lines the abdominal and pelvic cavities and clothes/invests the vicera.

Has 2 layers but they are continuous with each other.

  • parietal peritoneum
  • visceral peritoneum
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2
Q

What is the peritoneums claim to fame?

A

Largest serous membrane in the body

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3
Q

Describe the parietal peritoneum. What is it sensitive to? Where does it receive its blood and nerve supply from?

A

Lines the internal surface of the abdominal and pelvic walls.
Sensitive to pain, temp, pressure and touch.
Receives same blood and nerve supply as the region of wall it lies on.

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4
Q

Describe the visceral peritoneum. What is it sensitive to? Where does it receive its blood and nerve supply from?

A

Invests the viscera and organs e.g. stomach.
Sensitive only to stretch and tearing.
Receives the same blood and nerve supply as the organ that it covers.

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5
Q

How is the peritoneum different in males and females?

A

In men its an enclosed sac, in women it is perforated by the free ends of the uterine tubes

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6
Q

Is the peritoneal cavity empty or full? What is the purpose of the serous fluid and what does the serous fluid contain?

A

Usually empty except for a thin layer of fluid that keeps the peritoneum surfaces moist - potential space between the layers of the peritoneum, which contains fluid that allows the viscera to move over each other without friction. This fluid also contains leukocytes and antibodies to help fight any infections.

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7
Q

Define intraperitoneal organs

A

Organs that are almost completely covered with visceral peritoneum.
eg stomach, spleen, jejunum, ileum

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8
Q

Define extraperitoneal organs

A

Organs that are external to the parietal peritoneum, usually just one surface is covered with peritoneum.

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9
Q

What is the difference between retroperitoneal, extra peritoneal and sub peritoneal organs?

A

Retroperitoneal and sub peritoneal are subcategories of extra peritoneal. Retroperitoneal are posterior , sub peritoneal are inferior

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10
Q

What is it called when visceral peritoneum encloses or suspends an organ within the peritoneal cavity? What are these structures called? What do there structures help with?

A

These organs are attached to the walls by peritoneal ligaments, also known as omenta or mesenteries.

They permit blood vessels, lymph vessels and nerves to reach these organs

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11
Q

Define mesentary. What is its role?

A

A double layer of peritoneum that results from the invagination of the peritoneum by an organ. It constitutes the continuity of the visceral and parietal peritoneum. It has a core of connective tissue containing blood, lymph, nerves, lymph nodes and fat

It provides means for neurovascular communication between the organ and the abdominal wall. It attaches the organ to the posterior abdominal wall

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12
Q

Define omentum. What are the 2 different omentum?

A

A fold of peritoneum that passes from the stomach and the proximal part of the duodenum to adjacent organs or and abdominal wall.

2 omentum:
Greater omentum
Lesser omentum

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13
Q

What is the lesser omentum?

A

Connects the lesser curvature of the stomach and the proximal part of the duodenum to the fissure of the ligamentum venous and porta hepatis on the under surface of the liver.

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14
Q

What is the greater omentum?

A

A 4 layer fold of peritoneum that hangs down like an apron.

It connects to the greater curvature of the stomach and proximal part of the duodenum and hangs down, wrapping posteriorly to connect to the anterior surface of the transverse colon and its mesentery.

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15
Q

What are the peritoneal ligaments and where can they be found?

A

They consist of the double later of peritoneum that connect an organ with another organ of the posterior abdominal wall.

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16
Q

What is the liver connected to?

A

The anterior abdominal wall via the falciform ligament

The stomach by the gastrohepatic ligament (part of the lesser omentum)

The duodenum by the hepatoduodenal ligament

17
Q

What is the falciform ligament?

A

Connect the anterior abdominal wall to the liver

18
Q

What is the gastrohepatic ligament? What does it form part of?

A

Connects the lesser curvature of the stomach to the liver and forms part of the lesser omentum

19
Q

What is the hepatoduodenal ligament? What does it form part of?

A

Connects the proximal part of the duodenum to the liver and forms part of the lesser omentum. It also has a thickened free ends through which the portal triad conducts.

20
Q

What does the portal triad consist of?

A

The bile duct
The portal vein (hepatic portal vein)
The hepatic artery

21
Q

What is the stomach connected to?

A

The inferior surface of the diaphragm but the gastrophrenic ligament

The spleen via the gastrosplenic ligament which passes to the hilum of the spleen

The transverse colon by the gastrocolonic ligament

22
Q

What does the gastrophrenic ligament do?

A

Connects the greater curvature of the stomach to the diaphragm. It is part of the greater omentum.

23
Q

What does the gastrosplenic ligament do?

A

Connects the greater curvature of the stomach to the hilum of the spleen. It is part of the greater omentum.

24
Q

What does the gastrocolonic ligament do?

A

Connects the greater curvature of the stomach to the transverse colon. Is it part of the greater omentum

25
Q

What ligaments make up the lesser omentum?

A

The gastrohepatic ligament

The hepatoduodenal ligament

26
Q

What ligaments make up the greater omentum?

A

The gastrophrenic ligament
The gastrosplenoc ligament
The gastrocolonic ligament

27
Q

What are peritoneal folds?

A

Reflections of the peritoneum that are raised from the body wall by underlying blood vessels, ducts and obliterated umbilical vessels.

28
Q

What is the peritoneal recess?

A

A fossa or pouch that is formed by a peritoneal fold.

29
Q

What is the greater peritoneal sac? Where does it extend between? What divides it and what is it divided into?

A

The main and largest part of the peritoneal cavity. It extends from the diaphragm down to the pelvis. It is divided into 2 compartment by the transverse mesocolon (the mesentery of the transverse colon) into the supracolic and infracolic regions.

30
Q

What does the supracolic region of the greater sac of the peritoneum contain?

A

Stomach, liver, spleen

31
Q

What does the infracolic region of the greater sac of the peritoneum contain?

A

Small intestine and ascending + descending colon

32
Q

What is the lesser peritoneal sac? Where does it extend?

A

Lies posterior to the stomach and its adjoining structures. It extends up to the diaphragm and down between the layer of the greater omentum, lying posterior to the stomach and lesser omentum.

33
Q

What is the omental foramen?

A

An epiploic foramen.

This foramen is how the greater and lesser peritoneal sacs communicate.

It is situated posterior to the free end of the lesser omentum (the hepatoduodenal ligament)

34
Q

What are the border of the omental foramen?

A

Anterior: Free border of the lesser omentum and portal triad
Posterior: IVC
Superior: Caudate lobe of the liver
Inferior: 1st part of the duodenum

35
Q

What is the functions of the peritoneum?

A

Suspends viscera
Means of conveying lymph, nerves and blood supply to the organs
Stores fat
Ensures that mobile viscera can glide
Contains leukocytes for immune system response
Peritoneal fluid is pale yellow and viscid. It tends to stick together in the presence of infection which helps to wall off the area and keep the infections contained.

36
Q

What is also known as the abdominal police? Why? give an example

A

The greater omentum.

It can wrap around and adhere to an inflamed appendix, localising the infection.