peritoneal cavity W6 Flashcards

1
Q

what type of sac is the peritoneum? when is it closed/open?

A

serous sac
closed in males
open in females (by uterine tube)

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1
Q

layers of the peritoneum?

A

parietal - lines internal surface of abdominopelvic wall
visceral - invaginates to cover the majority of the abdominal viscera

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2
Q

intraperitoneal organs/structures?

A

stomach
spleen
liver
1st inch of first part of duodenum
jejunum and ileum
cecum
appendix
transverse colon
sigmoid colon
portal triad

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3
Q

retroperitoneal organs/structures?

A

pancreas
kidney
2nd inch of first part of duodenum
2nd, 3rd, 4th parts of duodenum
ascending colon
descending colon
abdominal aorta and IVC

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4
Q

what is the greater sac

A

part of the peritoneal cavity which lies just posterior to the anterior abdominal wall and extends from the diaphragm to the pelvic cavity

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5
Q

what does the greater sac cover

A

back of abdominal wall, inferior surface of diaphragm
superior, anterior, inferior surfaces of the liver
anterior surface of lesser & greater omentum, wraps behind greater omentum and covers transverse mesocolon and mesentery of small intestine, descends down in pelvis as pelvic peritoneum

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6
Q

what is the lesser sac? how does it communicate with the greater sac?

A

peritoneal cavity recess which is located posterior to stomach and within the greater omentum and communicates with the greater sac via epiploic foramen

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7
Q

what are the walls of the lesser sac formed by?

A

liver (caudate lobe)
lesser omentum
stomach
greater omentum
peritoneal structures forming stomach bed
transverse mesocolon
transverse colon

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8
Q

what is the epiploic foramen and where is it

A

slit-like aperture communicating the cavities of lesser and greater sacs
located posterior to the free margin of the lesser omentum (posterior to hepato-duodenal ligament containing portal triad)

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9
Q

types of folds of the peritoneum?

A

omenta - peritoneal folds connect the stomach to other organs

mesentery - peritoneal folds connect the mobile parts of the intestine to the posterior abdominal wall

ligament - peritoneal folds connect abdominal organs (eg linorenal ligament) or to the abdominal wall (eg coronary/triangular ligaments)

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10
Q

list the omenta

A

lesser omentum
greater omentum
gastrosplenic omentum (ligament)

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11
Q

list the mesentery

A

mesentery of small intestine
transverse mesocolon
sigmoid mesocolon
mesoappendix

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12
Q

what structures does the lesser omentum connect

A

from the liver to the lesser curvature of the stomach and the 1st inch of duodenum

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13
Q

what structures does the greater omentum connect

A

from the greater curvature of the stomach to the transverse mesocolon folded up on itself

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14
Q

what structures does the falciform ligament connect

A

sickle fold of peritoneum connecting anterior abdominal wall to the liver

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15
Q

what structures does the gastrosplenic ligament connect

A

connects spleen to stomach

16
Q

what structures does the splenorenal (lienorenal) ligament connect

A

left side kidney to the spleen

17
Q

what does the mesentery enclose? how many layers does it have?

A

encloses free part of small intestine
formed of two layers

18
Q

what does the sigmoid mesocolon enclose

A

the sigmoid colon

19
Q

what does the transverse mesocolon enclose

A

encloses the transverse colon

20
Q

features of the mesoappendix

A

triangular peritoneal fold
encloses vermiform appendix

21
Q

pelvic peritoneal spaces?

A

male - rectovesical pouch

female - rectouterine pouch, vesicouterine pouch