organization of abdomen Flashcards

1
Q

peritonealized organs

A

intraperitoneal
associated with mesentery
stomach, spleen, parts 1-4 of duodenum, jejunum, ileum, transverse and sigmoid colon

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2
Q

primary retroperitoneal

A

always been retroperitoneal
posterior to peritoneal
kidneys, ureters, suprarenal glands, aorta

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3
Q

secondary retroperitoneal

A

during development was peritonealized and associated with mesentery, later becomes retro
b/c of fusion of original mesentery and paritel peritoneum
most of duodenum, ascending, descending colon, and pancreas
easily separated surgically

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4
Q

peritonitis

A

inflammation of peritoneum
richly innervated by same somatic nn which innervate abdominal wall, therefore very painful and well localized
visceral peritoneum is autonomic and not well localized

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5
Q

peritoneal adhesions

A

fusion of various parts of peritoneal membranes
caused by inflammation, surgery, trauma, ulcers
can limit normal movement of viscera and cause chronic pain

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6
Q

mesoesophagus

A

associated w/final inch of esophagus

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7
Q

greater omentum

A
attached to greater curve of stomach
gastrocolic ligament (stomach to transverse colon)
gastosplenic ligament (stomach to spleen)
gastrophrenic ligament (fundus to diaphragm)
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8
Q

splenorenal ligament

A

spleen to posterior body wall near kidney

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9
Q

phrenicocolic ligament

A

sustentaculum lienis

diaphragm to left colic flexure

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10
Q

mesentery proper

A

to small intestines

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11
Q

mesoappendix

A

to appendix

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12
Q

transverse mesocolon

A

to transverse colon

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13
Q

sigmoid mesocolon

A

to sigmoid colon

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14
Q

dorsal mesenteries

A
mesoesophagus
greater omentum
spenorenal ligament
phrenicocolic ligament
mesentery proper
mesoappendix
transverse mesocolon
sigmoid mesocolon
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15
Q

ventral mesenteries

A

lesser omentum
falciform ligament
coronary ligaments
triangular ligaments

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16
Q

lesser omentum

A

from lesser curve of stomach/duodenum to liver
hepatogastric ligament
hepatoduodenal ligament

17
Q

falciform ligametn

A

peritoneal attachement of liver to anterior body wall

contains ligamentum teres hepatis (remanant of umbilical v)

18
Q

cornoary ligaments

A

peritoneal attachment of liver to inferior surface of diaphragm
left and right; anterior and posterior divisions

19
Q

triangular ligaments

A

right and left

where anterior and posterior coronary ligaments meet

20
Q

lesser sac

A

omental bursa
posterior to stomach and lesser omentum
superior recess bounded superiorly by diaphragm
inferior recess btwn 2 layers of greater omentum

21
Q

greater sac- supracolic compartment

A

superior to transverse mesocolon

contains stomach, liver, spleen, gall bladder

22
Q

greater sac-infracolic compartment

A

inferior to transverse mesocolon
contains small intestine, ascending colon, descending colon
separated into right and left compartments by mesentery proper

23
Q

greater sac- paracolic gutters

A

right and left btwn posterolateral wall and ascending/descending colon

24
Q

greater sac

A

supracolic
infracolic
paracolic gutters

25
Q

epiploic foramen (of winslow)

A

communication btwn greater and lesser sacs
anterior boundary hepatoduodenal ligament
posterior IVC
superior liver
inferior first part of duodenum

26
Q

spread of fluid to pelvic cavity

A

left infracolic compartment communicates freely with pelvic peritoneal cavity
right infracolic compartment prevented from moving into pelvic cavity by mesenteric proper

27
Q

spread of fluid from paracolic gutters

A

right paracolic gutter open to hepatorenal and subphrenic recesses superiorly
can pool here and cause abscesses which can push through diaphragm into thoracic cavity
left closed superiorly by phrenicocolic ligament
both can drain into pelvic cavity

28
Q

fluid from supracolic compartment

A

pass through epipolic foramen into lesser sac

29
Q

celiac a

A

T12

30
Q

SMA

A

L1

31
Q

IMA

A

L3