Anatomy - Retroperitoneum Flashcards Preview

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Flashcards in Anatomy - Retroperitoneum Deck (18)
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1
Q

List the primary retroperitoneal structures

A
  • Abdominal aorta
  • Inferior vena cava
  • Kidneys and ureters
  • Adrenal glands
  • Nerves (lumbar plexus and sympathetic trunk)
2
Q

Describe the shape of the duodenum

A
  • G shaped
  • First part is horizontal, at L1 level
  • Second part is descending, from L1 to L3
  • Third part is horizontal at the level of L3
  • Fourth part is at the level of L2
3
Q

List the structures posterior to the first part of the duodenum

A
  • Bile duct
  • Portal vein
  • Gastroduodenal artery
4
Q

Which part of the duodenum has a mesentry?

A

The first 2cm

5
Q

List the structures the second part of the duodenum has a relationship with

A
  • Bile duct and pancreatic ducts open into the duodenum

- Root of the transverse mesocolon crosses it

6
Q

List the structures anterior to the third part of the duodenum

A
  • Superior mesenteric artery

- Superior mesenteric vein

7
Q

Which part of the pancreas is NOT retroperitoneal?

A

The tail of the pancreas

8
Q

Describe the position of the pancreas in relation to other abdominal structures

A
  • Head, neck and uncinate process lie in G of the duodenum anterior to the IVC
  • Body extends to the left across the aorta to the left kidney
  • Tail passes from the kidney to the speen in dorsal foregut mesentery
9
Q

What is the spleno-renal ligament?

A
  • Also called the lieno-renal ligament
  • Where the wall of the general peritoneal cavity comes into contact with the omental bursa, between the left kidney and the spleen
10
Q

List the arteries supplying the kidney and adrenal glands

A
  • Left and right renal arteries
  • Adrenal gland supplied by the suprarenal arteries, which branch off the inferior phrenic artery
  • There are also middle and inferior suprarenal arteries
  • Extrahilar vessels
11
Q

List the layers through the abdominal wall to the kidney

A
  • Skin
  • Subcutaneous fat
  • Campers and scarpas fascia
  • Abdominal wall muscles
  • Transversalis fascia
  • Paranephric fat
  • Renal fascia
  • Perinephric fat
  • Kidney
12
Q

List the visceral relations to the right kidney

A
  • Suprarenal gland
  • Liver
  • Descending part of duodenum
  • Right colic flexure
  • Small intestine
13
Q

List the visceral relations of the left kidney

A
  • Suprarenal gland
  • Stomach
  • Spleen
  • Pancreas
  • Keft colic flexure
  • Descending colon
  • Jejunum
14
Q

List the three places the ureter narrows

A
  • Uretopelvic junction
  • Pelvic brim
  • Entrance of urinary bladder
15
Q

List the posterior relations of the kidneys

A
  • Diaphragm
  • Psoas major
  • Quadratus lumborum
  • Transversus abdominis muscles
  • Cross subcostal, ilio-hypogastric and ilio-inguinal nerves
16
Q

Compare the left and right renal arteries

A
  • Left is higher than the right

- Right renal artery is longer and passes posterior to the IVC

17
Q

Where does lymph from the kidney draun?

A

Into lateral aortic nodes

18
Q

List the tributaries to the IVC

A
  • Common iliac veins
  • Lumbar veins
  • Right testicular/ovarian vein
  • Renal veins
  • Right suprarenal vein
  • Inferior phrenic veins
  • Hepatic veins