Class 2 Flashcards
What is the peritoneum?
Transparent serous membrane that covers body wall and organs
2 subdivisions of peritoneum depending on whether it lines body wall or organs
parietal and visceral
Define peritoneal cavity
Potential space of capillary thinness between the parietal and visceral layers of peritoneum
2 sacs of peritoneal cavity
greater and lesser sacs
How do the greater and lesser sacs communicate?
epiploic foramen
Retroperitoneal organs
Suprarenal/adrenal glands Aorta/IVC Duodenum Pancreas Ureter Colon - ascending and descending Kidneys Esophagus Rectum
Intraperitoneal organs
transverse colon, stomach, spleen, liver
Are there any organs in peritoneal cavity?
No
What is present in peritoneal cavity?
peritoneal fluid
Which layer of peritoneum is more sensitive to pain, temperature etc?
parietal
Attachments of greater omentum?
greater curvature of stomach and duodenum
Attachments of lesser omentum?
lesser curvature of stomach and liver
How does the greater omentum localise infection and prevent serous diffuse peritonitis?
In inflammation eg appendicitis will adhere to site of infection and wrap around area
3 main posterior abdominal wall muscles
psoas major, quadratus lomborium, iliacus
3 major openings of diaphragm and vertebral level
T8 - IVC
T10 - oesophagus
T12 - aorta
3 main branches of the aorta supplying gut tube
caeliac trunk, inferior and superior mesenteric
Vertebral level the aorta divides into 2 common iliac arteries?
L4
How is IVC formed?
left and right common iliac veins
Vertebral levels of the 3 main arterial braches to gut tube
T12, L1, L3
What is a portal system?
The system of blood vessels which has a capillary network at each end
2 veins forming portal vein?
splenic and superior mesenteric
4 sites of portocaval anastomoses
distal oesophagus, rectal veins, umbilical vein and colic vein twigs
Clinical significance of portocaval anastomoses
During portal hypertension can create a shunt to portal vein and IVC to reduce bleeding
Are the abdominopelvic or pelvic splanchnic nerves parasympathetic?
pelvic