Compartmental Anatomy Of The Abdomen And Pelvis Flashcards

1
Q

Peritoneal cavity is divided into

A

Greater and lesser peritoneal cavity

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2
Q

Communicates around the liver with the anterior subhepatic and posterior subhepatic space

A

Right subphrenic space

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3
Q

Most dependent portion of the abdominal cavity in a supine patient and it preferentially collects ascites, hemoperitoneum, metastases and abscesses

A

Morison pouch (right hepatorenal fossa)

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4
Q

Left and right subphrenic space is separated by the

A

Falciform ligament

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5
Q

Left subphrenic space is separated from the left paracolic gutter by the

A

Phrenicocolic ligament

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6
Q

Common location for disease process of the tail of pancreas

A

Left subphrenic (perisplenic space)

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7
Q

Space affected by the disease of the duodenal bulb, lesser curve of stomach, gallbladder and left lobe of liver

A

Left subhepatic space (gastrohepatic space)

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8
Q

Most dependent portion of the abdomen in the upright patient

A

Pelvis

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9
Q

Consists of two closely applied layers of peritoneum extending from the umbilicus to the diaphragm in a parasagittal plane

A

Falciform ligament

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10
Q

Caudal free end of falciform ligament contains the

A

Iigamentum teres

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11
Q

Reflections of the falciform ligament separate over the posterior dome of the liver forming the _____ which define the bare area of the liver not covered by peritoneum

A

Coronary ligaments

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12
Q

Prevents access of ascites and other intraperitoneal processes from covering the bare area of the liver

A

Coronary ligaments

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13
Q

Lesser omentum is composed of

A

Gastrohepatic and hepatoduodenal ligaments

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14
Q

Separates the gastrohepatic recess of the left subphrenic space from the lesser sac

A

Lesser omentum

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15
Q

Lesser omebtum transmits

A

Coronary veins and lymph nodes

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16
Q

Lesser omentum lymph nodes enlarge with

A

Gastric carcinoma and lymphoma

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17
Q

Isolated peritoneal compartment between stomach and pancreas

A

Lesser sac

18
Q

Lesser sac communicates with the peritoneal compartment thru what small foramen

A

Foramen of winslow

19
Q

Pathologic processes in the lesser sac usually occur because of disease in the

A

Pancreas and stomach

20
Q

Double layer of peritoneum that hangs from the greater curvature of stomach and descends infront of the abdominal viscera, separating bowel from the anterior abdominal wall

A

Greater omentum

21
Q

Serves as a fertile ground for implantation of peritoneal metastases and assists in loculation of inflammatory processes of the peritoneal cavity such as abscess and tuberculosis

A

Greater omentum

22
Q

Retroperitoneal space is divided into

A

Anterior pararenal, perirenal and posterior pararenal compartments

23
Q

Retroperitoneal space is divided by the _____ into anterior pararenal, perirenal and posterior pararenal compartments

A

Anterior and posterior renal fascia

24
Q

Extends between the posterior parietal peritoneum and the anterior renal fascia

A

Anterior pararenal space

25
Q

The anterior pararenal spacr is bounded laterally by the

A

Lateroconal fascia

26
Q

Contents of the anterior pararenal space

A

Pancreas, duodenal loop, ascending and descending portions of the colon

27
Q

Anterior and posterior renal fasciae encompass the kidney, adrenal gland and perirenal fat within the

A

Perirenal space

28
Q

Which is thicker between the anterior and posterior renal fasciae?

A

Posterior

29
Q

The posterior layer of the posterior renal fascia is continuous with

A

Lateroconal fascia

30
Q

The right perirenal space is open ______ to the bare area of the liver allowing spread of disease between kidney and the liver

A

Superiorly

31
Q

Potential space, usually filled only with fat, extending from the posterior renal fascia to the transversalis fascia

A

Posterior pararenal space

32
Q

Continues into the flank as the properitoneal fat “stripe” seen on plain films of the abdomen

A

Posterior pararenal space

33
Q

Posterior pararenal space is limited medially by the

A

Lateral edges of psoas and quadratus lumborum muscles

34
Q

Pelvis is divided into 3 major anatomic compartments

A

Peritoneal caviry
Extraperitoneal space
Perineum

35
Q

Peritoneal extends to the level of _____ in females or to the level of _____ in males

A

Vagina, forming the pouch of douglas (cul-de-sac)

Seminal vesicles, forming rhe rectovesical pouch

36
Q

Reflects over the uterus, fallopian tubes and parametrial uterine vessels and serves as the anterior boundary of rectouterine pouch of douglas

A

Broad ligament

37
Q

Most dependent portion of the peritoneal cavity

A

Cul-de-sac

38
Q

Continuous with the retroperitoneal space of the abdomen, extends to the pelvic diaphragm, and includes the retropubic space of Retzius

A

Extraperitoneal space of the pelvis

39
Q

Lies below the pelvic diaphragm

A

Perineum

40
Q

Anatomic landmark of perineum

A

Ischiorectal fossa

41
Q

Ischiorectal fossa is seen below what muscle

A

Levator ani