Peritoneum Flashcards

1
Q

Subdivisions of the alimentary canal

A
Nasal cavity
Oral cavity
Forgot
Midgut
Hindgut
Anal canal
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2
Q

Where is the oral and anal cavity derived from

A

Stomodeum
Proctodeum
Both have membranes that must be broken to be accessed

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3
Q

What mesenteries support what sections of the GI tract

A

Dorsal mesentery supports fore, mid and hindgut

Ventral mesentery supports foregut

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4
Q

What blood vessels supply what sections of the GI tract

A

Abdominal aorta supplies foregut w coeliac trunk
Midgut w superior mesenteric
Hindgut w inferior mesenteric

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5
Q

Mesenteries

A

Ventral and dorsal

Allows vessels, nerves, lymphatics to flow and supply organs

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6
Q

Peritoneum types and areas

A

Parietal , lines insides of abdominal cavity
Intraperitoneal, surrounds mobile organs completely
Retroperitoneal, partially surrounds/doesnt surround organs, not mobile
Visceral, wraps around organs

Double membrane of peritoneum forms mesentery

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7
Q

Peritoneum in development

A

Intraperitoneal organs can be pushed to posterior abdominal wall, reabsorbs peritoneum => retroperitoneal
Occurs as result of elongation, rotation of gut during development

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8
Q

Plane structure of mesogastria from ventral to dorsal

A
Ventral mesogastrium
Falciform ligament
Liver
Gastrohepatic/lesser omentum ligament
Stomach
Dorsal mesogastrium
Gastriosplenic ligament
Spleen
Splenorenal/lienorenal ligament

Kidneys

Spaces either side of mesenteries, coelomic cavity

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9
Q

Location of organs in mesenteries

A

Liver, ventral mesentery
Spleen, pancreas, dorsal mesentery
Kidney, always retroperitoneal

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10
Q

How does the mesogastria develop

A

Liver grows on R more than L, swings to RHS
Swings dorsal mesentery to the L, brings spleen with it
Eventually traps some peritoneum behind it, forms lesser sac
Falciform ligament separates R and L greater sac
Gastrohepatic ligament, access from greater sac into lesser sac

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11
Q

Growth and rotation of stomach

A
Starts with ventral and dorsal mesentery, R and L vagus around gut tube
Gut tube rotates clockwise
L vagus => anterior vagus
R vagus => posterior vagus
Form anterior posterior vagal trunk

Dorsal mesentery => greater curvature
Ventral mesentery => lesser curvature

Greater curvature and mesentery grows => fat filled apron of tissue sits in front of intestines to form greater omentum

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12
Q

Function of the greater omentum

A

Formed from dorsal mesentery
Abdominal policeman, protects intestines from infection
When infection detected
Membrane becomes sticky, traps infection onto peritoneal membrane
V vascular structure, brings lymphocytes to destroy offending bacteria
Prevents infection from spreading

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13
Q

Development of the greater omentum

A

Starts as peritoneal fold, wraps around stomach, connects back to posterior abdominal wall
Also a double fold of peritoneum around transverse colon (transverse mesocolon)
Mesenteries fuse together = greater omentum, 4 membraned structure
Anchored onto transverse colon

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14
Q

Vessels in and location of free edge

A

Between greater and lesser sac
Common bile duct
Hepatic vein
Hepatic artery

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15
Q

Rotations of the guts and mesenteries

A

Dorsal mesentery connects mid and hind guts to posterior abdominal wall
As gut rotates, cannot retain all mesenteries, some reabsorbed, become retroperitoneal

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16
Q

What has peritoneum after development

A

1st part of duodenum
Jejunum, ilium (The mesentery)
Transverse, sigmoid colon (sigmoid mesocolon)

17
Q

What loses peritoneum after development

A

Last part of duodenum
Cecum, ascending colon
Descending colon
Rectum, anal canals

18
Q

Peritoneal spaces

A

L and R infra colic space, above and below The mesentery
L and R paracolic gutter
Subphrenic space
Hepatorenal spaces

19
Q

What happens if the peritoneal spaces get infected

A

Infection can move into infracolic, paracolic, subphrenic, hepatorenal spaces and move into organs that are surrounded by peritoneum

20
Q

What organs can be infected by peritoneal infections

A

Liver
Pancreas
Spleen
Colon (ascending, descending)

21
Q

Pelvic peritoneal folds

A

Peritoneum sits above bladder and uterus = vesicaluterine pouch
Peritoneum wraps around funds of uterus, goes down to top of vagina and back up = rectouterine pouch (Pouch of Douglas)
Peritoneum sits between bladder and rectum = rectovesical pouch