Retroperitoneum Flashcards

1
Q

What are primary retroperitoneal structures? x6

A

Abdominal aorta and its branches Inferior vena cava and its tributaries Kidneys & ureters Adrenal glands Nerves (lumbar plexus & sympathetic trunk) Oesophagus These structures developed outside the parietal peritoneum. They never had a mesentery.

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2
Q

Which part of small intestine is retroperitoneal?

A

Duodenum

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3
Q

Which part of duodenum has a mesentery

A

1st 2cm

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4
Q

Which part of duodenum do pancreas and gall bladder open into?

A

2nd part

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5
Q

What structures are near the first part of the duodenum?

A

The first part of the duodenum is anterior to the common bile duct, the hepatic portal vein and the gastroduodenal artery.

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6
Q

What structures open into the second part of the duodenum?

A

The common bile duct and the pancreatic duct open into the duodenum through the ampulla of vater. There is a small lump in the duodenum at this point called the major duodenal papilla. The release of substances from the ampulla of vater is controlled by the sphincter of Oddi.

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7
Q

What are the four parts of the duodenum and how long are each of them?

A

Superior - 1.5 cm Descending - 2.7 - 10 cm Inferior - 3.6 - 8 cm Ascending - 4.5 cm

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8
Q

What structures are close to the third part of the duodenum?

A

Superior mesenteric artery and vein cross anteriorly.

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9
Q

What part of the pancreas is intraperitoneal?

A

Tail of the pancreas (it is encased by the splenorenal ligament)

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10
Q

What is the pancreas derived from?

A

The ventral pancreatic bud and the dorsal pancreatic bud

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