Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
ANATOMY DEPARTMENT
Umbilicus
Linea Alba
White line
Tendinous
Xiphoid process to p
ubic symphysis
Linea Semilunaris
Inskripsio tendinea
Anterior wall
Layers ( from superficial to deep)
Skin
Superficial fascia
Anterolateral muscles
Transversalis fascia
Extraperitoneal fascia
Parietal peritoneum
Anterior wall
Processus
Xiphoideus
Costal margin
Linea alba
Linea
semilunaris
SIAS
Anterior wall
Structures :
Linea alba
Inskripsio tendinea
Linea semilunar
Inguinal ligament
Muscles of abdomen
Anterolateral group
4 Muscles
Rectus abdominis
Posterior group
10
Abdominal Regions
Abdominal Regions
Right Hypochondriac
Epigastric
Right Lumbar
Left Hypochondriac
Ascending colon
Umbilical
Abdominal Regions
Left Lumbar
Cecum, appendix
Pubic (hypogastric)
Abdominal Quadrants
Vertical midline
Horizontal umbili
cus
Right and left upper
and lower quadrants
Used clinically
Peritoneum
PERITONEUM
Function
REFLEXI PERITONEUM
FOLDED
LAYER
HANGER
Plica rectouterina
Plica umbilicalis
lateralis
Omentum majus
Omentum minus
Mesenterium
Mesocolon transversum
Lig.hepatogastricum
Lig.falciforme hepatis
CAVUM PERITONEI
The content is sereus fluid, closed (on male),
but on the female theres relation with the out
er side OSTIUM TUBAE UTERINAE
Cavum peritonei s.s.(=greater sac)
BURSA OMENTALIS (=lesser sac)
FORAMEN EPIPLOICUM WINSLOWI
Peritoneal
Surrounded by perito
neal cavity
Liver, stomach, ileum
jejunum, transverse
and sigmoid colon
Retroperitoneal
Retroperitoneal viscera
Lessor omentum
Greater omentum
Mesenteries or mesocolons
two-layered fold of perito
neum that attach part of the
intestines to the posterior a
bdominal wall
Mesentery suspends t
Mesoappendix
Triangular mesentery e
xtends from terminal part
of ileum to appendix
Appendicular artery runs i
n free margin of the meso
appendix
Transverse mesocolon
a double fold of peritoneu
m which connects the transv
erse colon to the posterior ab
dominal wall
Sigmoid mesocolon
inverted V-shaped, with ap
ex located in front of left uret
er and division of common ili
ac artery
Ligaments
two-layered f
olds of peritoneum that attache
d the lesser mobile solid visera
to the abdominal wall
Ligaments of liver
Vasa Abdominis
Abdominal aorta
Continuation of thoraci
c aorta at aortic hiatus
of diaphragm in front o
f T12
Terminates at lower b
order of L4 vertebra b
y dividing into right an
d left common iliac art
eries
Parietal branches
Visceral branches
Paired branches
AORTA ABDOMINALIS
A. COELIACA
A. MESENTERICA SUPERIOR
A. MESENTERICA INFERIOR
V. CAVA INFERIOR
V. PORTA
V. MESENTERICA SUPERIOR
V. MESENTERICA INFERIOR
31
Unpaired branches
Celiac trunk
Left gastric a.
Left branch
Right branch
Cystic a.
Right gastric a.
Common
hepatic
a.
Short gastric a.
Splenic a.
Proper hepatic a.
Gastroduodenal a.
Splemic branches
Left gastrioeploic a.
Right gastroepiploic a.
Superior pancreaticoduodenal a.
ARTERI COELIACA
A. GASTRICA SINISTRA
A. HEPATICA COMMUNIS
A. LIENALIS
34
A. Mesenterica superior
Superior
Mesenteric v.
Middle colic a.
Superior
mesenteric a.
Right colic a.
Ileocolic a.
A. ILEOCOLICA
A. COLICA
DEXTRA
A. Mesenterica inferior
Inferior mesenteric v.
Inferior mesenteric a.
Left colic a.
Sigmoid a.
Superior rectal
/ hemorrhoidalis a.
A. COLICA SINISTRA
AA. SIGMOIDEAE
A. RECTALIS (hemorrhoidalis)
Figure 24.23a
Hepatic Artery
Hepatic Vein
Hepatic
portal vein
42
Portal-systemic anastomoses
1. At the lower end of the oesophagus
Hepatic portal vein left gastric vein esophageal
venous plexus esophageal vein azygos vein
superiorvena cava
4. Portal-retroperitoneal anastomosis
Between the retroperitoneal branches of the
colic veins and the lumbar veins, pancreati
coduodenal veins with the renal veins and t
he subcapsular veins of the liver with the p
hrenic veins twigs of colic veins (portal) an
astomosing with systemic retroperitoneal v
eins
Gallbladder
Position :lies in fossa for gallbladder
on visceral surface of liver
Four parts
Fundus of gallbladder
Surface projection: at the junction
of right midclavicular line and right
costal arch
Body of gallbladder
Neck of gallbladder
Cystic duct
Function: stores and concentrate
bile
Biliary ductuli
Cystic duct
CANALIS ANALIS
52
Inguinal region
Boundaries
Inguinal ligament
Lateral margin of rec
tus abdominis
A horizontal line stre
tching from anterior i
liac spine to laeral m
argin of rectus abdo
minis
Inguinal canal
Position: oblique passage, 4cm long, located 1.5cm ab
ove medial half of inguinal lig.
Boundaries
Anterior wall
Post wall
Transverse fascia
Two openings
A
A
Descent of testes
Newborn
63
Nervers of abdomen
N.THORACO ABDOMINALIS
N. PHRENICUS
N. VAGUS
Nn. SPLANCHNICI
TRUNCUS SYMPATHICUS
PLEXUS OTONOM
PLEXUS LUMBALIS
64
Nervers of abdomen
N. intercostalis T7 T12
N. Lumbalis L1dan L2 (plexus lu
mbalis) :
Iliohypogastric n.
Ilioinguinal n.
Genitofemoral n.
Nervers of abdomen
Lumbar plexus
Formation: formed by a
nterior rami of L1-L3, a
part of anterior rami of
T12and L4
Position: lies within sub
stance of psoas major
Branches
Supplie
s lower part of anterior abdo
minal wall
Ilioinguinal n.
Passe
s through inguinal canal to s
upply skin of the groin and s
crotum
Lateral femoral cutaneous
Femoral n.
Obturator n.
Genitofemoral n.
Iliohypogastric n.
The End
VENA PORTAE
VASA ABDOMINALIS
04
69
ANASTOMOSE PORTOCAVALIS
V.CORONARIA VENTRICULI
V.HAEMORRHOIDALIS SUPERIOR
V.PARA UMBILICALIS
Haematemesis, haemorrhoid-melena, spider
navy
ASCITES
VASA ABDOMINALIS
04
70