pared abdominal

Embed Size (px)

DESCRIPTION

anatomía de la pared abdominal

Citation preview

  • 5/19/2018 pared abdominal

    1/34

    REGION ABDOMINAL POSTERIOR

    ANATOMIA II

  • 5/19/2018 pared abdominal

    2/34

    REGION ABDOMINAL POSTERIOR

    1. PARED ABDOMINAL POSTERIOR2. VISCERAS3.

    VASCULATURA4. SISTEMA LINAFATICO5. SISTEMA NERVIOSO

    6. ANATOMIA SUPERFICIAL

  • 5/19/2018 pared abdominal

    3/34

    REGION ABDOMINAL POSTERIOR

    Es poste!o " #" p"te"$%o&!'"# %e# t"(to)"sto!'test!'"#* "s+ (o&o "#$",o - "# p'(e"s.

    Est #!&!t"%" po /0esos -&s(0#os* (o't!e'e!&pot"'tes est0(t0"s"'"t&!("s "ot""$%o&!'"#* e'" (""!'e!o* to'(os s!&pt!(os- %e'"es #!'t!(os* "s+(o&o #os !7o'es - #"s)#'%0#"s s0p"e'"#es

    Ve'" (""!'e!o

    R!7'%ee(/o

    R!7'!,80!e%o

    Aot""$%o&!'"#

    U9te

    S0p"e'"#%ee(/o S0p"e'"#

    !,80!e%"

  • 5/19/2018 pared abdominal

    4/34

    PARED ABDOMINAL POSTERIOR

    :0esos 9te$"s #0&$"es - e# s"(o; /0eso p9#!(o* (ost!##"sMs(0#os pso"s &"-o - &e'o* (0"%"%o #0&$"* !#!"(o*

    %!"")&".

  • 5/19/2018 pared abdominal

    5/34

    VERTEBRAS LUMBARES

    V9te$"s #0&$"es so' cinco* (0-os (0epos%e$e' s0 )"' po&!'e'(!" " #" (0"t0"se(0'%"!"* 0'" (o'e

    S0s pe%+(0#os so' (otos* #os po(esost"'sesos #")os* "# !)0"# 80e #osesp!'osos.

    Los "t!(0#"es so' #")os - o!e't"%os&e%!"# - #"te"#&e'te* #o (0"# %" =e

  • 5/19/2018 pared abdominal

    6/34

    :UESO P>LVICO E# /0eso p9#!(o se 0'e #"te"#&e'te "# s"(o

    " t"9s %e# /0eso !#!"(o e' #" "t!(0#"(!'s"(o !#!"(".

    S0 p"te s0pe!o se e

  • 5/19/2018 pared abdominal

    7/34

    MUSCULOS

    Los &s(0#os %e #" p"e%"$%o&!'"# poste!o o&"'#os #!&!tes &e%!"#* #"te"#*!'e!o - s0pe!o %e #"e)!' "$%o&!'"# poste!o.

    Me%!"#&e'te te'e&os #ospso"s &"-o - &e'o*#"te"#&e'te* e# (0"%"%o#0&$"* e !'e!o&e'te e#!#!"(o* &!e't"s 80es0pe!o&e'te es e#%!"")&".

  • 5/19/2018 pared abdominal

    8/34

    PSOAS MA@OR Pso"s &"-o* (0$e #" s0pe(!e

    "'teo#"te"# %e #os (0eposete$"#es #0&$"es* ##e'"'%o e#esp"(!o e'te #os (0eposete$"#es - e# po(eso t"'seso.

    N"(e %es%e #os (0epos ete$"#es

    %e T?II - %e to%"s #"s 9te$"s#0&$"es* %es%e s0s %!s(os* s0spo(esos t"'sesos* p"s"'%o /"(!""$"o po e# "'!##o p9#!(o*(o't!'0"'%o /"(!" e# &0s#o "'te!o*$"o e# #!)"&e'to !')0!'"#* p""

    !'set"se e' e# to("'te &e'o %e#9&0. F#e

  • 5/19/2018 pared abdominal

    9/34

    PSOAS MENOR

    Pso"s &e'o* es 0' &0s(0#o"so(!"%o "# pso"s &"-o*"0se'tes e' "#)0'os ("sos*(oe* (0"'%o est pese'te*pe)"%o " #" s0pe(!e %e# pso"s&"-o* %es%e T?II - L1 - te&!'"e' 0' #")o te'%' e' #" #+'e"pe(t+'e" %e# este(/o p9#!(o -e' #" e&!'e'(!" +#!op$!(".

    F#e

  • 5/19/2018 pared abdominal

    10/34

    CUADRADO LUMBAR E# (0"%"%o #0&$"* #"te"#&e'te* ##e'" e#

    esp"(!o e'te #"s (ost!##"s ?II - #" (est"!#!"(" " ("%" #"%o %e #" (o#0&'" ete$"#.

    C0$e &e%!"#&e'te "# pso"s &"-o -(oe #"te"#&e'te so$e #os $o%es %e#t"'seso %e# "$%o&e'.

    Ce(e %e# po(eso t"'seso %e LV* e#

    #!)"&e'to !#eo#0&$"* - #" p"te"%-"(e'te %e #" (est" !#!"("* - se !'set"s0pe!o&e'te e' e# po(eso t"'seso%e #"s p!&e"s (0"to 9te$"s#0&$"es - e' e# $o%e !'e!o %e #"(ost!##" ?II.

    Dep!&e - est"$!#!," #" (ost!##" ?II -pe&!te "#)' &o!&!e'to #"te"# %e#to'(o.

    I'e"%o po e# "&o "'te!o %e T?II -%es%e L1 " L4

    C0"%"%o#0&$"

  • 5/19/2018 pared abdominal

    11/34

    ILIACO

    E# &0s(0#o !#!"(o ##e'" #" os"!#!"(" %e ("%" #"%o* #" (0"# (0$e%es%e s0 o!)e'* (oe /"(!""$"o* se 0'e "# pso"s &"-o* -te&!'" e' e# to("'te &e'o %e#9&0.

    T"' po'to p"s" e# &0s#o* #"(o&$!'"(!' %e #os %os &s(0#osse %e'o&!'" &0s(0#o pso"s !#!"(o.

    T!e'e !)0"# 0'(!' 80e e# pso"s&"-o* "%e&s %e 80e =e

  • 5/19/2018 pared abdominal

    12/34

    DIAFRAGMA E# %!"")&"* s0pe!o&e'te es e# #!&!te %e #"

    p"e% "$%o&!'"# poste!o. Est0(t0"#&e'tees 0' te'%' (e't"# - (!(0'ee'(!"# 1

    Se !'set" e' #"s 9te$"s #0&$"es&e%!"'te #" (0" &0s(0#o te'%!'os"s* #"(0"# se &e,(#" (o' #!)"&e'to #o')!t0%!'"#"'te!o %e #" (o#0&'" ete$"#.

    L" crura derecha [3]es #" &s #")" -"'(/" - se !'set" e' #os (0epos ete$"#es%e LI " LIII. L" !,80!e%" 2 e' e# (0epoete$"# %e LI - LII.

    Se (o'e(t"' e' #" #+'e" &e%!" po 0' "(ote'%!'oso ##"&"%o #!)"&e'to "(0"to o"80e"%o &e%!o 13* o&"%o po #" "s(!"%e# pso"s &"-o* p"s" "'te!o " #" "ot""$%o&!'"# - se !'set" &e%!"#&e'te e' LI -LII - #"te"#&e'te e' e# po(eso t"'seso%e LI* E# #!)"&e'to "(0"to o "80e"%o#"te"# 14* o&"%o po #" "s(!" %e#(0"%"%o #0&$"* #o /"(e &e%!"#&e'te " LI -#"te"#&e'te " #" (ost!##" ?II

    13

    14

  • 5/19/2018 pared abdominal

    13/34

    ORIFICIOS ESOFGICOS

    Est0(t0"s 80e p"s"' e#%!"")&"

    1. Aot" /!"to "t!(o* e'te #"s %os(0"s * poste!o "# #!)"&e'to"(0"to &e%!"#* 0sto " #" !,80!e%"%e #" #+'e" &e%!"* 0'to "# D0(to

    to(!(o* - " e(es #"s e'"s(!)os* po e# /!"to "t!(o. 2. Es")o /!"to eso)!(o e'te #"

    (0" %ee(/" - T?II* " #" !,80!e%"%e# /!"to "t!(o* 0'to " #osNe!os ")os "'te!o - poste!o

    3. Ve'" ("" !'e!o /"(!" e# t"

  • 5/19/2018 pared abdominal

    14/34

    DOMOS DIAFRAGMATICOS

    L" "p"!e'(!" (#s!(" %e #os %o&os%ee(/o e !,80!e%o %e# %!"")&" se%e$e e' )"' &e%!%" " #" pes!' 80eee(e' #"s +s(e"s "$%o&!'"#esso$e s0 est0(t0"* - po e#pe!("%!o $oso* e' #" po(!'

    (e't"#. So' po%0(!%os* e' e# #"%o %ee(/o

    po e# /+)"%o* (o' "#)o %e# !7'%ee(/o - #" )#'%0#" s0p"e'"# %e#&!s&o #"%o.

    E# !,80!e%o* po e# o'%o )st!(o* e#

    $",o* (o' "#)o %e# !7' !,80!e%o - #")#'%0#" s0p"e'"# %e# &!s&o #"%o. Co' 0'" esp!"(!' 'o&"#* e#

    %ee(/o ##e)" /"st" #" 80!'t" (ost!##"*- e# !,80!e%o /"st" e# 80!'to esp"(!o!'te(ost"# %e# &!s&o #"%o

  • 5/19/2018 pared abdominal

    15/34

    ARTERIAS @ NERVIOS DIAFRAGMATICOS

    S0pe!o&e'te* po #"s "te!"smusculofrnica y

    pericardiofrnica* "&$"s"&"s %e #" to(!(" !'te'"* -#" frnica superior* "&" %e #"

    "ot". I'e!o&e'te* so' #"s arterias

    frnica inferior 12* "&"s %e#" "ot" "$%o&!'"#.

    Est !'e"%o po #os 'e!os

    9'!(os C3 " C5* !'e"(!'&oto" "# &0s(0#o - se's!t!""# te'%' (e't"#.

  • 5/19/2018 pared abdominal

    16/34

    RIHONES

    1. So' )"'os etope!to'e"#es2. Se #o("#!,"' e' e# te!%o

    (o'e(t!o 80e se e'(0e't" ""&$os #"%os %e #" (o#0&'"ete$"#

    3. E' pos!(!' s0p!'"* see

  • 5/19/2018 pared abdominal

    17/34

    RIHONES

    L" s0pe(!e "'te!o %e# %ee(/o este#"(!o'"%" (o' "!"s est0(t0"s*"#)0'"s %e #"s (0"#es est' sep""%"s %e#)"'o po 0'" ("p" %e pe!to'eo - ot"sse "%os"' %!e(t"&e'te " #" +s(e".

    U'" pe80e7" p"te %e# po#o s0pe!o est

    (0$!eto po #" )#'%0#" s0p"e'"#%ee(/"* !'e!o&e'te* 0'" )"' p"te %es0 s0pe(!e "'te!o se e#"(!o'" (o' e#/+)"%o.

    Me%!"#&e'te* (o' #" se)0'%" po(!' %e#%0o%e'o.

    E# po#o !'e!o* #"te"#&e'te* este#"(!o'"%o %!e(t"&e'te (o' #" =e

  • 5/19/2018 pared abdominal

    18/34

    RIHONES

    L" s0pe(!e "'te!o %e# !,80!e%oest e#"(!o'"%" (o' "!"sest0(t0"s* "#)0'"s %e #"s (0"#esest' sep""%"s %e# )"'o po 0'"("p" %e pe!to'eo - ot"s se

    "%os"' %!e(t"&e'te " #" +s(e". Po#o s0pe!o (o' #" GSR !,80!e%"*

    e# esto po e# esto&")oetope!to'e"# - e# $",o.

    I'e!o&e'te* (o' e# p'(e"s* e's0 p"te &e%!"

    L"te"#&e'te* s0 &!t"% !'e!o est(0$!et" po #" =e

  • 5/19/2018 pared abdominal

    19/34

    RIHONES

    Po %ets* "&$os see#"(!o'"' po "!$" (o' e#%!"")&"* e# pso"s &"-o* e#(0"%"%o #0&$" - e#t"'seso %e# "$%o&e'* po

    %e$"o. E# po#o s0pe!o %e# %ee(/o

    es "'te!o " #" ?II (ost!##"* -%e# !,80!e%o (o' #" (ost!##" ?I- ?II* e# s"(o p#e0"#* - e#esp"(!o (osto %!"")&t!(o%e# &!s&o #"%o.

    Po %ets (0,"' #os "sos -'e!os s0$(ost"#es* "s+ (o&oe# 'e!o +#!o!')0!'"#.

  • 5/19/2018 pared abdominal

    20/34

    RIHONES L" )"s" e'"# )"s" pe!'9!(" - #" "s(!"

    e'"#* o%e"' "&$os !7o'es. A# &")e' #"te"# %e ("%" !7'* #"s /o"s

    "'te!o - poste!o %e #" "s(!" e'"# se 0'e'* - p0e%e' (o'e(t" (o' #" "s(!"t"'ses"#!s e' #" p"e% "$%o&!'"# #"te"#.

    L"s /o"s "'te!o - poste!o se 0'e' e'(e(" %e #" )#'%0#" s0p"e'"# - se&e,(#"' (o' #" "s(!" %!"")&t!(".

    Me%!"#&e'te* #" /o" "'te!o %e #" "s(!"e'"# se 0'e "# te!%o (o'e(t!o "so(!"%o (o'#" "ot" "$%o&!'"# - #" e'" ("" !'e!o*po %ets* #" /o" poste!o se 0s!o'" (o' #""s(!" %e# (0"%"%o #0&$" - (o' #" %e#pso"s &"-o* po %e$"o* #"s /o"s "'te!o -poste!o se "(e("' "# 09te %e ("%" #"%o.

    U'" 0#t!&" ("p"* #" p""'9!(" o )"s"p""e'"#* (o&p#et" e# '0&eo %e e'o#t0"s%e# !7'.

  • 5/19/2018 pared abdominal

    21/34

    ESTRUCTURA RENAL C"%" !7' t!e'e 0'" s0pe(!e "'te!o* #!s" - ot"

    poste!o (0$!et" %e 0'" ("ps0#" $os"* #" (0"# es(!#&e'te e&o!$#e* e

  • 5/19/2018 pared abdominal

    22/34

    VASCULATURA RENAL U'" s!&p#e - #")" "te!" e'"# * 0'" "&"

    #"te"# %e #" "ot" "$%o&!'"#* s0p#e ("%"!7'. Se o!)!'" !'e!o "# o!)e' %e #""te!" &ese't9!(" s0pe!o* e'te LI - LII.

    L" !,80!e%" '"(e 0' po(o &s "#to 80e #"%ee(/"* - est" 0#t!&"* es &s #")" - p"s"

    poste!o " #" e'" ("" !'e!o C"%" 0'" %e #"s "te!"s e'"#es se "po

  • 5/19/2018 pared abdominal

    23/34

    UR>TERES

    So' t0$os &0s(0#"es 80e t"'spot"'#" o!'" %es%e #os !7o'es /"st" #"e!)" 0!'"!".

    Se (o't!'"' po "!$" (o' #" pe#!se'"#* #" (0"# es 0'" est0(t0" e'

    o&" %e (/!&e'e" e' e# se'o e'"#. L" pe#!s se o&" %e #" (o'%e's"(!'

    %e %os o tes (#!(es &"-oes* #os(0"#es " s0 e, se o&"' po #"(o'%e's"(!' %e &0(/os (#!(es&e'oes* #os (0"#es e%o'%e"' " #"

    p"p!#" e'"# L" pe#!s se este(/" - p"s"

    !'e!o&e'te " t"9s %e# /!#!o e'"# -se (o't!'0" (o' e# 09te e' #" 0'!'0eteo p9#!(".

  • 5/19/2018 pared abdominal

    24/34

    UR>TERES

    L" pe#!s se este(/" - p"s" !'e!o&e'te" t"9s %e# /!#!o e'"# - se (o't!'0" (o' e#09te e' #" 0'!' 0eteo p9#!(".

    Po %e$"o %e est" 0'!'* #os 09tees%es(!e'%e' etope!to'e"#&e'te so$e #"p"te &e%!" %e# pso"s &"-o* e' e#este(/o p9#!(o* (0,"' so$e e# '"# %e#" "te!" !#!"(" (o&'* e't"' " #" ("!%"%p9#!("* - (o't!'"' s0 ("&!'o /"(!" #"e!)" 0!'"!".

    Los p0'tos %e este(/"&!e'to %e #os09tees e' s0 ("&!'o so'

    1. E' #" 0'!' 0eteop9#!("* po %e$"o %e#

    !7'.2. E# p0'to %o'%e (0,"' #" "te!" !#!"("

    (o&'3. C0"'%o e't"' " #" p"e% %e #" e!)".

  • 5/19/2018 pared abdominal

    25/34

    UR>TERES L" "te!" e'"# s0p#e e# te(!o s0pe!o L" p"te &e%!" e(!$e "&"s %e #" "ot"

    "$%o&!'"#* #" "te!" test!(0#" e' e# /o&$e- #" o!(" e' #" &0e* - %e #"s "te!"s!#!"("s (o&0'es

    E' #" ("!%"% p9#!("* #os 09tees e(!$e'"pote s"')0+'eo %e #"s "te!"s !#!"("s!'te'"s.

    E# te(!o s0pe!o %e'" e' #os '%0#os#0&$"es

    E# te(!o &e%!o e' #os '%0#os "so(!"%os " #""te!" !#!"(" (o&'

    E# te(!o !'e!o e' #os '%0#os "so(!"%os "#" "te!" !#!"(" !'te'"

    L" !'e"(!' po!e'e %e "&"s %e #osp#e

  • 5/19/2018 pared abdominal

    26/34

    GLNDULAS SUPRARRENALES Est' "so(!"%"s (o' e# po#o s0pe!o %e "&$os

    !7o'es. Co's!ste' e' 0'" (ote," (o&o ("p"e

  • 5/19/2018 pared abdominal

    27/34

    RAMOS POSTERIORES DE LA AORTA ABDOMINAL

    So' #os "sos 80e !!)"' e#%!"")&" - #" p"e%"$%o&!'"# poste!o.

    So' #"s "te!"s 9'!("!'e!o* #"s #0&$"es - #"

    s"(" &e%!". L"s p!&e"s !!)"' p"te %e

    #"s s0p"e'"#es - #"s0pe(!e !'e!o %e#%!"")&"; #"s se)0'%"s* e'p"es %e (0"to 4* '"(e' %e#" s0pe(!e poste!o p"" #"p"e% "$%o&!'"# poste!o -"&os " #" &e%0#" esp!'"#; #"te(e"* '"(e %e #" (""poste!o.

  • 5/19/2018 pared abdominal

    28/34

    RAMAS DE LA AORTA ABDOMINAL

    L"s "&"s %e #""ot" "$%o&!'"# %ep0e%e' %es(!$!

    (o&o Parietales yViscerales y Parese Impares.

    L"s ramas visceralesimpares se o!)!'"' e' #oss!)0!e'tes p#"'os ete$"#es To'(o Ce#!"(o J T?II

    Mese'te!(" S0pe!o J L1 Mese'te!(" I'e!o J L3

    L"s ramas viscerales paresse o!)!'"' S0p"e'"#es J L1 Re'"#es J L1 Go'"%"#es* test!(0#"es 0

    o"!("s J L2

  • 5/19/2018 pared abdominal

    29/34

    RAMAS DE LA AORTA ABDOMINAL

    Las ramasparietales pares: S0$(ost"#es

    Fe'!("s I'e!oes L0&$"es

    La rama parietalimpar: S"(" Me%!"

  • 5/19/2018 pared abdominal

    30/34

  • 5/19/2018 pared abdominal

    31/34

    VENA CAVA INFERIOR

    Reto'" s"')e %e to%"s #"sest0(t0"s po %e$"o %e#%!"")&" /"(!" #" "0+(0#"%ee(/".

    Se o&" (0"'%o #"s %os e'"s!#!"("s (o&0'es se 0'e' " '!e# %eLV " #" %ee(/" %e #" #+'e" &e%!"*"s(!e'%e' " #" %ee(/" %e #" "ot"- po %e#"'te %e #" (o#0&'"*"t"!es" e# te'%' (e't"# %e#%!"")&" " '!e# %e TVIII.

    S0s t!$0t"!"s so' e'"s !#!"("s

    (o&0'es* e'"s #0&$"es* e'"test!(0#" %ee(/" - e'" o!("%ee(/"* e'" s0p"e'"#%ee(/"* 9'!("s !'e!oes - #"s/ept!("s.

  • 5/19/2018 pared abdominal

    32/34

    SISTEMA LINFTICO

    Los "sos #!'t!(os so' e%es!'te(o'e(t"%"s e

  • 5/19/2018 pared abdominal

    33/34

    SISTEMA LINFTICO

    E' e# !'test!'o %e#)"%o #o /"(e'e' o&" %e )ot"s %e #+p!%os(0$!etos %e pote+'"s%e'o&!'"%"s 80!#o&!(o'es* #os(0"#es so' #!$e"%os %es%e #"s

    (9#0#"s ep!te#!"#es - e't"' "#(o&p"t!&!e'to !'test!(!"#* -%e'"' e' #os ("p!#"es#!'t!(os (o'o(!%os (o&o80!#+eos e' e# !'test!'o%e#)"%o - %es%e "80+ " #"s

    e'"s e' #" "+, %e# (0e##o. E# =0!%o es (#"o e !'(o#oo - es

    (o'o(!%o (o' e# 'o&$e %e #!'"*peo e' e# !'test!'o %e#)"%o es&s op"(o - se ##"&" 80!#o.

  • 5/19/2018 pared abdominal

    34/34

    FIN