Upload
phungcong
View
237
Download
2
Embed Size (px)
Citation preview
TOPOGRAPHICAL ANATOMY TOPOGRAPHICAL ANATOMY OF THE ABDOMEN OF THE ABDOMEN
Václav Báča, David KachlíkTereza Smržová, Martin Holek, Katarina
Hubčíkova, Radek Jakša
Department of
Anatomy, Third
Faculty
of
Medicine, Charles University in Prague
supported by grant FRVS 1101/2008/F3
Abdominal wallBORDERS:
Skin
Camper´s layer
(panniculus
adiposus
telae
subcutaneae
abdominis)
fascia
abdominis
subcutanea
Scarpae (stratummembranosum
telae
subcutaneae
abdominis
)
fascia
abdominis
superficialis
m. obliquus
abdominis
externus
m. obliquus
abdominis
internus
m. transversus
abdominis
(m. rectus
in the
sheath
of
m. recti
abd., m. pyramidalis)
fascia
transversalis
lamina parietalis
peritonei
CONTENT:
anulus
umbilicalis
(chorda a. umbilicalis, lig. teres
hepatis)
linea alba
linea arcuata
(Douglasi)
linea semilunaris
(Spiegeli)
anulus
inguinalis
superficialis
etprofundus
BURSA OMENTALISBURSA OMENTALIS ((lesserlesser
sacsac) ) BORDERS:
VENTRAL:stomach, omentum
minus, lig. gastrocolicum
DORSAL:peritoneum
(ceiling), peritoneum
+pankreas, duodenum (middle), omentum
majusposterior
lamina (bottom)
CRANIAL:lobus
caudatus
hepatis, left
diaphragmatic
vault
CAUDAL:colon
transversum, mesocolon
transvesum, omentum
majus
(with
recessus
inferior
b.o.)
LEFT:spleen, lig. gastrophrenicum
, lig. gastrosplenicum
(-lienale), lig. splenorenale
(lieno-)(containing
vasa
splenica+cauda
pancreatis), lig. phrenicosplenicum, lig. splenocolicum
CONTENT:
vestibulum bursae
omentalis
recessus
superior bursae
omentalis
recessus
inferior
bursae
omentalis
isthmus
bursae
omentalis
(tuberomentale)
recessus
splenicus
(lienalis)bursae
omentalis
FORAMEN OMENTALE FORAMEN OMENTALE ((epiploicumepiploicum
s. s. WinslowiWinslowi))BORDERS:
VENTRALLY:omentum
minus (lig. hepatoduodenale)
DORSALLY:peritoneum
(lig. hepatorenale)
CRANIALLY:liver
(processus
caudatus
lobi
caudati)
CAUDALLY:bulbus
(ampulla) duodeni
CONTENT:
entrance
to bursaomentalis
TRIGONUM STERNOCOSTALE TRIGONUM STERNOCOSTALE ((fissurafissura
LarreyiLarreyi s. s. MorgagniMorgagni) ) BORDERS:
VENTRAL:musculus
transversus
thoracis
MEDIAL:pars
sternalis
diaphragmatis
LATERAL:
pars
costalis
diaphragmatis
CONTENT:
vasa
thoracica
internapierce
the
diaphragma
ventrally
ofm. transversus
thoracis
(and
change
intovasa
epigastrica
sup.)
possible
site
for
hernia
tooccur
TRIGONUM LUMBOCOSTALE TRIGONUM LUMBOCOSTALE ((BochdalekiBochdaleki) )
BORDERS:
DORSAL:costa
duodecima
(XII.)
MEDIAL:pars
lumbalis
diaphragmatis
LATERAL:
pars
costalis
diaphragmatis
CONTENT:
possible
site
for
hernia to occur
LIGAMENTUM LIGAMENTUM HEPATODUODENALE HEPATODUODENALE
BORDERS:
RIGHT EDGE:= right
edge
of
lesser
omentum
BEGINNING:porta hepatis
END:pars
superior duodeni
(bulbus
duodeni)
CONTENT:
a. hepatica
propria(ventromedially)
ductus
hepaticus
communis (ventrolaterally),
connects
withductus
cysticus
to formductus
choledochus
vena
portae
(dorsally)
TRIGONUM CYSTOHEPATICUM TRIGONUM CYSTOHEPATICUM ((CalotiCaloti) )
BORDERS:
CRANIAL:liver
(porta hepatis, lobus
quadratus)
MEDIAL:ductus
hepaticus
communis
LATERAL:ductus
cysticus
CONTENT:
arteria
cystica
(ligation)
RECESSUS PERITONEI RECESSUS PERITONEI
BORDERS:
1. pars
supramesocolica
cavitatisperitonealis
2. pars
inframesocolica
cavitatisperitonealis
bursa omentalis (recessus sup., inf., splenicus)
recessus subphrenicus, subhepaticus (hepatorenalis)
recessus duodenalis sup., inf., paraduodenalis, retroduodenalis
recessus ileocaecalis sup., inf., retrocaecalis
recessus intersigmoideus (Treitzi)
sulci paracolici
fossa supravesicalis, inguinalis med. et lat.
fossa paravesicalis, pararectalis
female: excavatio vesicouterina, rectouterina(spatium Douglasi), fossa ovarica
male: excavatio rectovesicalis
CANALIS INGUINALIS CANALIS INGUINALIS BORDERS:
4 -
5 cm long
cleft
slanting
ventromediocaudally
CRANIAL:caudal
borders
of
m. obliquus
abd. internus
andm. transvesus
abd. (falx
inguinalis)
CAUDAL:lig. inguinale
(Falloppii, Pouparti, Vesalii)
VENTRAL:aponeurosis
m. obliqui
abd. externi
DORSAL:fascia
transversalis
BEGINNING:anulus
inguinalis
profundus
(lig. interfoveolare, falx
inguinalis)
END:anulus
inguinalis
superficialis
(crura
med. et
lat., fibrae
intercrurales)
CONTENT:
nervus ilioinguinalis
ramus
genitalis
nervi genitofemoralis
vestigium
processus
vaginalis
a. cremasterica
/ a. lig. teretis
uteri
lymphatic
vessels
female: lig. teres
uteri
male: ductus
deferens
a. testicularis
a. ductus
deferentis
plexus
pampiniformis
plexus
deferentialis
et
testicularis
TRIGONUM INGUINALE TRIGONUM INGUINALE ((HesselbachiHesselbachi) )
BORDERS:
LATERAL:ligamentum
interfoveolare, vasa
epigastrica
inferiora
MEDIAL -
CRANIAL:falx
inguinalis
CAUDAL:ligamentum
inguinale
BOTTOM:fascia
transversalis
CONTENT:
possible
site
forhernia
to occur