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REGIONAL ANATOMY OF THE ABDOMEN
•Regions
•Lines
•Projection of organs
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LINEA XIPHISTERNALIS
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LINEA SUBCOSTALIS
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LINEA BISPINALIS
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EPIGASTRIUM
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MESOGASTRIUM
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HYPOGASTRIUM
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REGIO EPIGASTRICA
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REGIO HYPOCHONDRIACA DEXTRA ET SINISTRA
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REGIO UMBILICALIS
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REGIO LATERALIS DEXTRA ET SINISTRA
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REGIO PUBICA
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REGIO INGUINALISDEXTRA ET SINISTRA
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LINEA TRANSPYLORICA
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LINEA BICRISTALIS
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McBurney's point Lanz’s point
4
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URETER
1. pars abdominalis2. pars pelvina3. pars intramuralis ostium ureteris
LANZ
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Labbe’s triangle
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ABDOMINAL WALL
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PANNICULUS ADIPOSUS
VV. SUBCUTANEAE ABD.
V. THORACOEPIGASTRICAV. EPIGASTRICA SPF.V. CIRCUMFLEXA ILIUM SPF.
VV. PARAUMBILICALES
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PORTAL-CAVAL / PORTAL-SYSTEMIC ANASTOMOSES
1. Vv. gastricae – vv. oesophageae2. Vv. paraumbilicales (caput Medusae, Burrow’s veins)3. Plexus rectalis - hemorrhoids4. Retzius’ veins5. Vv. hepaticae – vv. phrenicae
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A. EPIGASTRICA SPF.A. CIRCUMFLEXA ILIUM SPF.AA. INTERCOSTALESA. SUBCOSTALISAA. LUMBALESA. EPIGASTRICA SUP.
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NN. INTERCOSTALESN. SUBCOSTALISN. ILIOHYPOGASTRICUSN. ILIOINGUINALIS
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NODI LYMPHATICI AXILLARESNODI LYMPHATICI INGUINALES SPF.
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A. EPIGASTRICA SUP.A. EPIGASTRICA INF.A. CIRCUMFLEXA ILIUM PROF.AA. INTERCOSTALESA. SUBCOSTALISAA. LUMBALES
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CANALIS INGUINALIS
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CANALIS INGUINALIS
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CANALIS INGUINALIS
Posterior wall: Fascia transversalis - falx inguinalis - trigonum inguinale (Hesselbachi) - lig. interfoveolare - anulus inguinalis prof.
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*Lacuna vasorum – anulus femoralisLacuna musculorum
*
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CAVITAS PERITONEALIS
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CAVITAS PERITONEALIS
- pars supramesocolica - pars inframesocolica
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Pars supramesocolica(truncus coeliacus)
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Pars inframesocolica
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SPATIUM RETROPERITONEALE
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1. diaphragma 4. m. transversus abdominis2. 11th rib 5. m. quadratus lumborum3. 12th rib 6. m. psoas major
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1. gl. suprarenalis dx.2. liver3. duodenum4. flexura coli dx.5. jejunum
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1. gl. suprarenalis sin.2. stomach3. spleen4. pancreas5. flexura coli sin.6. jejunum
SIN.
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1. fascia renalis 5. corpus adiposum pararenale 2. lamina praerenalis 6. peritoneum3. lamina retrorenalis 7. fascia transversalis4. capsula adiposa