Peritoneum Cross Sections Abdominal Cavity

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Peritoneum Cross Sections Abdominal Cavity Peritoneum Cross sections Abdominal cavity János Hanics M.D. The peritoneum is the largest serous membrane of the human body. Derives from lateral plates of mesoderm. It has two layers: 1. parietal peritoneum 2. visceral peritoneum They have a continuous mesothelial layer Abdominal and pelvic organs and structures – according to their peritoneal relations - can be divided into 2 main groups: Intraperitoneal - covered by peritoneum and generally they have a duplication Extraperitoneal (not surrounded by the peritoneum) within this: - Praeperitoneal - Retroperitoneal (secunder and primary) - Infraperitoneal structures. Duplication = meso- !!!! Praeperitoneal organs umbilical folds Infraperitoneal organs (primary) Retroperitoneal organs (Secunder) Retroperitoneal organs Intraperitoneal organs Mesentery (root of the mesentery) Transverse mesocolon, mesosigmoideum Semi-intraperitoneal!!! What is the situation with rectum??? -intra -retro -infra Development Ventral mesentery Dorsal mesentery Following the developmental events, we can understand the origin of the duplications Right celomic cavity!!! Omental bursa 1. Hepatogastric ligament ren 2. Gastrosplenic ligament 3 l 5 4 i 3. Phrenicolienal ligament pancreas e 2 n 4. OMENTAL BURSA hepar 1 gaster 5. Splenic (lienal) recess Omental bursa Omental bursa: - Epiploic (Winslow) foramen!!! - Vestibulum - Gastropancreatic fold - Proper cavity - Recesses: sup., inf. and splenic Lesser and greater omentum (omentum minus et majus) Lesser omentum: - Hepatogastric lig. - Hepatoduodenal lig. Gastrocolic lig. = 2 layer, 4 layer, 6 layer!!! Greater omentum + transverse mesocolon Hepatogastric lig. OMENTAL BURSA 1 4 Transverse mesocolon 3 2 Greater omentum 5 1. Stomach mesenterium 2. Transverse colon 3. Duodenum 4. Pancreas 5. Small interstine (jejunum, ileum) The highest and lowest points of the hepatophrenic = peritoneal cavity subphrenic recess Rectovesical (or rectouterine) – Douglas pouch .
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