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Clinical Anatomy of Anterior Abdominal Wall
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 Sulabh Shrestha  October 24, 2012  Anatomy  No Comments

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Rectus sheath: 53 Comments

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Ligaments:

1. Inguinal: Inferior edge of external oblique

2. Lacunar: Triangular extension of external oblique before
insertion into pubic tubercle
3. Conjoined: Fusion of internal oblique and transverse
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Inguinal Canal:

Length: 1.5 inch

or 4 cm

Course:
Oblique;
downward and
medial from
internal
inguinal ring to
external
inguinal ring,
parallel and
immediately above inguinal ligament

Inferior epigastric vessels demarcate medial edge of internal

inguinal ring

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Relations:

1. Anterior: External oblique aponeurosis, Internal oblique (Lateral

1/3)
2. Posterior: Conjoined tendon (Medial), Fascia transversalis
(Lateral)
3. Above: Arch of lowest bers of internal oblique and transverse
abdominis
4. Below: Inguinal and Lacunar ligament

Contents: Spermatic cord/Round ligament and Ilioinguinal nerve (L1)

Spermatic cord:

1. 3 layers of fascia: External spermatic (External oblique a.) →

Cremasteric (Internal oblique a.) → Internal spermatic (Fascia
transversalis)
2. Contents:
1. 3 structures: Vas deferens, Lymphatics of testis (Para-aortic),
Patent processus vaginalis (indirect hernia)
2. 3 arteries: Testicular (aorta), Cremasteric (Inferior epigastric),
Artery of vas (Inferior vesical)
3. 3 veins: Pampiniform plexus (Rt à IVC; LtàLt renal vein),
Cremasteric vein, Vein of vas
4. 3 nerves: Nerve to cremaster (Genitofemoral), T10-11
sympathetic, Ilioinguinal (on and not in)

Myopectineal  ori ce of Fruchaud: Simple layer of fascial

transversalis

1. Above: arching bers of internal oblique and transverse

abdominus muscles
2. Medially: Rectus muscle and sheath
3. Inferiorly: Coopers or Pectineal ligament
4. Laterally: Iliopsoas muscle

Hesselbach’s triangle:

1. Lateral border of rectus sheath

2. Inguinal ligament
3. Inferior epigastric vessels

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SULABH
Intern doctor and Medical Blogger Sulabh Shrestha

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