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TOPOGRAPHICAL ANATOMY

OF THE ABDOMEN

Václav Báča, David Kachlík


Tereza 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 wall
BORDERS:
CONTENT:
Skin
anulus umbilicalis (chorda a.
Camper´s layer (panniculus adiposus telae umbilicalis, lig. teres hepatis)
subcutaneae abdominis)

fascia abdominis subcutanea Scarpae (stratum linea alba


membranosum telae subcutaneae abdominis )

fascia abdominis superficialis linea arcuata (Douglasi)


m. obliquus abdominis externus
linea semilunaris (Spiegeli)
m. obliquus abdominis internus

m. transversus abdominis anulus inguinalis superficialis et


profundus
(m. rectus in the sheath of m. recti abd., m.
pyramidalis)

fascia transversalis

lamina parietalis peritonei


BURSA OMENTALIS
(lesser sac)
BORDERS:
VENTRAL:
CONTENT:
stomach, omentum minus, lig. gastrocolicum
vestibulum bursae omentalis
DORSAL:
peritoneum (ceiling), peritoneum +
pankreas, duodenum (middle), omentum majus recessus superior bursae omentalis
posterior lamina (bottom)
recessus inferior bursae omentalis
CRANIAL:
lobus caudatus hepatis, left diaphragmatic vault
isthmus bursae omentalis (tuber
CAUDAL: omentale)
colon transversum, mesocolon transvesum,
omentum majus (with recessus inferior b.o.)
recessus splenicus (lienalis)
LEFT: bursae omentalis
spleen, lig. gastrophrenicum , lig. gastrosplenicum
(-lienale), lig. splenorenale (lieno-)
(containing vasa splenica+cauda pancreatis),
lig. phrenicosplenicum, lig. splenocolicum
FORAMEN OMENTALE
(epiploicum s. Winslowi)
BORDERS: CONTENT:

VENTRALLY:
omentum minus (lig. hepatoduodenale)

DORSALLY: entrance to bursa


peritoneum (lig. hepatorenale)
omentalis
CRANIALLY:
liver (processus caudatus lobi caudati)

CAUDALLY:
bulbus (ampulla) duodeni
TRIGONUM STERNOCOSTALE
(fissura Larreyi s. Morgagni)
BORDERS: CONTENT:

VENTRAL: vasa thoracica interna


musculus transversus thoracis pierce the diaphragma
ventrally of
MEDIAL:
pars sternalis diaphragmatis m. transversus thoracis
(and change into
LATERAL: vasa epigastrica sup.)
pars costalis diaphragmatis
possible site for hernia to
occur
TRIGONUM LUMBOCOSTALE
(Bochdaleki)
BORDERS: CONTENT:

DORSAL:
costa duodecima (XII.)

MEDIAL:
pars lumbalis diaphragmatis
possible site for hernia
to occur
LATERAL:

pars costalis diaphragmatis


LIGAMENTUM
HEPATODUODENALE
BORDERS: CONTENT:

a. hepatica propria
RIGHT EDGE: (ventromedially)
= right edge of lesser
omentum
ductus hepaticus communis
(ventrolaterally),
BEGINNING:
porta hepatis connects with
ductus cysticus
END: to form
pars superior duodeni ductus choledochus
(bulbus duodeni)
vena portae (dorsally)
TRIGONUM CYSTOHEPATICUM
(Caloti)
BORDERS: CONTENT:

CRANIAL:
liver (porta hepatis, lobus quadratus)

MEDIAL:
ductus hepaticus communis
arteria cystica (ligation)

LATERAL:
ductus cysticus
RECESSUS PERITONEI
bursa omentalis (recessus sup., inf., splenicus)

BORDERS: recessus subphrenicus, subhepaticus (hepatorenalis)

recessus duodenalis sup., inf., paraduodenalis,


retroduodenalis

1. pars supramesocolica cavitatis recessus ileocaecalis sup., inf., retrocaecalis


peritonealis
recessus intersigmoideus (Treitzi)

sulci paracolici
2. pars inframesocolica cavitatis
peritonealis fossa supravesicalis, inguinalis med. et lat.

fossa paravesicalis, pararectalis

female: excavatio vesicouterina, rectouterina


(spatium Douglasi), fossa ovarica

male: excavatio rectovesicalis


CANALIS INGUINALIS
BORDERS: CONTENT:

4 - 5 cm long cleft slanting ventromediocaudally nervus ilioinguinalis

CRANIAL: ramus genitalis nervi genitofemoralis


caudal borders of m. obliquus abd. internus and
m. transvesus abd. (falx inguinalis) vestigium processus vaginalis

CAUDAL: a. cremasterica / a. lig. teretis uteri


lig. inguinale (Falloppii, Pouparti, Vesalii)
lymphatic vessels
VENTRAL:
aponeurosis m. obliqui abd. externi female: lig. teres uteri

DORSAL: male: ductus deferens


fascia transversalis
a. testicularis
BEGINNING:
anulus inguinalis profundus (lig. interfoveolare, falx a. ductus deferentis
inguinalis)
plexus pampiniformis
END:
anulus inguinalis superficialis (crura med. et lat., plexus deferentialis et testicularis
fibrae intercrurales)
TRIGONUM INGUINALE
(Hesselbachi)
BORDERS: CONTENT:

LATERAL:
ligamentum interfoveolare, vasa
epigastrica inferiora
possible site for
MEDIAL - CRANIAL: hernia to occur
falx inguinalis

CAUDAL:
ligamentum inguinale

BOTTOM:
fascia transversalis