The Peritoneum (Anatomy of the Abdomen)

42
Abdominal Abdominal Regions Regions Dr. Sherif Fahmy

Transcript of The Peritoneum (Anatomy of the Abdomen)

Abdominal RegionsAbdominal Regions

Dr. Sherif Fahmy

Dr. Sherif Fahmy

PERITONEUMPERITONEUM The largest serous sac that lines The largest serous sac that lines

abdominal wall and covers abdominal abdominal wall and covers abdominal viscera. So it could be:viscera. So it could be:• 1- 1- Visceral layer:Visceral layer: cover organ. cover organ.• 2- 2- Parietal layer:Parietal layer: lines wall. lines wall.• 3- 3- Peritoneal fold:Peritoneal fold: becomes in contact becomes in contact

other peritoneal layer.other peritoneal layer.• 4- 4- Peritoneal cavity:Peritoneal cavity: It separates It separates

visceral from parietal. It is potential space.visceral from parietal. It is potential space.Dr. Sherif Fahmy

Sex differences:Sex differences:- Peritoneal sac is a closed in male but in Peritoneal sac is a closed in male but in

females it is opened by uterine tubes.females it is opened by uterine tubes.- Functions of peritoneum:Functions of peritoneum:

1- provides smooth surfaces for viscera to avoid 1- provides smooth surfaces for viscera to avoid fricction.fricction.2- Protects against infection as it contains 2- Protects against infection as it contains antibodies.antibodies.3- Allows rapid healing of abdominal wounds.3- Allows rapid healing of abdominal wounds.4- Can localize infection (policman).4- Can localize infection (policman).5- Storage of fat.5- Storage of fat. Dr. Sherif Fahmy

Parts of peritoneal sacParts of peritoneal sac It is divided into:It is divided into:

1- 1- Greater sac:Greater sac: It is the part It is the part of peritoneal sac that fills of peritoneal sac that fills most of abdominal cavity.most of abdominal cavity.2- 2- Lesser sac:Lesser sac: It is the part of It is the part of peritoneal sac that is present peritoneal sac that is present behind stomach.behind stomach.

Dr. Sherif Fahmy

Greater SacGreater Sac

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Lesser Sac Lesser Sac (Omental Bursa)(Omental Bursa)

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Boundaries of Lesser Boundaries of Lesser SacSac

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Recesses of Lesser Recesses of Lesser SacSac

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Applied AnatomyApplied Anatomy

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Peritoneal FoldsPeritoneal Folds 1- Ligaments.1- Ligaments. 2- Omenta (lesser & greater).2- Omenta (lesser & greater). 3- Mesentery (folds of 3- Mesentery (folds of

intestine).intestine).

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Subphrenic SpacesSubphrenic Spaces

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Paracolic GuttersParacolic Gutters

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Umbilical FoldsUmbilical Folds

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Peritoneal RecessesPeritoneal Recesses

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Dr. Sherif Fahmy