Ch 14 Peritoneal Cavity and Abdominal Wall

• The ______________________________consists of multiple peritoneal ligaments and folds that connect the viscera to each other and to the abdominopelvic walls.

  peritoneal cavity
• What structures are within the cavity:

  Lesser and greater omentum, Mesenteries, Ligaments and Multiple fluid spaces (lesser sac, perihepatic and subphrenic spaces)
• ____________________is a smooth membrane that lines the entire abdominal cavity and is reflected over the contained organs.

  Peritoneum
• _______________ lines the walls of the cavity. (outside)

  Parietal peritoneum
• ____________________ covers the abdominal organs (viscera) to a greater or lesser extent. (over the organs)

  Visceral peritoneum
• ______________intestine suspended from the posterior abdominal wall by mesentery.

  Small
• ________________colon suspended from the posterior abdominal wall by the transverse mesocolon.

  Transverse
• _______________colon suspended from the posterior abdominal wall by the sigmoid mesocolon.

  Sigmoid
• General peritoneal cavity is known as the :

  greater sac of the peritoneum.
• With the development of the stomach and the spleen, a smaller sac, called the ______________________, is the peritoneal recess posterior to the stomach.

  lesser sac (omental bursa)
• The lesser sac communicates with the greater sac through a small vertical opening known as the +_______________.

  epiploic foramen
• Attachments of the peritoneum to the abdominal walls and organs help determine the way abnormal ______________________ within the peritoneal cavity can collect or move.

  collections of fluid
• When the patient is lying supine, the lowest part of the body is the _________.

  pelvis
• On a transverse view, the flanks are _________than the mid abdomen.

  lower
• Fluid will accumulate in the __________parts of the body.

  lowest
• Pelvis and ______________________ should be examined for pathologic collections of fluid.

  lateral flanks (gutters)
• __________________________: Double layer of peritoneum, extending from the liver to the lesser curvature of the stomach.

  Lesser Omentum
• Lesser Omentum acts as a __________for the stomach, suspending it from the liver.

  sling
• _______________________: Apron like fold of peritoneum that hangs from the greater curvature of the stomach.

  Greater Omentum
• Greater Omentum lies freely over the _____________except for the upper part, which is fused with the transverse colon and mesocolon.

  intestine
• Greater Omentum can adhere to :

  diseased organs.
• Greater Omentum Helps prevent further spread of infected fluid by essentially "_____________" from the rest of the body.

  walling it off
• The greater omentum profusely supplied with blood vessels by the:

  epiploic branches of the gastroepiploic vessels.
• ______________________ when inferior to diaphragm unilaterally and conform to shape of organ capsule

  Subcapsular
• __________________does not conform to one single organ shape. It will also be a dependent collection

  Intraperitoneal
• ________________- when anterior or superior renal/ureter displacement occurs

  Retroperitoneal
• Ligaments on the right side of the liver form the _____________and __________spaces.

  subphrenic ; subhepatic
• ______________ divides the subphrenic space into right and left components.

  Falciform ligament
• _______________________ ascends from the umbilicus to the umbilical notch of the liver within the free margin of the falciform ligament before coursing in the liver.

  Ligamentum teres hepatis
• ___________________ - right superior subhepatic space (between liver and right kidney)

  Morison's pouch
• ________________________________: anatomically separate the subphrenic space into anterior and posterior compartments.

  Left coronary ligaments
• _____________________ and ___________divide the left subhepatic space into an anterior compartment (gastrohepatic recess) and a posterior compartment (lesser sac).

  Lesser omentum ; stomach
• Gastrohepatic recess forms the ____________ compartment of the left subhepatic space.

  anterior
• Lesser sac forms the __________ compartment of the left subhepatic space

  posterior
• Lesser sac lies anterior to the ______________and posterior to the ________.

  pancreas ; stomach
• __________________________forms the left lateral extension of the greater omentum and connects the gastric greater curvature to the superior splenic hilum.

  Gastrosplenic Ligament
• Gastrosplenic Ligament forms a portion of the left lateral border of the:

  lesser sac.
• Splenorenal ligament forms the _______________portion of the left lateral border of the lesser sac

  posterior
• Splenorenal ligament separates the lesser sac from the:

  renosplenic recess.
• _____________________- posterior to bladder

  Retrovescial space