HEPAR
Regio hypochondriaca dextra
Regio epigastrica
Facies diaphragmatica
- pars anterior
- lig. falciforme hepatis
- lobus dexter
- lobus sinister
- pars superior (area nuda)
- lig. coronarium
- lig. triangulare dextrum
- lig. triangulare sinistrum
Facies visceralis
Fissura ligamenti teretis
(lig. teres hepatis)
Fissura ligamenti venosi
Fossa vesicae biliaris
Sulcus venae cavae
Lobus dexter
sinister
caudatus
quadratus
Porta hepatis
- vena portae
- a. hepatica propria
- ductus hepaticus
communis
(portal triad)
V. PORTAE
(v. mesenterica sup.
+ v. lienalis)
A. HEPATICA PROPRIA
- a. hepatica communis
→ RAMUS DEXTER ET SINISTER
→ VV. HEPATICAE
Intrahepatic ducts ductus hepaticus dexter
et sinister – ductus hepaticus communis
+ ductus cysticus = ductus choledochus
Ampulla hepatopancreatica
M. sphincter ampullae (Oddi)
Papilla duodeni major (Vater)
(Plica longitudinalis duodeni)
Vesica biliaris (fellea)
- fundus, corpus,
infundibulum, collum
- ductus cysticus
(plica spiralis)
Murphy’s
point
Impressio renalis
Impressio suprarenalis
Impressio colica
Impressio duodeni
Impressio oesophagea
Impressio gastrica
Caput, collum, corpus, cauda,
incisura pancreatis,
processus uncinatus
(a. et v. mesenterica sup.)
PANCREAS
Exocrine pancreas: Endocrine pancreas:
ductus pancreaticus insulae pancreaticae
ductus pancreaticus accessorius (islets of Langerhans
succus pancreaticus 0.1-0.5 mm in diameter )
insulin, glucagon
M. sphincter ductus pancreatici
M. sphincter ductus choledochi
M. sphincter ampullae hepatopancreaticae
Umbilico-axillary line
- point of Desjardin
ERCP – endoscopic retrograde cholangio-pancreatography
LIEN, SPLEN
- extremitas anterior
- extremitas posterior
- margo superior – crenae lienis
- margo inferior
- facies diaphragmatica
- facies visceralis – hilum lienis
- capsula lienis
Costoarticular line
PERITONEUM PARIETALE
PERITONEUM VISCERALE
CAVITAS PERITONEALIS
ascites
CAVITAS ABDOMINALIS
P – cavitas peritonealis
A – spatium preperitoneale
R – spatium retroperitoneale
S – spatium subperitoneale
(infraperitoneale)
S
Intraparitoneal organs:
Abdominal part of the oesophagus, stomach, superior
part of the duodenum, jejunum, ileum, vermiform appendix,
transverse colon, sigmoid colon, liver, spleen
Secondarily retroperitoneal organs:
Most of the duodenum, pancreas, caecum, ascending colon,
descending colon
Primarily retroperitoneal organs:
Kidneys + ureters, suprarenal glands, aorta, inferior vena cava
Cavitas peritonealis - pars supramesocolica, inframesocolica
Pars supramesocolica
Truncus coeliacus
Pars inframesocolica
A. mesenterica superior
Pars inframesocolica
A. mesenterica inferior
Omentum minus - lig. hepatogastricum
- lig. hepatoduodenale - a. hepatica propria
- v. portae
- ductus hepaticus
comm.
(d.choledochus)
Omentum majus
- lig. gastrocolicum
Lig. gastrosplenicum, phrenicosplenicum, splenorenale
Mesenterium – radix mesenterii (spatium paracolicum dx. et s.)
Mesocolon transversum, mesoappendix, mesocolon
sigmoideum, lig. phrenicocolicum
RECESSUS PERITONEI
Bursa omentalis
Internal hernias
Bursa omentalis
Foramen omentale/epiploicum (Winslow)
Recessus sup., splenicus, inf.
Recessus inferior bursae omentalis
Recessus subphrenicus dexter, sinister
Recessus hepatorenalis
Recessus duodenalis
sup., inf., sinister,
retroduodenalis
Recessus ileocaecalis sup.
Recessus ileocaecalis inf.
Recessus retrocaecalis
Recessus intersigmoideus
Recessus paracolici
Mesenterium dorsale
Mesogastrium ventrale
Development of the peritoneum
Development of the peritoneum
1. peritoneum parietale
2. mesogastrium dorsale
3. anlage of the stomach
4. anlage of the duodenum
5. mesenterium
6. hindgut
7. mesogastrium ventrale
8. liver
9. mesogastrium ventrale
10.peritoneum parietale
11.ductus omphaloentericus
12.umbilicus
13.connecting stalk
14.allantois
15.hindgut
Development of the peritoneum
Development of the peritoneum
2’. lig. phrenicolienale
2’’. lig. gastrolienale
5’. mesenterium
5’’. mesocolon
6’. anlage of the large intestine
22. omentum majus
Development of the peritoneum
23. mesocolon transversum
24. mesentery of the colon
descendens
25. mesocolon sigmoideum
26. mesentery of the colon
ascendens
27. omentum majus
Illustrations 27-31 were copied from:
Čihák R: Anatomie 2 (Splanchnologia). Avicenum,
zdravotnické nakladatelství, Praha, 1988.
Remaining illustrations, photographs, and radiographs were
copied from:
Atlas der Anatomie des Menschen/Sobotta.
Putz,R., und Pabst,R. 20. Auflage. MĂĽnchen:
Urban & Schwarzenberg, 1993