Professional Documents
Culture Documents
11-19-2015
PERITONEAL CAVITY
Specialized mesentaries
Intraperitoneal organs
almost completely surrounded
by peritoneum; suspended by
mesentery
Retroperitoneal organs only
partially covered by
peritoneum; no mesentery
Duodenum, pancreas
Pressed up against posterior abdominal
wall
Aren't suspended by a mesentery
PERITONEAL CAVITY
Inferior border
10th costal cartila
L2/3 IV disc
Iliac tubercles/
L5 vertebra
Parasympathetics
Cranial
Preganglionic fibers in vagus
nerve
Postganglionic neuron in
ganglion within wall of organ
All thoracic organs,
foregut and midgut
structures
Sacral
Preganglionic fibers in
anterior rami S2-4 (pelvic
splanchnic nerves)
Postganglionic neuron in
ganglion within wall of organ
Hindgut structures and
pelvic organs
Sympathetics
Preganglionic fibers in anterior rami
of T5-L2
Preganglionic fibers do not
synapse in sympathetic trunk;
pass thru it
Form
Thoracic splanchnic nerves
Lumbar splanchnic nerves
Splanchnic nerves go to
prevertebral ganglia
Celiac ganglion
postganglionic fibers to
foregut structures,
kidneys, spleen
Superior mesenteric
ganglion midgut
structures
Inferior mesenteric
ganglion hindgut
structures
ESOPHAGUS
STOMACH
4 parts:
STOMACH
Cardia
Fundus
Body
Pylorus
Pyloric antrumpassageway
Pyloric canal
Pyloric sphincter
Curvatures:
Lesser curvature
Greater curvature
Splenic artery
Short gastric arteries*
Upper part of the greater
curvature of the stomach
Pancreatic arteries
Common hepatic artery
*supply stomach
*supply stomach
STOMACH
Arterial supply
Lesser curvature
Left gastric artery
Right gastric artery
Greater curvature
Right gastro-omental
artery
Left gastro-omental
artery
Short gastric arteries
STOMACH
Venous drainage
Similarly named veins into hepatic portal system: left and right
gastric veins, right and left gastro-omental veins, short
gastric veins
STOMACH
Innervation
Sympathetics: thoracic splanchnic nerves >> celiac
ganglion
Parasympathetics: vagal trunks (both anterior and posterior)
DUODENUM
DUODENUM
Arterial supply
Celiac trunk
Gastroduodenal
artery
Supradudoenal
artery*
Superior
pancreaticoduo
denal artery*
Superior mesenteric
Inferior
pancreaticoduoden
al artery*
*supply duodenum
DUODENUM
Innervation
Sympathetics: thoracic
splanchnic nerves >>
celiac and superior
mesenteric ganglia
Parasympathetics: vagal
trunks
Arterial supply:
Superior mesenteric artery
Jejunal arteries
Ileal arteries
Innervation
Sympathetics: thoracic
splanchnic nerves >>
superior mesenteric
ganglion (synapse in)
Parasympathetics: vagal
trunks
LARGE INTESTINE
Consists of :
Cecum
Vermiform appendix
Midgut
Ascending colon
Transverse colon
Descending colon
Sigmoid colon
Hindgut
Rectum
Upper anal canal
LARGE INTESTINE
Ileocecal junction
Haustra sacculations of
the wall
Sac-like structures
Visible from x-rays
Spleen rests by it
LARGE INTESTINE
LARGE INTESTINE
Sympathetics:
Midgut part thoracic
splanchnic nerves >>
superior mesenteric
ganglia
Hindgut part lumbar
splanchnic nerves >>
inferior mesenteric
ganglion
Parasympathetics:
Midgut part -- vagal
trunks
Hindgut part -- pelvic
splanchnic nerves
LIVER
LIVER
Anterior view
4 lobes
Diaphragmatic surface
Right and left lobes
Separated by falciform
ligament (2 layers of
serous membrane)
Contains ligament teres
(round ligament) of
liver
Reminant of the
umbilical vein
Coronary ligaments are
serous membrane that reflect
off liver onto underside of
diaphragm
Visceral surface
Underside of the liver
LIVER
More superior/closer to
Ligamentum
inferior vena cava
venosum
Visceral surface
LIVER
Arterial supply
Hepatic artery proper
Right and left
hepatic arteries
Hepatic portal vein
Carrying nutrients into
liver
Sympathetics: thoracic
splanchnic nerves >>
celiac ganglion
Parasympathetics: vagal
trunks
GALL BLADDER
Hepatopancreatic ampulla
GALL BLADDER
Arterial supply
Cystic artery off
right hepatic artery
Venous drainage
Cystic vein into
hepatic portal
system
Sympathetics:
thoracic splanchnic
nerves >> celiac
ganglion
Parasympathetics:
vagal trunks
Cystic artery
PANCREAS
Secretes digestive
enzymes (exocrine) and
glucagon and insulin
(endocrine)
PANCREAS
Tail
Body
Neck
Head
Main pancreatic duct
PANCREAS
Arterial supply
Pancreatic arteries off
splenic artery
Superior
pancreaticoduodenal
artery off
gastrodudodenal artery
Inferior
pancreaticoduodenal
artery superior
Superior pancreaticoduodenal artery
mesenteric
artery
PANCREAS
Sympathetics: thoracic
splanchnic nerves >>
celiac and superior
mesenteric ganglia
Parasympathetics: vagal
trunks
SPLEEN
SPLEEN
Arterial supply
Splenic artery off
celiac trunk
Venous drainage
Splenic vein >>
hepatic portal vein
Sympathetics: thoracic
splanchnic nerves >>
celiac ganglion
Parasympathetics: vagal
trunks