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)
180px-Gallstones

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
Výsledek obrázku pro islets of langerhans

Výsledek obrázku pro parts of the pancreas
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

spleen2



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
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 duodenalis
sup., inf., sinister,
retroduodenalis
Recessus ileocaecalis sup.
Recessus ileocaecalis inf.
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
16.
16.

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

figure1_large.jpg (558×427)



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. München:
Urban & Schwarzenberg, 1993