Hypochondrium

Last updated
Hypochondrium
Gray1220.png
Thorax and abdomen.
Gray1223.png
Front of abdomen, showing surface markings for liver, stomach, and great intestine.
Details
Identifiers
Latin regio hypochondriaca
TA98 A01.2.04.002
TA2 256
FMA 20390
Anatomical terminology

In anatomy, the division of the abdomen into regions can employ a nine-region scheme. The hypochondrium refers to the two hypochondriac regions in the upper third of the abdomen; the left hypochondrium and right hypochondrium. [1] They are located on the lateral sides of the abdominal wall respectively, inferior to (below) the thoracic cage, being separated by the epigastrium. [1] [2]

Contents

The liver is in the right hypochondrium, extending through the epigastrium and reaching the left hypochondrium. The spleen and some of the stomach are in the left hypochondrium. [3]

Definitions, etymology, and modern controversies

The word derives from the Greek word υποχόνδριο ("hypochondrio"). This Greek word means literally "below the cartilage" which refers to the costal cartilages. In other words, the word refers to the area of the ventral trunk that is located below the costal cartilages. [4] The word once referred only to the soft portion of the abdomen between the rib cage and the navel (the region once believed to be the seat of hypochondriasis), but it is not used that way in modern anatomy's schemes for the regions of the abdomen. [5]

Some sources have disputed usage of the term for the parts of the anterior abdominal wall below the costal margins. The region named the right hypochondrium exists anatomically, but is almost totally under the chest wall. In clinical situations, the parts of the abdominal wall just below the right and left costal margins are referred to as the right and left hypochondriac regions respectively. [6]

Significance of region

Clinically speaking, symptoms and signs arising from this region are of great importance and have a specific list of diseases in their differential diagnoses. [7] [8]

Additional images

See also

Related Research Articles

<span class="mw-page-title-main">Rib</span> Long bone in vertebrates that protects vital respiratory and cardiovascular organs

In vertebrate anatomy, ribs are the long curved bones which form the rib cage, part of the axial skeleton. In most tetrapods, ribs surround the chest, enabling the lungs to expand and thus facilitate breathing by expanding the chest cavity. They serve to protect the lungs, heart, and other internal organs of the thorax. In some animals, especially snakes, ribs may provide support and protection for the entire body.

<span class="mw-page-title-main">Rib cage</span> Bone structure that protects the vital organs and major blood vessels

The rib cage, is an enclosure that comprises the ribs, vertebral column and sternum in the thorax of most vertebrates, protects vital organs such as the heart, lungs and great vessels.

<span class="mw-page-title-main">Hypochondriasis</span> Medical condition

Hypochondriasis or hypochondria is a condition in which a person is excessively and unduly worried about having a serious illness. An old concept, the meaning of hypochondria has repeatedly changed. It has been claimed that this debilitating condition results from an inaccurate perception of the condition of body or mind despite the absence of an actual medical diagnosis. An individual with hypochondriasis is known as a hypochondriac. Hypochondriacs become unduly alarmed about any physical or psychological symptoms they detect, no matter how minor the symptom may be, and are convinced that they have, or are about to be diagnosed with, a serious illness.

<span class="mw-page-title-main">Thorax</span> Frontal part of an animals body, between its head and abdomen

The thorax or chest is a part of the anatomy of humans, mammals, and other tetrapod animals located between the neck and the abdomen. In insects, crustaceans, and the extinct trilobites, the thorax is one of the three main divisions of the creature's body, each of which is in turn composed of multiple segments.

<span class="mw-page-title-main">Thoracic diaphragm</span> Sheet of internal skeletal muscle

The thoracic diaphragm, or simply the diaphragm, is a sheet of internal skeletal muscle in humans and other mammals that extends across the bottom of the thoracic cavity. The diaphragm is the most important muscle of respiration, and separates the thoracic cavity, containing the heart and lungs, from the abdominal cavity: as the diaphragm contracts, the volume of the thoracic cavity increases, creating a negative pressure there, which draws air into the lungs. Its high oxygen consumption is noted by the many mitochondria and capillaries present; more than in any other skeletal muscle.

<span class="mw-page-title-main">Rectus abdominis muscle</span> Paired straight muscle

The rectus abdominis muscle, also known as the "abdominal muscle" or simply the "abs", is a paired straight muscle. It is a paired muscle, separated by a midline band of connective tissue called the linea alba. It extends from the pubic symphysis, pubic crest and pubic tubercle inferiorly, to the xiphoid process and costal cartilages of ribs V to VII superiorly. The proximal attachments are the pubic crest and the pubic symphysis. It attaches distally at the costal cartilages of ribs 5-7 and the xiphoid process of the sternum.

<span class="mw-page-title-main">Epigastrium</span> Upper central region of the abdomen

In anatomy, the epigastrium is the upper central region of the abdomen. It is located between the costal margins and the subcostal plane. Pain may be referred to the epigastrium from damage to structures derived from the foregut.

<span class="mw-page-title-main">Transverse abdominal muscle</span> Muscle of the abdominal area

The transverse abdominal muscle (TVA), also known as the transverse abdominis, transversalis muscle and transversus abdominis muscle, is a muscle layer of the anterior and lateral abdominal wall which is deep to the internal oblique muscle. It is thought by most fitness instructors to be a significant component of the core.

<span class="mw-page-title-main">Abdominal examination</span> Physical examination of abdomen

An abdominal examination is a portion of the physical examination which a physician or nurse uses to clinically observe the abdomen of a patient for signs of disease. The physical examination typically occurs after a thorough medical history is taken, that is, after the physician asks the patient the course of their symptoms. The abdominal examination is conventionally split into four different stages: first, inspection of the patient and the visible characteristics of their abdomen. Auscultation (listening) of the abdomen with a stethoscope. Palpation of the patient's abdomen. Finally, percussion (tapping) of the patient's abdomen and abdominal organs. Depending on the need to test for specific diseases such as ascites, special tests may be performed as a part of the physical examination. An abdominal examination may be performed because the physician suspects a disease of the organs inside the abdominal cavity, or simply as a part of a complete physical examination for other conditions. In a complete physical examination, the abdominal exam classically follows the respiratory examination and cardiovascular examination.

<span class="mw-page-title-main">Ventral body cavity</span>

The ventral body cavity is a human body cavity that is in the anterior (front) aspect of the human body. It is made up of the thoracic cavity, and the abdominopelvic cavity. The abdominopelvic cavity is further divided into the abdominal cavity and pelvic cavity, but there is no physical barrier between the two. The abdominal cavity contains digestive organs, spleen and the kidneys, the pelvic cavity contains the urinary bladder, internal reproductive organs, and rectum.

<span class="mw-page-title-main">Sternal angle</span>

The sternal angle is the synarthrotic joint formed by the articulation of the manubrium and the body of the sternum.

<span class="mw-page-title-main">Abdomen</span> Part of the body between the chest and pelvis

The abdomen is the part of the body between the thorax (chest) and pelvis, in humans and in other vertebrates. The abdomen is the front part of the abdominal segment of the torso. The area occupied by the abdomen is called the abdominal cavity. In arthropods it is the posterior tagma of the body; it follows the thorax or cephalothorax.

<span class="mw-page-title-main">Transpyloric plane</span>

The transpyloric plane, also known as Addison's plane, is an imaginary horizontal plane, located halfway between the suprasternal notch of the manubrium and the upper border of the symphysis pubis at the level of the first lumbar vertebrae, L1. It lies roughly a hand's breadth beneath the xiphisternum or midway between the xiphisternum and the umbilicus. The plane in most cases cuts through the pylorus of the stomach, the tips of the ninth costal cartilages and the lower border of the first lumbar vertebra.

<span class="mw-page-title-main">Thoracic splanchnic nerves</span>

Thoracic splanchnic nerves are splanchnic nerves that arise from the sympathetic trunk in the thorax and travel inferiorly to provide sympathetic supply to the abdomen. The nerves contain preganglionic sympathetic fibers and general visceral afferent fibers.

<span class="mw-page-title-main">Umbilical region</span>

The umbilical region, is one of the nine regions of the abdomen. It is the region that surrounds the area around the umbilicus and is placed approximately half way between the xiphoid process and the pubic symphysis. This region of the abdomen contains part of the stomach, the head of the pancreas, the duodenum, a section of the transverse colon and the lower aspects of the left and right kidney. The upper three regions, from left to right, are the left hypochondriac, epigastric, and right hypochondriac regions. The middle three regions, from left to right, are the left lumbar, umbilical, and right lumbar regions. The bottom three regions, from left to right, are the left inguinal, hypogastric, and right inguinal regions.

Supracristal plane is an anatomical transverse plane lying at the upper most part of the pelvis, the iliac crest. This is usually at the level of the L4 vertebrae. It passes through the umbilical region and the left and right lumbar regions.

<span class="mw-page-title-main">Sternum</span> Flat bone in the middle front part of the rib cage

The sternum or breastbone is a long flat bone located in the central part of the chest. It connects to the ribs via cartilage and forms the front of the rib cage, thus helping to protect the heart, lungs, and major blood vessels from injury. Shaped roughly like a necktie, it is one of the largest and longest flat bones of the body. Its three regions are the manubrium, the body, and the xiphoid process. The word "sternum" originates from the Ancient Greek στέρνον (stérnon), meaning "chest".

<span class="mw-page-title-main">Anatomical terminology</span> Scientific terminology used by anatomists, zoologists, and health professionals

Anatomical terminology is a form of scientific terminology used by anatomists, zoologists, and health professionals such as doctors.

<span class="mw-page-title-main">Quadrants and regions of abdomen</span> Anatomical subdivision scheme

The human abdomen is divided into quadrants and regions by anatomists and physicians for the purposes of study, diagnosis, and treatment. The division into four quadrants allows the localisation of pain and tenderness, scars, lumps, and other items of interest, narrowing in on which organs and tissues may be involved. The quadrants are referred to as the left lower quadrant, left upper quadrant, right upper quadrant and right lower quadrant. These terms are not used in comparative anatomy, since most other animals do not stand erect.

<span class="mw-page-title-main">Lobes of liver</span> Four gross divisions of the human liver

In human anatomy, the liver is divided grossly into four parts or lobes: the right lobe, the left lobe, the caudate lobe, and the quadrate lobe. Seen from the front – the diaphragmatic surface - the liver is divided into two lobes: the right lobe and the left lobe. Viewed from the underside – the visceral surface, the other two smaller lobes the caudate lobe, and the quadrate lobe are also visible. The two smaller lobes, the caudate lobe and the quadrate lobe, are known as superficial or accessory lobes, and both are located on the underside of the right lobe.

References

  1. 1 2 Standring S (2016). Gray's anatomy : the anatomical basis of clinical practice (Forty-first ed.). [Philadelphia]. ISBN   9780702052309. OCLC   920806541.
  2. thefreedictionary.com
  3. Moore KL, Dalley AF, Agur AM (2013-02-13). Clinically oriented anatomy (Seventh ed.). Philadelphia. ISBN   978-1451119459. OCLC   813301028.
  4. "Definition of HYPOCHONDRIAC". www.merriam-webster.com. Retrieved 2019-09-26.
  5. Bound F (January 2006). "Hypochondria". Lancet. 367 (9505): 105. doi: 10.1016/S0140-6736(06)67948-8 . PMID   16413863. S2CID   208816963.
  6. Cirocchi R, Boselli C, Renzi C, Corsi A, Cagini L, Boccolini A, et al. (June 2014). "The surface landmarks of the abdominal wall: a plea for standardization". Archives of Medical Science. 10 (3): 566–9. doi:10.5114/aoms.2014.43749. PMC   4107261 . PMID   25097589.
  7. Nordt SP, Bowns C, Moran J, Kelleher HB, Swadron S (December 2012). "Left upper quadrant abdominal pain". The Western Journal of Emergency Medicine. 13 (6): 495–6. doi:10.5811/westjem.2012.1.11737. PMC   3555578 . PMID   23359837.
  8. Joshi G, Crawford KA, Hanna TN, Herr KD, Dahiya N, Menias CO (2018-05-01). "US of Right Upper Quadrant Pain in the Emergency Department: Diagnosing beyond Gallbladder and Biliary Disease". Radiographics. 38 (3): 766–793. doi: 10.1148/rg.2018170149 . PMID   29757718.