Peritoneal recesses

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Peritoneal recesses
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Diagram devised by Delépine to show the lines along which the peritoneum leaves the wall of the abdomen to invest the viscera.
Anatomical terminology

Peritoneal recesses (or peritoneal gutters) are the spaces formed by peritoneum draping over viscera. [1]

Contents

The term refers mainly to four spaces in the abdominal cavity; the two paracolic gutters and the two paramesenteric gutters. There are other smaller recesses including those around the duodenojejunal flexure, cecum, and the sigmoid colon. These gutters are clinically important because they allow a passage for infectious fluids from different compartments of the abdomen. For example; fluid from an infected appendix can track up the right paracolic gutter to the hepatorenal recess.

The four peritoneal recesses are:

See also

Related Research Articles

Peritoneum Serous membrane that forms the lining of the abdominal cavity or the coelom—it covers most of the intra-abdominal (or coelomic) organs—in amniotes and some invertebrates

The peritoneum is the serous membrane forming the lining of the abdominal cavity or coelom in amniotes and some invertebrates, such as annelids. It covers most of the intra-abdominal organs, and is composed of a layer of mesothelium supported by a thin layer of connective tissue. This peritoneal lining of the cavity supports many of the abdominal organs and serves as a conduit for their blood vessels, lymphatic vessels, and nerves.

Mesentery Contiguous fold of tissues that supports the intestines

The mesentery is an organ that attaches the intestines to the posterior abdominal wall in humans and is formed by the double fold of peritoneum. It helps in storing fat and allowing blood vessels, lymphatics, and nerves to supply the intestines, among other functions.

Recto-uterine pouch

The recto-uterine pouch, also known by various other names, is the extension of the peritoneal cavity between the rectum and the posterior wall of the uterus in the female human body.

Lesser omentum

The lesser omentum is the double layer of peritoneum that extends from the liver to the lesser curvature of the stomach and the first part of the duodenum.

The lesser sac, also known as the omental bursa, is the cavity in the abdomen that is formed by the lesser and greater omentum. Usually found in mammals, it is connected with the greater sac via the omental foramen or Foramen of Winslow. In mammals, it is common for the lesser sac to contain considerable amounts of fat..

Falciform ligament

The falciform ligament is a ligament that attaches the liver to the front body wall, and separates the liver into the left medial lobe and right lateral lobe. The falciform ligament, from Latin 'sickle-shaped', is a broad and thin fold of peritoneum, its base being directed downward and backward and its apex upward and forward. The falciform ligament droops down from the hilum of the liver.

Greater omentum

The greater omentum is a large apron-like fold of visceral peritoneum that hangs down from the stomach. It extends from the greater curvature of the stomach, passing in front of the small intestines and doubles back to ascend to the transverse colon before reaching to the posterior abdominal wall. The greater omentum is larger than the lesser omentum, which hangs down from the liver to the lesser curvature. The common anatomical term "epiploic" derives from "epiploon", from the Greek epipleein, meaning to float or sail on, since the greater omentum appears to float on the surface of the intestines. It is the first structure observed when the abdominal cavity is opened anteriorly.

Duodenojejunal flexure Border between the duodenum and the jejunum

The duodenojejunal flexure or duodenojejunal junction is the border between the duodenum and the jejunum.

Suspensory ligament of ovary

The suspensory ligament of the ovary, also infundibulopelvic ligament, is a fold of peritoneum that extends out from the ovary to the wall of the pelvis.

Hepatoduodenal ligament

The hepatoduodenal ligament is the portion of the lesser omentum extending between the porta hepatis of the liver and the superior part of the duodenum.

Mesosalpinx

The mesosalpinx is part of the lining of the abdominal cavity in higher vertebrates, specifically the portion of the broad ligament that stretches from the ovary to the level of the fallopian tube.

Hepatogastric ligament

The hepatogastric ligament or gastrohepatic ligament connects the liver to the lesser curvature of the stomach. It contains the right and the left gastric arteries. In the abdominal cavity it separates the greater and lesser sacs on the right. It is sometimes cut during surgery in order to access the lesser sac. The hepatogastric ligament consists of a dense cranial portion and the caudal portion termed the pars flaccida.

Mesorchium

The testes, at an early period of foetal life, are placed at the back part of the abdominal cavity, behind the peritoneum, and each is attached by a peritoneal fold, the mesorchium, to the mesonephros.

The paracolic gutters are spaces between the colon and the abdominal wall.

Bare area of the liver

The bare area of the liver is a large triangular area on the diaphragmatic surface of the liver, devoid of peritoneal covering. It is attached directly to the diaphragm by loose connective tissue.

Recto-vesical pouch

The recto-vesical pouch is the pocket that lies between the rectum and the urinary bladder in human males and other male mammals. It is lined by peritoneum and at its base is the rectoprostatic fascia. When a man is upright or supine, the recto-vesical pouch is the lowest part of his peritoneal cavity. Because of this, peritoneal fluid and other fluids that enter the peritoneal cavity, including ascites, blood and pus, tend to collect in this pouch.

The hepatorenal recess is the space that separates the liver from the right kidney. As a potential space, the recess is not filled with fluid under normal conditions. However, fluid can collect in this space in circumstances where the abdomen fills with fluid, such as hemoperitoneum. This fluid may be seen on ultrasound or computed tomography.

Omental foramen

In human anatomy, the omental foramen, is the passage of communication, or foramen, between the greater sac, and the lesser sac.

Paramesenteric gutters

The paramesenteric gutters are two spaces in the abdominal cavity between the colon and the root of the mesentery. There are two paramesenteric gutters; the left paramesenteric gutter and the right paramesenteric gutter.

Lobes of liver

The human liver is divided grossly into four parts or lobes. The four lobes are 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. "7. Male pelvis MRI #2, midsagittal plane" . Retrieved 2009-12-15.