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Abdominal wall
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- skin
- Camper´s layer (panniculus
adiposus telae subcutaneae abdominis)
- fascia abdominis subcutanea Scarpae
(stratum membranosum telae subcutaneae abdominis )
- fascia abdominis superficialis
- m. obliquus abdominis externus
- m. obliquus abdominis internus
- m. transversus abdominis
- (m. rectus in the sheath of m. recti abd.,
m. pyramidalis)
- fascia transversalis
- lamina parietalis peritonei
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anulus umbilicalis (chorda a. umbilicalis, lig.
teres hepatis)
linea alba
linea arcuata (Douglasi)
linea semilunaris (Spiegeli)
anulus inguinalis superficialis et profundus
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Bursa omentalis
(Lesser sac)
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ventrally: stomach, omentum minus, lig. gastrocolicum
dorsally: peritoneum (ceiling), peritoneum +
pancreas, duodenum (middle), omentum majus - posterior lamina
(bottom)
cranially: lobus caudatus hepatis, left diaphragmatic
vault
caudally: colon transversum, mesocolon transvesum,
omentum majus (with recessus inferior b.o.)
left: spleen, lig. gastrophrenicum , lig. gastrosplenicum
(-lienale), lig. splenorenale (lieno-) (containing vasa splenica+cauda
pancreatis), lig. phrenicosplenicum, lig. splenocolicum
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vestibulum bursae omentalis
recessus superior bursae omentalis
recessus inferior bursae omentalis
isthmus bursae omentalis (tuber omentale)
recessus splenicus (lienalis) bursae omentalis
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Foramen omentale (epiploicum
s.Winslowi)
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ventrally: omentum minus (lig. hepatoduodenale)
dorsally: peritoneum (lig. hepatorenale)
cranially:liver (processus caudatus lobi caudati)
caudally: bulbus (ampulla) duodeni
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entrance to bursa omentalis
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Trigonum sternocostale
(Fissura
Larreyi s. Morgagni)
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ventrally: m. transversus thoracis
medially: pars sternalis diaphragmatis
laterally: pars costalis diaphragmatis
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vasa thoracica interna
pierce the diaphragma ventrally of m. transversus thoracis (and
change into vasa epigastrica sup.)
possible site for henia to occur
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Trigonum lumbocostale
(Bochdaleki)
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dorsally: costa duodecima (XII.)
medially: pars lumbalis diaphragmatis
laterally: pars costalis diaphragmatis
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possible site for henia to occur
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Ligamentum hepatoduodenale
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= right edge of lesser
omentum
beginning: porta hepatis
end: pars superior duodeni (bulbus duodeni)
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a. hepatica propria (ventromedially)
ductus hepaticus communis (ventrolaterally),
connects with ductus cysticus to form ductus choledochus
vena portae (dorsally)
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Trigonum cystohepaticum
(Caloti)
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cranially:liver (porta hepatis, lobus quadratus)
medially: ductus hepaticus communis
laterally: ductus cysticus
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a. cystica (ligation)
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Recessus peritonei
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pars supramesocolica cavitatis peritonealis
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bursa omentalis (recessus sup.,inf.,splenicus)
recessus subphrenicus, subhepaticus (hepatorenalis)
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| pars inframesocolica
cavitatis peritonealis |
recessus duodenalis sup., inf., paraduodenalis,
retroduodenalis
recessus ileocaecalis sup., inf., retrocaecalis
recessus intersigmoideus (Treitzi)
sulci paracolici
fossa supravesicalis, inguinalis med. et lat.
fossa paravesicalis, pararectalis
female: excavatio vesicouterina, rectouterina
(spatium Douglasi), fossa
ovarica
male: excavatio rectovesicalis
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Canalis inguinalis
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4 - 5 cm long cleft slanting ventromediocaudally
cranially: joined inferior magins of m. obliquus internus abd.
and m. transvesus abd. (falx inguinalis Henlei = tendo conjunctivus)
caudally: lig. inguinale (Falloppii, Pouparti,
Vesalii)
ventrally: aponeurosis m. obliqui externi abd.
dorsally: fascia transversalis
entrance: anulus inguinalis profundus (lig.
interfoveolare Hesselbachi, falx inguinalis Henlei)
exit: anulus inguinalis superficialis (crus med.
et lat., fibrae intercrurales)
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n. ilioinguinalis
r. genitalis n. genitofemoralis
vestigium processus vaginalis
a. cremasterica / a. lig. teretis uteri
lymphatic vessels
female: lig. teres uteri
male: ductus deferens
a. testicularis
a. ductus deferentis
plexus pampiniformis
plexus deferentialis et testicularis
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Trigonum inguinale (Hesselbachi)
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laterally: lig. interfoveolare Hesselbachi, vasa epigastrica
inferiora
medially + cranially: falx inguinalis Henlei
caudally: tractus iliopubicus Thomsoni = a thickened band of fascia transversalis parallel to lig. inguinale
bottom: fascia transversalis
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possible site for henia to occur
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