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www.smso.net
The Abdomen
Surface Anatomy, Muscles and
Peritoneum
www.smso.net
Abdominopelvic Cavity
Largest part of ventral body
cavity
Abdominal
Stomach, liver, kidneys, etc
Pelvic
Bladder, some reproductive
organs, rectum
Two cavities are continuous
pg 12
www.smso.net
Surface Anatomy of Abdomen
Umbilicus = navel
Linea alba = white line
Xiphoid process to
pubic symphysis
Tendinous line
Inferior Boundaries
Iliac crest
Ant. Sup. Iliac spine
Inguinal ligament
Pubic crest
Superior Boundary
Diaphragm
pg 742
Pg 187
www.smso.net
Four Abdominal Quadrants
Pg 16
www.smso.net
Muscles of Abdominal Wall
No bony reinforcement
3 sheet-like layers
Continuous with layers
of intercostal muscles
Fibers of layers run in
different directions for
strength
Ends in aponeurosis
which contains rectus
abdominis muscle
Function: hold in organs,
move trunk, forced
breathing, inc. intra-
abdominal pressure
pg 278
www.smso.net
Muscles of Anterior Abdominal Wall
External Obliques
O: lower 8 ribs I: aponeurosis to linea alba
Function: Flex trunk, compress abd. wall (together)
Rotate trunk (separate sides)
Internal Obliques
O: Lumbar fascia, iliac crest, inguinal ligament
I: Linea alba, pubic crest, last 3-4 ribs, costal margin
Function: Same as External obliques
Transversus Abdominis
O:same as Internals, plus last 6 ribs
I: Xiphoid process, costal cart. 5-7
Function: Compress abdomen
Rectus Abdominis
O: Pubic crest, pubic symphysis I: Xiphoid, cost cart 5-7
Function: Flex, rotate trunk, compress abdomen, fix ribs
www.smso.net
Muscles of the
Anterior
Abdomen Wall
All muscles of anterior abdomen innervated by INTERCOSTAL nerves
www.smso.net
Muscles of the Posterior Abdominal Wall
Iliopsoas
Psoas major
O: Lumbar vertebrae + T12
I: Lesser trochanter of femur via iliopsoas tendon
Function: Thigh flexion, trunk flexion, lateral flexion
Iliacus
O: Iliac fossa, ala of sacrum
I: Lesser trochanter of femur via iliopsoas tendon
Function: Thigh flexion, trunk flexion
Quadratus lumborum
O: iliac crest, lumbar fascia
I: trans. proc of upper lumbar vertebrae
Function: Flex vertebral column
www.smso.net
Muscles of
Posterior
Abdominal
Wall
Quadratus
lumborum
Iliiopsoas
Iliacus
Psoas major
Pg 299
www.smso.net
Peritoneum
Extension of serous membrane in the
abdomino-pelvic cavity
Mesentery: Double layer of peritoneum
Hold organs in place
Store fat
Route for vessels + nerves
Retroperitoneal: some organs behind
peritoneum (eg) duodenum, ascending +
descending colon, rectum, pancreas
Peritoneal: remain surrounded by peritoneal
cavity (eg) liver, stomach, ileum + jejunum
www.smso.net
Peritoneal vs Retroperitoneal
Pg 13, 614

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Abdomen

  • 2. www.smso.net Abdominopelvic Cavity Largest part of ventral body cavity Abdominal Stomach, liver, kidneys, etc Pelvic Bladder, some reproductive organs, rectum Two cavities are continuous pg 12
  • 3. www.smso.net Surface Anatomy of Abdomen Umbilicus = navel Linea alba = white line Xiphoid process to pubic symphysis Tendinous line Inferior Boundaries Iliac crest Ant. Sup. Iliac spine Inguinal ligament Pubic crest Superior Boundary Diaphragm pg 742 Pg 187
  • 5. www.smso.net Muscles of Abdominal Wall No bony reinforcement 3 sheet-like layers Continuous with layers of intercostal muscles Fibers of layers run in different directions for strength Ends in aponeurosis which contains rectus abdominis muscle Function: hold in organs, move trunk, forced breathing, inc. intra- abdominal pressure pg 278
  • 6. www.smso.net Muscles of Anterior Abdominal Wall External Obliques O: lower 8 ribs I: aponeurosis to linea alba Function: Flex trunk, compress abd. wall (together) Rotate trunk (separate sides) Internal Obliques O: Lumbar fascia, iliac crest, inguinal ligament I: Linea alba, pubic crest, last 3-4 ribs, costal margin Function: Same as External obliques Transversus Abdominis O:same as Internals, plus last 6 ribs I: Xiphoid process, costal cart. 5-7 Function: Compress abdomen Rectus Abdominis O: Pubic crest, pubic symphysis I: Xiphoid, cost cart 5-7 Function: Flex, rotate trunk, compress abdomen, fix ribs
  • 7. www.smso.net Muscles of the Anterior Abdomen Wall All muscles of anterior abdomen innervated by INTERCOSTAL nerves
  • 8. www.smso.net Muscles of the Posterior Abdominal Wall Iliopsoas Psoas major O: Lumbar vertebrae + T12 I: Lesser trochanter of femur via iliopsoas tendon Function: Thigh flexion, trunk flexion, lateral flexion Iliacus O: Iliac fossa, ala of sacrum I: Lesser trochanter of femur via iliopsoas tendon Function: Thigh flexion, trunk flexion Quadratus lumborum O: iliac crest, lumbar fascia I: trans. proc of upper lumbar vertebrae Function: Flex vertebral column
  • 10. www.smso.net Peritoneum Extension of serous membrane in the abdomino-pelvic cavity Mesentery: Double layer of peritoneum Hold organs in place Store fat Route for vessels + nerves Retroperitoneal: some organs behind peritoneum (eg) duodenum, ascending + descending colon, rectum, pancreas Peritoneal: remain surrounded by peritoneal cavity (eg) liver, stomach, ileum + jejunum