SlideShare a Scribd company logo
POSTERIIOR
ABDOMINAL WALL
By: Dr Yaseen
Anatomy dept.
• Muscles :
• Vessels : aorta, IVC, azygous,
hemiazygous vein,
• Lymphnodes and vessels
• Nerve plexus: lumbosacral plexus
• Thoracolumbar fascia
COMPONENTS
MUSCLES
• Psoas major
• Psoas minor
• Iliacus
• Quadratus lumborum
PSOAS MAJOR
• Orig:
– transverse process all lumbar vertebrae
• Ins:
– lesser trochanter of femur
• Action:
– powerful flexure of hip joint
– Balance trunk in sitting position
– Weak medial rotator
• Inn:
– L2-3 and 4
– Fracture of neck of femur the limb
rotates laterally.
Posterior abd wall
ILIACUS
• Orig:
– upper 2/3 of iliac fossa,
– inner lip of iliac crest,
– upper surface of sacrum
• Ins:
– lateral part of anterior surface of lesser trochanter
• Action:
– with psoas, flexes hip joint
• Inn:
– Branch of femoral nerve L2-3
QUADRATUS LUMBORUM
• Orig:
– transverse process of L5
– Ilioinguinal ligament
– Inner lip of iliac crest
• Ins:
– transverse processes of upper L4.
– Lower border and anterior surface of 12th rib
• Actions:
– Lateral flexion of vertebral column in flexed pelvis
– Extend lumbarl vertebral column
• Inn:
– Spinal nerves T12-L4
INFERIOR VENA CAVA
• Is the largest vein of the body.
• Lies in posterior abdominal wall right to
the aorta
• Form from the union of R and L common
iliac vein behind common iliac artery at
the level of L5.
• Ascends on the R of aorta, pierces
diaphragm at the level of T8 and
terminates by opening in to R-atrium.
Posterior abd wall
Posterior abd wall
RELATIONS
• ANTERIOR: above to down
• Posterior surface of liver
• Epiploic foramen
• Duodenum(1st part) &portal vein
• Bile duct & pancreas (head) Duodenum
(3rd part), R-gonadal arteries
• Posterior parietal peritoneum
• Root of mesentery
• R- common iliac artery.
Posterior abd wall
POSTERIOR: above to down
• R- renal vein
• Middle supra renal vein
• Inferior phrenic arteries
• R- celiac ganglia
• Medial part of supra renal gland
• R- sympathetic chain
• Medial border of R-psoas
Posterior abd wall
TRIBUTARIES
• Two anterior visceral tributaries
– Hepatic veins
• 3 lateral visceral tributaries
– R- supra renal vein
– Renal veins
– R- gonadal veins
• 5 lateral abdominal wall tributaries
– Inferior phrenic vein
– 4 lumbar veins
• 3 tributaries of origin:
– 2 common iliac vein
• External iliac vein
• Internal iliac vein
– Median sacral vein
Posterior abd wall
ABDOMINAL AORTA
AORTIC ANEURYSM
• Types:
 small,3-4.4cm
 medium, 4.5-5.4 cm
 large 5.5 more
• endovascular surgery – the graft is
inserted into a blood vessel in your groin
and then carefully passed up into the
aorta
• open surgery – the graft is placed in
the aorta through a cut in your tummy
Posterior abd wall
Treatment
Risks of endovascular surgery include:
• the graft leaking or slipping out of
position – you'll have regular scans to
check for this, and may need another
operation to fix any problems
• a wound infection or infection of the graft
• heavy bleeding from your groin
• a blood clot, heart attack or stroke
Risks of open surgery include:
• a wound infection or infection of the
graft
• a blood clot
• heavy bleeding from your groin
• a heart attack or stroke
• erectile dysfunction or ejaculation
problems in men
Treatment for a burst AAA
• treated with emergency surgery using the same
techniques used for a large aneurysm.
• The decision about whether to perform open or
endovascular surgery is made by the surgeon
carrying out the operation.
• Only about 2 in 10 people who have a burst aneurysm
survive, which is why an operation to stop an
aneurysm bursting is usually recommended if it's
large.
POTT’S DISEASE
• Pott disease, also known as tuberculous
spondylitis
Posterior abd wall
Posterior abd wall
Posterior abd wall
Posterior abd wall
Draining of psoas abcess
Treatment approach
• Surgical intervention
• Medical treatment
• Rehabilitation
Posterior abd wall

More Related Content

What's hot

Pelvic diaphargm
Pelvic diaphargm Pelvic diaphargm
Pelvic diaphargm
M S
 
Posterior abdominal wall
Posterior abdominal wallPosterior abdominal wall
Posterior abdominal wall
dhina raddy
 
ANATOMY OF PANCREAS
ANATOMY OF PANCREASANATOMY OF PANCREAS
ANATOMY OF PANCREAS
kadskads
 
anatomy of Urinary bladder
anatomy of Urinary bladderanatomy of Urinary bladder
anatomy of Urinary bladder
Mohamed El Fiky
 
The caecum
The caecumThe caecum
The caecum
Idris Siddiqui
 
Abdominal Aorta (Anatomy of the Abdomen)
Abdominal Aorta (Anatomy of the Abdomen)Abdominal Aorta (Anatomy of the Abdomen)
Abdominal Aorta (Anatomy of the Abdomen)
Dr. Sherif Fahmy
 
Duodenum & pancreas
Duodenum & pancreas   Duodenum & pancreas
Duodenum & pancreas
Prabhakar Yadav
 
Posterior abdominal wall
Posterior abdominal wallPosterior abdominal wall
Posterior abdominal wall
Dr. Vibhash Kumar Vaidya
 
Anterior abdominal wall
Anterior abdominal wallAnterior abdominal wall
Anterior abdominal wall
Dr.Daniel
 
My ppt
My pptMy ppt
My ppt
Asha damodar
 
ANTERIOR ABDOMINAL WALL
ANTERIOR ABDOMINAL WALLANTERIOR ABDOMINAL WALL
ANTERIOR ABDOMINAL WALL
Muralidhar Krishna Reddy
 
Front of thigh.pptx
Front of thigh.pptxFront of thigh.pptx
Front of thigh.pptx
JindaGenda
 
Anatomy of stomach
Anatomy of stomachAnatomy of stomach
Anatomy of stomach
Sachin Patne
 
External features of heart
External features of heartExternal features of heart
External features of heart
mgmcri1234
 
Posterior abdominal wall
Posterior abdominal wallPosterior abdominal wall
Posterior abdominal wall
Mohamed El Fiky
 
Vena cava anatomy and variants
Vena cava anatomy and variantsVena cava anatomy and variants
Vena cava anatomy and variants
Milan Silwal
 
ANATOMY OF DUODENUM
ANATOMY OF DUODENUMANATOMY OF DUODENUM
ANATOMY OF DUODENUM
Dr. sana yaseen
 
Lect 1, Anterior abdominal wall
Lect 1,  Anterior abdominal wallLect 1,  Anterior abdominal wall
Lect 1, Anterior abdominal wall
Mohaned Lehya
 
Anatomy of Suprarenal (Adrenal) Glands.pptx
Anatomy of Suprarenal (Adrenal) Glands.pptxAnatomy of Suprarenal (Adrenal) Glands.pptx
Anatomy of Suprarenal (Adrenal) Glands.pptx
Dr Ndayisaba Corneille
 
Stomach
StomachStomach

What's hot (20)

Pelvic diaphargm
Pelvic diaphargm Pelvic diaphargm
Pelvic diaphargm
 
Posterior abdominal wall
Posterior abdominal wallPosterior abdominal wall
Posterior abdominal wall
 
ANATOMY OF PANCREAS
ANATOMY OF PANCREASANATOMY OF PANCREAS
ANATOMY OF PANCREAS
 
anatomy of Urinary bladder
anatomy of Urinary bladderanatomy of Urinary bladder
anatomy of Urinary bladder
 
The caecum
The caecumThe caecum
The caecum
 
Abdominal Aorta (Anatomy of the Abdomen)
Abdominal Aorta (Anatomy of the Abdomen)Abdominal Aorta (Anatomy of the Abdomen)
Abdominal Aorta (Anatomy of the Abdomen)
 
Duodenum & pancreas
Duodenum & pancreas   Duodenum & pancreas
Duodenum & pancreas
 
Posterior abdominal wall
Posterior abdominal wallPosterior abdominal wall
Posterior abdominal wall
 
Anterior abdominal wall
Anterior abdominal wallAnterior abdominal wall
Anterior abdominal wall
 
My ppt
My pptMy ppt
My ppt
 
ANTERIOR ABDOMINAL WALL
ANTERIOR ABDOMINAL WALLANTERIOR ABDOMINAL WALL
ANTERIOR ABDOMINAL WALL
 
Front of thigh.pptx
Front of thigh.pptxFront of thigh.pptx
Front of thigh.pptx
 
Anatomy of stomach
Anatomy of stomachAnatomy of stomach
Anatomy of stomach
 
External features of heart
External features of heartExternal features of heart
External features of heart
 
Posterior abdominal wall
Posterior abdominal wallPosterior abdominal wall
Posterior abdominal wall
 
Vena cava anatomy and variants
Vena cava anatomy and variantsVena cava anatomy and variants
Vena cava anatomy and variants
 
ANATOMY OF DUODENUM
ANATOMY OF DUODENUMANATOMY OF DUODENUM
ANATOMY OF DUODENUM
 
Lect 1, Anterior abdominal wall
Lect 1,  Anterior abdominal wallLect 1,  Anterior abdominal wall
Lect 1, Anterior abdominal wall
 
Anatomy of Suprarenal (Adrenal) Glands.pptx
Anatomy of Suprarenal (Adrenal) Glands.pptxAnatomy of Suprarenal (Adrenal) Glands.pptx
Anatomy of Suprarenal (Adrenal) Glands.pptx
 
Stomach
StomachStomach
Stomach
 

Similar to Posterior abd wall

Femoral triangle and venous drainage in the lower limg
Femoral triangle and venous drainage in the lower limgFemoral triangle and venous drainage in the lower limg
Femoral triangle and venous drainage in the lower limg
Akram Jaffar
 
Anatomy of the anterior abdominal wall and incisions
Anatomy of the anterior abdominal wall and incisionsAnatomy of the anterior abdominal wall and incisions
Anatomy of the anterior abdominal wall and incisions
George Owusu
 
Venous lymphatic drainage of lower limb
Venous lymphatic drainage of lower limbVenous lymphatic drainage of lower limb
Venous lymphatic drainage of lower limb
Rahul Jha
 
Introduction to lower limb & front thigh
Introduction to lower limb & front thighIntroduction to lower limb & front thigh
Introduction to lower limb & front thigh
anatomysrs
 
10.-Rectum-anal-canal-BS-Copy.pdf
10.-Rectum-anal-canal-BS-Copy.pdf10.-Rectum-anal-canal-BS-Copy.pdf
10.-Rectum-anal-canal-BS-Copy.pdf
elphaswalela
 
anterior abdominal wall.pptx
anterior abdominal wall.pptxanterior abdominal wall.pptx
anterior abdominal wall.pptx
anatomysrs
 
Varicose vein
Varicose veinVaricose vein
Varicose vein
MD. SHERAJUL ISLAM
 
Applied anatomy in inguinoscrotal swelling
Applied anatomy in inguinoscrotal swellingApplied anatomy in inguinoscrotal swelling
Applied anatomy in inguinoscrotal swelling
sunil kumar daha
 
Intropduction to abdomen.pptx
Intropduction to abdomen.pptxIntropduction to abdomen.pptx
Intropduction to abdomen.pptx
Sundip Charmode
 
Abdomen & Pelvis II
Abdomen & Pelvis IIAbdomen & Pelvis II
Abdomen & Pelvis II
SaruGosain
 
FEMORAL TRIANGLE PDF.pdf
FEMORAL TRIANGLE PDF.pdfFEMORAL TRIANGLE PDF.pdf
FEMORAL TRIANGLE PDF.pdf
AkashAnand55
 
anteriorabdo is bestminalwall-200822131803.pdf
anteriorabdo is bestminalwall-200822131803.pdfanteriorabdo is bestminalwall-200822131803.pdf
anteriorabdo is bestminalwall-200822131803.pdf
srinathbadugu0777
 
Anterior abdominal wall
Anterior abdominal wallAnterior abdominal wall
Anterior abdominal wall
TanyaNabil
 
VENOUS Dranage of the lower linb anatomy .pdf
VENOUS Dranage of the lower linb anatomy .pdfVENOUS Dranage of the lower linb anatomy .pdf
VENOUS Dranage of the lower linb anatomy .pdf
BalajChaudhry
 
Gastrocnemius flap
Gastrocnemius flap Gastrocnemius flap
Gastrocnemius flap
Satish Kumar
 
Lymphatics of the pelvis
Lymphatics of the pelvisLymphatics of the pelvis
Lymphatics of the pelvis
Abhinav Mutneja
 
Urinary system -for NURSING copy.pptx
Urinary system -for NURSING copy.pptxUrinary system -for NURSING copy.pptx
Urinary system -for NURSING copy.pptx
AkhilaV16
 
2. ureter
2. ureter2. ureter
2. ureter
kanakmauritius
 
Review of Gait, Locomotion & Lower Limbs
Review of Gait, Locomotion & Lower LimbsReview of Gait, Locomotion & Lower Limbs
Review of Gait, Locomotion & Lower Limbs
DrSaeed Shafi
 
USMLE MSK L011 Lower 09 Anatomical regions of lower limb.pdf
USMLE   MSK L011 Lower 09 Anatomical regions of lower limb.pdfUSMLE   MSK L011 Lower 09 Anatomical regions of lower limb.pdf
USMLE MSK L011 Lower 09 Anatomical regions of lower limb.pdf
AHMED ASHOUR
 

Similar to Posterior abd wall (20)

Femoral triangle and venous drainage in the lower limg
Femoral triangle and venous drainage in the lower limgFemoral triangle and venous drainage in the lower limg
Femoral triangle and venous drainage in the lower limg
 
Anatomy of the anterior abdominal wall and incisions
Anatomy of the anterior abdominal wall and incisionsAnatomy of the anterior abdominal wall and incisions
Anatomy of the anterior abdominal wall and incisions
 
Venous lymphatic drainage of lower limb
Venous lymphatic drainage of lower limbVenous lymphatic drainage of lower limb
Venous lymphatic drainage of lower limb
 
Introduction to lower limb & front thigh
Introduction to lower limb & front thighIntroduction to lower limb & front thigh
Introduction to lower limb & front thigh
 
10.-Rectum-anal-canal-BS-Copy.pdf
10.-Rectum-anal-canal-BS-Copy.pdf10.-Rectum-anal-canal-BS-Copy.pdf
10.-Rectum-anal-canal-BS-Copy.pdf
 
anterior abdominal wall.pptx
anterior abdominal wall.pptxanterior abdominal wall.pptx
anterior abdominal wall.pptx
 
Varicose vein
Varicose veinVaricose vein
Varicose vein
 
Applied anatomy in inguinoscrotal swelling
Applied anatomy in inguinoscrotal swellingApplied anatomy in inguinoscrotal swelling
Applied anatomy in inguinoscrotal swelling
 
Intropduction to abdomen.pptx
Intropduction to abdomen.pptxIntropduction to abdomen.pptx
Intropduction to abdomen.pptx
 
Abdomen & Pelvis II
Abdomen & Pelvis IIAbdomen & Pelvis II
Abdomen & Pelvis II
 
FEMORAL TRIANGLE PDF.pdf
FEMORAL TRIANGLE PDF.pdfFEMORAL TRIANGLE PDF.pdf
FEMORAL TRIANGLE PDF.pdf
 
anteriorabdo is bestminalwall-200822131803.pdf
anteriorabdo is bestminalwall-200822131803.pdfanteriorabdo is bestminalwall-200822131803.pdf
anteriorabdo is bestminalwall-200822131803.pdf
 
Anterior abdominal wall
Anterior abdominal wallAnterior abdominal wall
Anterior abdominal wall
 
VENOUS Dranage of the lower linb anatomy .pdf
VENOUS Dranage of the lower linb anatomy .pdfVENOUS Dranage of the lower linb anatomy .pdf
VENOUS Dranage of the lower linb anatomy .pdf
 
Gastrocnemius flap
Gastrocnemius flap Gastrocnemius flap
Gastrocnemius flap
 
Lymphatics of the pelvis
Lymphatics of the pelvisLymphatics of the pelvis
Lymphatics of the pelvis
 
Urinary system -for NURSING copy.pptx
Urinary system -for NURSING copy.pptxUrinary system -for NURSING copy.pptx
Urinary system -for NURSING copy.pptx
 
2. ureter
2. ureter2. ureter
2. ureter
 
Review of Gait, Locomotion & Lower Limbs
Review of Gait, Locomotion & Lower LimbsReview of Gait, Locomotion & Lower Limbs
Review of Gait, Locomotion & Lower Limbs
 
USMLE MSK L011 Lower 09 Anatomical regions of lower limb.pdf
USMLE   MSK L011 Lower 09 Anatomical regions of lower limb.pdfUSMLE   MSK L011 Lower 09 Anatomical regions of lower limb.pdf
USMLE MSK L011 Lower 09 Anatomical regions of lower limb.pdf
 

More from Dr. sana yaseen

Abdominal Quadrants of Abdominal cavity.pptx
Abdominal Quadrants of Abdominal cavity.pptxAbdominal Quadrants of Abdominal cavity.pptx
Abdominal Quadrants of Abdominal cavity.pptx
Dr. sana yaseen
 
PERITONEUM AND THE COMPONENTS OF PERITONEUM.pptx
PERITONEUM AND THE COMPONENTS OF PERITONEUM.pptxPERITONEUM AND THE COMPONENTS OF PERITONEUM.pptx
PERITONEUM AND THE COMPONENTS OF PERITONEUM.pptx
Dr. sana yaseen
 
mandible.pptx
mandible.pptxmandible.pptx
mandible.pptx
Dr. sana yaseen
 
NOSE & para nasal sinus.pptx
NOSE & para nasal sinus.pptxNOSE & para nasal sinus.pptx
NOSE & para nasal sinus.pptx
Dr. sana yaseen
 
FACIAL ARTERY.pptx
FACIAL ARTERY.pptxFACIAL ARTERY.pptx
FACIAL ARTERY.pptx
Dr. sana yaseen
 
Larynx.ppt
Larynx.pptLarynx.ppt
Larynx.ppt
Dr. sana yaseen
 
TRIANGLES OF NEK.pptx
TRIANGLES OF NEK.pptxTRIANGLES OF NEK.pptx
TRIANGLES OF NEK.pptx
Dr. sana yaseen
 
STERNUM.pptx
STERNUM.pptxSTERNUM.pptx
STERNUM.pptx
Dr. sana yaseen
 
DURAL VENOUS SINUS.pptx
DURAL VENOUS SINUS.pptxDURAL VENOUS SINUS.pptx
DURAL VENOUS SINUS.pptx
Dr. sana yaseen
 
MID BRAIN.pptx
MID BRAIN.pptxMID BRAIN.pptx
MID BRAIN.pptx
Dr. sana yaseen
 
urinary Bladder.ppt
urinary Bladder.ppturinary Bladder.ppt
urinary Bladder.ppt
Dr. sana yaseen
 
kidney.pptx
kidney.pptxkidney.pptx
kidney.pptx
Dr. sana yaseen
 
suboccipital triangle & cervical plexus.pptx
suboccipital triangle & cervical plexus.pptxsuboccipital triangle & cervical plexus.pptx
suboccipital triangle & cervical plexus.pptx
Dr. sana yaseen
 
PALATE.pptx
PALATE.pptxPALATE.pptx
PALATE.pptx
Dr. sana yaseen
 
DEEP CERVICAL FASCIA.pptx
DEEP CERVICAL FASCIA.pptxDEEP CERVICAL FASCIA.pptx
DEEP CERVICAL FASCIA.pptx
Dr. sana yaseen
 
VESTIBULOCOCHLEAR NERVE.pptx
VESTIBULOCOCHLEAR NERVE.pptxVESTIBULOCOCHLEAR NERVE.pptx
VESTIBULOCOCHLEAR NERVE.pptx
Dr. sana yaseen
 
PTERYGOPALATINE FOSSA.pptx
PTERYGOPALATINE FOSSA.pptxPTERYGOPALATINE FOSSA.pptx
PTERYGOPALATINE FOSSA.pptx
Dr. sana yaseen
 
MUSCLES OF MASTICATION.pptx
MUSCLES OF MASTICATION.pptxMUSCLES OF MASTICATION.pptx
MUSCLES OF MASTICATION.pptx
Dr. sana yaseen
 
NEURAL TUBE DEFECTS.pptx
NEURAL TUBE DEFECTS.pptxNEURAL TUBE DEFECTS.pptx
NEURAL TUBE DEFECTS.pptx
Dr. sana yaseen
 
cerebellum.pptx
cerebellum.pptxcerebellum.pptx
cerebellum.pptx
Dr. sana yaseen
 

More from Dr. sana yaseen (20)

Abdominal Quadrants of Abdominal cavity.pptx
Abdominal Quadrants of Abdominal cavity.pptxAbdominal Quadrants of Abdominal cavity.pptx
Abdominal Quadrants of Abdominal cavity.pptx
 
PERITONEUM AND THE COMPONENTS OF PERITONEUM.pptx
PERITONEUM AND THE COMPONENTS OF PERITONEUM.pptxPERITONEUM AND THE COMPONENTS OF PERITONEUM.pptx
PERITONEUM AND THE COMPONENTS OF PERITONEUM.pptx
 
mandible.pptx
mandible.pptxmandible.pptx
mandible.pptx
 
NOSE & para nasal sinus.pptx
NOSE & para nasal sinus.pptxNOSE & para nasal sinus.pptx
NOSE & para nasal sinus.pptx
 
FACIAL ARTERY.pptx
FACIAL ARTERY.pptxFACIAL ARTERY.pptx
FACIAL ARTERY.pptx
 
Larynx.ppt
Larynx.pptLarynx.ppt
Larynx.ppt
 
TRIANGLES OF NEK.pptx
TRIANGLES OF NEK.pptxTRIANGLES OF NEK.pptx
TRIANGLES OF NEK.pptx
 
STERNUM.pptx
STERNUM.pptxSTERNUM.pptx
STERNUM.pptx
 
DURAL VENOUS SINUS.pptx
DURAL VENOUS SINUS.pptxDURAL VENOUS SINUS.pptx
DURAL VENOUS SINUS.pptx
 
MID BRAIN.pptx
MID BRAIN.pptxMID BRAIN.pptx
MID BRAIN.pptx
 
urinary Bladder.ppt
urinary Bladder.ppturinary Bladder.ppt
urinary Bladder.ppt
 
kidney.pptx
kidney.pptxkidney.pptx
kidney.pptx
 
suboccipital triangle & cervical plexus.pptx
suboccipital triangle & cervical plexus.pptxsuboccipital triangle & cervical plexus.pptx
suboccipital triangle & cervical plexus.pptx
 
PALATE.pptx
PALATE.pptxPALATE.pptx
PALATE.pptx
 
DEEP CERVICAL FASCIA.pptx
DEEP CERVICAL FASCIA.pptxDEEP CERVICAL FASCIA.pptx
DEEP CERVICAL FASCIA.pptx
 
VESTIBULOCOCHLEAR NERVE.pptx
VESTIBULOCOCHLEAR NERVE.pptxVESTIBULOCOCHLEAR NERVE.pptx
VESTIBULOCOCHLEAR NERVE.pptx
 
PTERYGOPALATINE FOSSA.pptx
PTERYGOPALATINE FOSSA.pptxPTERYGOPALATINE FOSSA.pptx
PTERYGOPALATINE FOSSA.pptx
 
MUSCLES OF MASTICATION.pptx
MUSCLES OF MASTICATION.pptxMUSCLES OF MASTICATION.pptx
MUSCLES OF MASTICATION.pptx
 
NEURAL TUBE DEFECTS.pptx
NEURAL TUBE DEFECTS.pptxNEURAL TUBE DEFECTS.pptx
NEURAL TUBE DEFECTS.pptx
 
cerebellum.pptx
cerebellum.pptxcerebellum.pptx
cerebellum.pptx
 

Recently uploaded

MEDICAL PROFESSIONALISM Class of compassionate care
MEDICAL PROFESSIONALISM Class of compassionate careMEDICAL PROFESSIONALISM Class of compassionate care
MEDICAL PROFESSIONALISM Class of compassionate care
Debre Berhan University
 
Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024
Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024
Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024
Anindya Das Adhikary
 
Clinical examination of- CRANIAL.- nerves
Clinical examination of- CRANIAL.- nervesClinical examination of- CRANIAL.- nerves
Clinical examination of- CRANIAL.- nerves
DrpoonamHealthclinic
 
Approach to Head Injuiry, Intracranial Pressure Measurement and Management.pptx
Approach to Head Injuiry, Intracranial Pressure Measurement and Management.pptxApproach to Head Injuiry, Intracranial Pressure Measurement and Management.pptx
Approach to Head Injuiry, Intracranial Pressure Measurement and Management.pptx
Bipul Thakur
 
Stepping Forward to Transform MCL Management: Guidance on the Selection and U...
Stepping Forward to Transform MCL Management: Guidance on the Selection and U...Stepping Forward to Transform MCL Management: Guidance on the Selection and U...
Stepping Forward to Transform MCL Management: Guidance on the Selection and U...
PVI, PeerView Institute for Medical Education
 
2nd week of Human development .embryology
2nd week of Human development .embryology2nd week of Human development .embryology
2nd week of Human development .embryology
Mithilesh Chaurasia
 
PULMONARY EMBOLISM AND ITS MANAGEMENT.pptx
PULMONARY EMBOLISM AND ITS MANAGEMENT.pptxPULMONARY EMBOLISM AND ITS MANAGEMENT.pptx
PULMONARY EMBOLISM AND ITS MANAGEMENT.pptx
neeti70
 
Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptx
Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptxExploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptx
Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptx
FFragrant
 
Drug Repurposing for Parasitic Diseases.pptx
Drug Repurposing for Parasitic Diseases.pptxDrug Repurposing for Parasitic Diseases.pptx
Drug Repurposing for Parasitic Diseases.pptx
drebrahiim
 
Heart Valves and Heart Sounds -Congenital & valvular heart disease.pdf
Heart Valves and Heart Sounds -Congenital & valvular heart disease.pdfHeart Valves and Heart Sounds -Congenital & valvular heart disease.pdf
Heart Valves and Heart Sounds -Congenital & valvular heart disease.pdf
MedicoseAcademics
 
OBSTETRICS SEPSIS - BUNDLE APPROACH.pptx
OBSTETRICS SEPSIS - BUNDLE APPROACH.pptxOBSTETRICS SEPSIS - BUNDLE APPROACH.pptx
OBSTETRICS SEPSIS - BUNDLE APPROACH.pptx
Niranjan Chavan
 
JULY 2024 Oncology Cartoons by Dr Kanhu Charan Patro
JULY 2024 Oncology Cartoons by Dr Kanhu Charan PatroJULY 2024 Oncology Cartoons by Dr Kanhu Charan Patro
JULY 2024 Oncology Cartoons by Dr Kanhu Charan Patro
Kanhu Charan
 
Safeguarding Reproductive Health- Preventing Fallopian Tube Blockage After a ...
Safeguarding Reproductive Health- Preventing Fallopian Tube Blockage After a ...Safeguarding Reproductive Health- Preventing Fallopian Tube Blockage After a ...
Safeguarding Reproductive Health- Preventing Fallopian Tube Blockage After a ...
FFragrant
 
selllllllllllllllllllllllllllllllllllllllllllllll.pptx
selllllllllllllllllllllllllllllllllllllllllllllll.pptxselllllllllllllllllllllllllllllllllllllllllllllll.pptx
selllllllllllllllllllllllllllllllllllllllllllllll.pptx
Joebest8
 
Care and Maintenance of Laboratory Equipment in Histotechnology.pptx
Care and Maintenance of Laboratory Equipment in Histotechnology.pptxCare and Maintenance of Laboratory Equipment in Histotechnology.pptx
Care and Maintenance of Laboratory Equipment in Histotechnology.pptx
Dr. Jagroop Singh
 
Article - Design and evaluation of novel inhibitors for the treatment of clea...
Article - Design and evaluation of novel inhibitors for the treatment of clea...Article - Design and evaluation of novel inhibitors for the treatment of clea...
Article - Design and evaluation of novel inhibitors for the treatment of clea...
Trustlife
 
THE REVIEW OF THE ENCYCLOPEDIA OF PURE MATERIA MEDICA.BHMS.MATERIA MEDICA.HOM...
THE REVIEW OF THE ENCYCLOPEDIA OF PURE MATERIA MEDICA.BHMS.MATERIA MEDICA.HOM...THE REVIEW OF THE ENCYCLOPEDIA OF PURE MATERIA MEDICA.BHMS.MATERIA MEDICA.HOM...
THE REVIEW OF THE ENCYCLOPEDIA OF PURE MATERIA MEDICA.BHMS.MATERIA MEDICA.HOM...
DRPREETHIJAMESP
 
Respiratory system at glance- Neonatology
Respiratory system at glance- NeonatologyRespiratory system at glance- Neonatology
Respiratory system at glance- Neonatology
Dr. Habibur Rahim
 
PICTURE TEST IN OBSTETRICS AND GYNAECOLOGY-Aloy Okechukwu Ugwu.pptx
PICTURE TEST IN OBSTETRICS AND GYNAECOLOGY-Aloy Okechukwu Ugwu.pptxPICTURE TEST IN OBSTETRICS AND GYNAECOLOGY-Aloy Okechukwu Ugwu.pptx
PICTURE TEST IN OBSTETRICS AND GYNAECOLOGY-Aloy Okechukwu Ugwu.pptx
Aloy Okechukwu Ugwu
 
PCD Pharma Franchise For Gynae Products | Infertility Range - Sarthi Life Sci...
PCD Pharma Franchise For Gynae Products | Infertility Range - Sarthi Life Sci...PCD Pharma Franchise For Gynae Products | Infertility Range - Sarthi Life Sci...
PCD Pharma Franchise For Gynae Products | Infertility Range - Sarthi Life Sci...
Sarthi Life Sciences
 

Recently uploaded (20)

MEDICAL PROFESSIONALISM Class of compassionate care
MEDICAL PROFESSIONALISM Class of compassionate careMEDICAL PROFESSIONALISM Class of compassionate care
MEDICAL PROFESSIONALISM Class of compassionate care
 
Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024
Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024
Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024
 
Clinical examination of- CRANIAL.- nerves
Clinical examination of- CRANIAL.- nervesClinical examination of- CRANIAL.- nerves
Clinical examination of- CRANIAL.- nerves
 
Approach to Head Injuiry, Intracranial Pressure Measurement and Management.pptx
Approach to Head Injuiry, Intracranial Pressure Measurement and Management.pptxApproach to Head Injuiry, Intracranial Pressure Measurement and Management.pptx
Approach to Head Injuiry, Intracranial Pressure Measurement and Management.pptx
 
Stepping Forward to Transform MCL Management: Guidance on the Selection and U...
Stepping Forward to Transform MCL Management: Guidance on the Selection and U...Stepping Forward to Transform MCL Management: Guidance on the Selection and U...
Stepping Forward to Transform MCL Management: Guidance on the Selection and U...
 
2nd week of Human development .embryology
2nd week of Human development .embryology2nd week of Human development .embryology
2nd week of Human development .embryology
 
PULMONARY EMBOLISM AND ITS MANAGEMENT.pptx
PULMONARY EMBOLISM AND ITS MANAGEMENT.pptxPULMONARY EMBOLISM AND ITS MANAGEMENT.pptx
PULMONARY EMBOLISM AND ITS MANAGEMENT.pptx
 
Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptx
Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptxExploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptx
Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptx
 
Drug Repurposing for Parasitic Diseases.pptx
Drug Repurposing for Parasitic Diseases.pptxDrug Repurposing for Parasitic Diseases.pptx
Drug Repurposing for Parasitic Diseases.pptx
 
Heart Valves and Heart Sounds -Congenital & valvular heart disease.pdf
Heart Valves and Heart Sounds -Congenital & valvular heart disease.pdfHeart Valves and Heart Sounds -Congenital & valvular heart disease.pdf
Heart Valves and Heart Sounds -Congenital & valvular heart disease.pdf
 
OBSTETRICS SEPSIS - BUNDLE APPROACH.pptx
OBSTETRICS SEPSIS - BUNDLE APPROACH.pptxOBSTETRICS SEPSIS - BUNDLE APPROACH.pptx
OBSTETRICS SEPSIS - BUNDLE APPROACH.pptx
 
JULY 2024 Oncology Cartoons by Dr Kanhu Charan Patro
JULY 2024 Oncology Cartoons by Dr Kanhu Charan PatroJULY 2024 Oncology Cartoons by Dr Kanhu Charan Patro
JULY 2024 Oncology Cartoons by Dr Kanhu Charan Patro
 
Safeguarding Reproductive Health- Preventing Fallopian Tube Blockage After a ...
Safeguarding Reproductive Health- Preventing Fallopian Tube Blockage After a ...Safeguarding Reproductive Health- Preventing Fallopian Tube Blockage After a ...
Safeguarding Reproductive Health- Preventing Fallopian Tube Blockage After a ...
 
selllllllllllllllllllllllllllllllllllllllllllllll.pptx
selllllllllllllllllllllllllllllllllllllllllllllll.pptxselllllllllllllllllllllllllllllllllllllllllllllll.pptx
selllllllllllllllllllllllllllllllllllllllllllllll.pptx
 
Care and Maintenance of Laboratory Equipment in Histotechnology.pptx
Care and Maintenance of Laboratory Equipment in Histotechnology.pptxCare and Maintenance of Laboratory Equipment in Histotechnology.pptx
Care and Maintenance of Laboratory Equipment in Histotechnology.pptx
 
Article - Design and evaluation of novel inhibitors for the treatment of clea...
Article - Design and evaluation of novel inhibitors for the treatment of clea...Article - Design and evaluation of novel inhibitors for the treatment of clea...
Article - Design and evaluation of novel inhibitors for the treatment of clea...
 
THE REVIEW OF THE ENCYCLOPEDIA OF PURE MATERIA MEDICA.BHMS.MATERIA MEDICA.HOM...
THE REVIEW OF THE ENCYCLOPEDIA OF PURE MATERIA MEDICA.BHMS.MATERIA MEDICA.HOM...THE REVIEW OF THE ENCYCLOPEDIA OF PURE MATERIA MEDICA.BHMS.MATERIA MEDICA.HOM...
THE REVIEW OF THE ENCYCLOPEDIA OF PURE MATERIA MEDICA.BHMS.MATERIA MEDICA.HOM...
 
Respiratory system at glance- Neonatology
Respiratory system at glance- NeonatologyRespiratory system at glance- Neonatology
Respiratory system at glance- Neonatology
 
PICTURE TEST IN OBSTETRICS AND GYNAECOLOGY-Aloy Okechukwu Ugwu.pptx
PICTURE TEST IN OBSTETRICS AND GYNAECOLOGY-Aloy Okechukwu Ugwu.pptxPICTURE TEST IN OBSTETRICS AND GYNAECOLOGY-Aloy Okechukwu Ugwu.pptx
PICTURE TEST IN OBSTETRICS AND GYNAECOLOGY-Aloy Okechukwu Ugwu.pptx
 
PCD Pharma Franchise For Gynae Products | Infertility Range - Sarthi Life Sci...
PCD Pharma Franchise For Gynae Products | Infertility Range - Sarthi Life Sci...PCD Pharma Franchise For Gynae Products | Infertility Range - Sarthi Life Sci...
PCD Pharma Franchise For Gynae Products | Infertility Range - Sarthi Life Sci...
 

Posterior abd wall

  • 1. POSTERIIOR ABDOMINAL WALL By: Dr Yaseen Anatomy dept.
  • 2. • Muscles : • Vessels : aorta, IVC, azygous, hemiazygous vein, • Lymphnodes and vessels • Nerve plexus: lumbosacral plexus • Thoracolumbar fascia COMPONENTS
  • 3. MUSCLES • Psoas major • Psoas minor • Iliacus • Quadratus lumborum
  • 5. • Orig: – transverse process all lumbar vertebrae • Ins: – lesser trochanter of femur • Action: – powerful flexure of hip joint – Balance trunk in sitting position – Weak medial rotator • Inn: – L2-3 and 4 – Fracture of neck of femur the limb rotates laterally.
  • 8. • Orig: – upper 2/3 of iliac fossa, – inner lip of iliac crest, – upper surface of sacrum • Ins: – lateral part of anterior surface of lesser trochanter • Action: – with psoas, flexes hip joint • Inn: – Branch of femoral nerve L2-3
  • 10. • Orig: – transverse process of L5 – Ilioinguinal ligament – Inner lip of iliac crest • Ins: – transverse processes of upper L4. – Lower border and anterior surface of 12th rib • Actions: – Lateral flexion of vertebral column in flexed pelvis – Extend lumbarl vertebral column • Inn: – Spinal nerves T12-L4
  • 11. INFERIOR VENA CAVA • Is the largest vein of the body. • Lies in posterior abdominal wall right to the aorta • Form from the union of R and L common iliac vein behind common iliac artery at the level of L5. • Ascends on the R of aorta, pierces diaphragm at the level of T8 and terminates by opening in to R-atrium.
  • 14. RELATIONS • ANTERIOR: above to down • Posterior surface of liver • Epiploic foramen • Duodenum(1st part) &portal vein • Bile duct & pancreas (head) Duodenum (3rd part), R-gonadal arteries • Posterior parietal peritoneum • Root of mesentery • R- common iliac artery.
  • 16. POSTERIOR: above to down • R- renal vein • Middle supra renal vein • Inferior phrenic arteries • R- celiac ganglia • Medial part of supra renal gland • R- sympathetic chain • Medial border of R-psoas
  • 18. TRIBUTARIES • Two anterior visceral tributaries – Hepatic veins • 3 lateral visceral tributaries – R- supra renal vein – Renal veins – R- gonadal veins • 5 lateral abdominal wall tributaries – Inferior phrenic vein – 4 lumbar veins
  • 19. • 3 tributaries of origin: – 2 common iliac vein • External iliac vein • Internal iliac vein – Median sacral vein
  • 22. AORTIC ANEURYSM • Types:  small,3-4.4cm  medium, 4.5-5.4 cm  large 5.5 more • endovascular surgery – the graft is inserted into a blood vessel in your groin and then carefully passed up into the aorta • open surgery – the graft is placed in the aorta through a cut in your tummy
  • 25. Risks of endovascular surgery include: • the graft leaking or slipping out of position – you'll have regular scans to check for this, and may need another operation to fix any problems • a wound infection or infection of the graft • heavy bleeding from your groin • a blood clot, heart attack or stroke
  • 26. Risks of open surgery include: • a wound infection or infection of the graft • a blood clot • heavy bleeding from your groin • a heart attack or stroke • erectile dysfunction or ejaculation problems in men
  • 27. Treatment for a burst AAA • treated with emergency surgery using the same techniques used for a large aneurysm. • The decision about whether to perform open or endovascular surgery is made by the surgeon carrying out the operation. • Only about 2 in 10 people who have a burst aneurysm survive, which is why an operation to stop an aneurysm bursting is usually recommended if it's large.
  • 28. POTT’S DISEASE • Pott disease, also known as tuberculous spondylitis
  • 34. Treatment approach • Surgical intervention • Medical treatment • Rehabilitation