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The Peritoneum
Presented by-
Dr. Subarna Das
Resident, MS Anatomy
Phase-A, Year-1, Block-3
Guided by-
Dr. K M Shamim
Prof. Department of Anatomy
BSMMU
•Describe the structure and formation of the peritoneum
with its developmental incorporation.
•Demonstrate the destribution of peritoneum.
•Correlate some clinical condition to its function and
structure.
Objectives
Development of peritoneum
Development of peritoneum
Development of peritoneum
Development of the peritoneum
Development of peritoneum
Development of peritoneum
Development of peritoneum
Development of peritoneum
Development of peritoneum
Development of peritoneum.
Distribution of the peritoneum
Distribution of the peritoneum
visceral parietal
Distribution of the peritoneum
Distribution of the peritoneum
The relationship between
viscera and peritoneum
• Intraperitoneal viscera
• Retroperitoneal viscera
•Extraperitoneal viscera
Intraperitoneal
Relationship between
viscera and peritoneum
Relationship between
viscera and peritoneum
Relationship between
viscera and peritoneum
Percutaneous suprapubic cystostomy
Relationship between
viscera and peritoneum
Relationship between
viscera and peritoneum
Greater and lesser sac
Greater and lesser sac
Epiploic foramen
Internal hernia
Epiploic foramen
Structures which are formed by peritoneum
Hepatogastric ligament Hepatoduodenal ligamenat
Structures which are formed by peritoneum
Mesocolon
Structures which are formed by peritoneum
Mesoappendix
Structures which are formed by peritoneum
Structures which are formed by peritoneum
Structures which are formed by peritoneum
Transverse mesocolon
Sigmoid mesocolon
Structures which are formed by peritoneum
Sigmoid mesocolon
Mesentery
Structures which are formed by peritoneum
Structures which are formed by peritoneum
Peritonitis
Adhesions
Structures which are formed by peritoneum
Pouches
Recto-uterine pouch
Utero-vesical pouch
Pouches
Recto-vesical pouch
Peritoneal fluid
.Peritoneal fluid
Ascitis
Peritoneal fluid
Collection of fluid in a USG imageFigure:
Peritoneal fluid
Abdominal paracentesis
Peritoneal fluid
Peritoneal dialysis
Peritoneal fluid
Pneumoperitoneum
Krukenberge tumor
Contd.
Contd.
Compartments of peritoneal cavity
Contd.
Ascitis
Structures which are formed by
peritoneum
Omentum
Ligaments
Ligaments of liver
•Falciform ligament of liver
•Coronary ligament
•Left and right triangular ligaments
Contd.
Hepatogastric ligament
Hepatoduodenal ligament
Ligamentum teres hepatis
Contd.
Ligaments of spleen
• Gastrosplenic ligament
• Splenorenal ligament
• Phrenicosplenic ligament
• Splenocolic ligament
Contd.
Ligaments of stomach
•Hepatogastric ligament
•Gastrosplenic ligament
•Gastrophrenic ligament
•Gastrocolic ligament
•Gastropancrestic ligament
Contd.
Folds and recesses of posterior
the peritoneum
•Superior duodenal fold and recess
•Inferior duodenal fold and recess
•Intersigmoid recess
• Retrocecal recess
• Hepatorenal recess
Folds and fossas of anterior
abdominal wall
•Medial umbilical fold
•Lateral umbilical fold
•Supravesical fossa
•Medial inguinal fossa
•Lateral inguinal fossa
Pouches
•In male-rectovesical pouch
In female
•Rectouterine pouch
•Vesicouterine pouch
• Secretes a lubricating serous fluid that
continuously moistens the associated organs.
• Absorbs
• Supports viscera
Functions

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