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„Selected Chapters from the
                Cross-Sectional Anatomy
                      of the Human Body”

   Abdominal anatomy
András Jakab MD, Levente István Lánczi MD
Structure of the lecture -
abdomen
   Bones and Muscles
   Abdominal aorta and its branches; veins
   The GIT – from esophagus to rectum
   Intraabdominal organs (liver, spleen, kidneys,
    pancreas)
   Clinical cases
Bones &
muscles
diaphragm




quadratus
lumborum m.
               psoas major m.


iliacus m.




transverse
abdominal m.
rectus abdominis                    external oblique
  m.                                  abdominal m.


                         linea alba   intercostal mm.

The structure
of the                                    external oblique
                                          abdominal m.
abdominal wall
                                              Internal
                                              oblique
        psoas major m.                        abdominal
                                              m.

                                             transverse
                                             abdominal
                                             m.
      quadratus
      lumborum m.



  longissimus
  thoracis m.
T12
L1
L2
L3
L5
Abdominal aorta and its
    branches
   Parietal braches
    (paired)
       lumbal aa.
       median sacral a.
   Paired, visceral
    branches
       middle suprarenal a.
       renal a.
       testicular/ovarian a.
Impaired visceral branches of
abdominal aorta
   Impaired visceral branches
       celiac tr. T12 –L1
           left gastric a.
           splenic a.
               short gastric aa.
               left gastro-omental artery
           common hepatic a.
               gastroduodenal a.
                    right gastro-omental artery
               proper hepatic a.
       superior mesenteric a.
           inferior pancreaticoduodenal a.
           jejunal and ileal aa.
           ileocolic a.
           right colic a.
           middle colic a.
       Inferior mesenteric a.
           left colic a.
           sigmoid aa.
           superior rectal a.
a. gastrica sinistra




a. hepatica
communis
                      tr. coeliacus




                 a. lienalis
Left gastrica a.

                   Common hepatic a.

      Gastroduodenal a.
Proper hepatic a.




Right gastric a.




                                                                             Splenic a.




                                                               Right and left
                   Superior posterior
                                                               gastro-omental aa.
                   pancreaticoduodenal a.
Superior mesenteric artery
and its branches
                  Middle colic a.


       Marginal artery of the colon
       (Drummond)



             Right colic a.



             Ileocolic a.




            cecal &
            appendicular aa.
Inferior mesenteric artery
and its branches


  Marginal artery of the
  colon (Drummond)




  Left colic a.


   Sigmoid aa.


  Superior rectal a.
Veins
   Portal vein
       Splenic v.
       Superior mesenteric v.
       Inferior mesenteric v.
   Inferior vena cava
       Hepatic vv.
       Suprarenal v.
       Renal vv.
       Testicular/ovarian v.
T12




  L1
L1
L2
L3
The Gastrointestinal
              Tract
Esophagus
The
Stomach, Duodenum
      and Pancreas
The stomach
Anatomy
•   cardia
•   fundus
•   body
•   pylorus

Arteries (celiac tr.)
•   Left gastric a. (tc)
•   Right gastric a. (hc)
•   Left gastro-omental a. (l)
•   Right gastro-omental a. (gd)
•   Short gastric aa. (l)
The stomach
Anatomical landmarks
 cardia: Th11
 pylorus: L1
 fundus: gastric air sac


Neighbouring structures
 liver, spleen, left
 kidney, diaphargm, transver
 se colon, pancreas
Duodenum
Parts
 Superior part

 Superior doudenal flexure

 Descending part

 Inferior doudenal flexure

 Inferior part
Duodenum
Anatomical landmarks
 pylorus: L1
 Descending part: L1-3


Neighbouring
 structures
 liver, gall bladder, right
 kidney, transverse
 colon, pancreas head
The pancreas
Anatomy parts
•   head
    –   uncinate process
•   body
•   cauda

Ducts
•   major pancreatic duct
•   minor pancreatic duct
•   Vater papilla

Arteries
•   superior pancreatoduodenal a. (ct)
•   inferior pancreatoduodenal a. (ms)
Ducts
of the pancreas and the gall bladder
diaphragm
                                            AD




The abdomen                             G
                   Pancreas head             VP                 L1
                Transverse colon

                       duodenum                                 IVC
         Superior mesenteric a.
                                                                L5
                  jejunum, ileum


                                                  R

                      Urinary bladder                 R
Axial cross section
Th11

                      LA



         H


                              G
             VCI
                          A

                   Th11

                                  L
Axial cross section
Th12



                                    G
       H      VP


              VCI      A   VL
                                P

                    Th12

                                        L
Axial cross section
L1


                                          CT

                                 G
                                               J
            VB                        P
        H              VP        VL
                             AMS
                                          J
                 VCI                               J
                                 A                     CD



                            L1
Axial cross section
L1


                                 G
                                              CT

                                                           J
        H                                          J
             VP
                                     P                     CD
                  VCI
                             A


            RD          L1               RS            L
Small intestines
   Duodenum
   Jejunum
   Ileum
   Ileocoecal junction
Ileum, cecum, colon

Colon, ascending
                               Ileocecal junction
                                    Ileocecal valve
                                        Ileum




              Cecum




        Aperture of appendix
                                  Appendix vermiformis
Parts of Colon
                   Left flexure of
Right flexure      colon
of colon
Transverse
colon
Ascending          Descending
colon              colon



Cecum                 Sigmoid colon
  appendix
  vermiformis
                         Rectum
GIT on cross sectional slices
T12
T12
L1-2
L1-2
L2
L3
L3
L4
L4
L5/S1
L5 / S1
The Liver
   Position
       Right hypochondrium, epigastrium, left hypochondrium
       Upper border: 5th rib
       Lower border: right lower ribs
   Lobes
       Right hepatic lobe
       Left hepatic lobe
       Quadrate lobe
       Caudate lobe
   Ligaments:
       Falciform lig.
       Lig. teres
       Right and left coronal lig.
       Hepatorenal lig.
       omentum minus: lig. hepatogastricum et hepatoduodenale
Macroscopic anatomy
    of the liver
                      lig. falciforme hepatis
                                                                lig. coronarium
                                                                                  diaphragma




lobus hepatis dexter

                                                                        lobus hepatis sinister



                                                                     lig. teres hepatis
                                                vesica fellea
     margo inferior
Macroscopic anatomy
    of the liver
                                                 v. cava inferior
                               lobus caudatus
                                                                       lig. coronarium
    lig. venosum




                                                                         v. portae
                                                                         hepatis
                                                                         a. hepatica
                                                                         propria

                                                                          vesica fellea
lobus hepatis sinister

          lig. teres hepatis         lobus                          lobus hepatis dexter
                                     quadratus
Vessels of the liver




  Proper hepatic a.    Vena hepatica sinistra / dextra /
                          intermedia
  v. portae
                       VCI
  Choledochal duct
Segments of the liver
   Couinaud
   Caudate lobe: I.
   Left lobe
       lateral: II., III.
   Right lobe
       medial: IVa / IVb
       inf.: IV-V-VI
       sup.: VII – VIII - IX
Segments of the liver
   demonstrated on
             IMAIOS
Gall bladder and biliary ducts
Gall bladder                Hepatic duct
                            (communis)




Cystic duct               Common bile duct
                          (biliaris)


                          Pancreatic duct


                            Orifice of pancreatic
                            duct;
                            Major duodenal
                            papilla
Spleen
   Position: 8-11 rib;
    left hypochondrium
   Parts:
       Diaphragmatic face
       Gastric face
       Renal face
       Colic face
       hilus lienalis
   Vessels
       Splenic a. & v.
Kidney
   Parts:
       hilus
       sinus
       pelvis     ureter
   Position:
       Th12-L1-2
       Right kidney: lower
   Vessels:
       Renal a. & v.
   Adrenal glands:
       Upper pole of the kidney, inside the
        adiopose capsule
       cortex, medulla
T12
     T12 – L1

                             Left
Right           VCI

                  AO
                              L3

L3
T12
L1
L2
Főbb képletek
  azonosítása
        IMAIOS
L2
L3
L4
L5
S1

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abdomen

  • 1. „Selected Chapters from the Cross-Sectional Anatomy of the Human Body” Abdominal anatomy András Jakab MD, Levente István Lánczi MD
  • 2.
  • 3. Structure of the lecture - abdomen  Bones and Muscles  Abdominal aorta and its branches; veins  The GIT – from esophagus to rectum  Intraabdominal organs (liver, spleen, kidneys, pancreas)  Clinical cases
  • 5. diaphragm quadratus lumborum m. psoas major m. iliacus m. transverse abdominal m.
  • 6. rectus abdominis external oblique m. abdominal m. linea alba intercostal mm. The structure of the external oblique abdominal m. abdominal wall Internal oblique psoas major m. abdominal m. transverse abdominal m. quadratus lumborum m. longissimus thoracis m.
  • 7.
  • 8. T12
  • 9. L1
  • 10. L2
  • 11. L3
  • 12. L5
  • 13. Abdominal aorta and its branches  Parietal braches (paired)  lumbal aa.  median sacral a.  Paired, visceral branches  middle suprarenal a.  renal a.  testicular/ovarian a.
  • 14. Impaired visceral branches of abdominal aorta  Impaired visceral branches  celiac tr. T12 –L1  left gastric a.  splenic a.  short gastric aa.  left gastro-omental artery  common hepatic a.  gastroduodenal a.  right gastro-omental artery  proper hepatic a.  superior mesenteric a.  inferior pancreaticoduodenal a.  jejunal and ileal aa.  ileocolic a.  right colic a.  middle colic a.  Inferior mesenteric a.  left colic a.  sigmoid aa.  superior rectal a.
  • 15. a. gastrica sinistra a. hepatica communis tr. coeliacus a. lienalis
  • 16. Left gastrica a. Common hepatic a. Gastroduodenal a. Proper hepatic a. Right gastric a. Splenic a. Right and left Superior posterior gastro-omental aa. pancreaticoduodenal a.
  • 17. Superior mesenteric artery and its branches Middle colic a. Marginal artery of the colon (Drummond) Right colic a. Ileocolic a. cecal & appendicular aa.
  • 18. Inferior mesenteric artery and its branches Marginal artery of the colon (Drummond) Left colic a. Sigmoid aa. Superior rectal a.
  • 19. Veins  Portal vein  Splenic v.  Superior mesenteric v.  Inferior mesenteric v.  Inferior vena cava  Hepatic vv.  Suprarenal v.  Renal vv.  Testicular/ovarian v.
  • 21. L1
  • 22. L2
  • 23. L3
  • 26. The Stomach, Duodenum and Pancreas
  • 27. The stomach Anatomy • cardia • fundus • body • pylorus Arteries (celiac tr.) • Left gastric a. (tc) • Right gastric a. (hc) • Left gastro-omental a. (l) • Right gastro-omental a. (gd) • Short gastric aa. (l)
  • 28. The stomach Anatomical landmarks cardia: Th11 pylorus: L1 fundus: gastric air sac Neighbouring structures liver, spleen, left kidney, diaphargm, transver se colon, pancreas
  • 29. Duodenum Parts  Superior part  Superior doudenal flexure  Descending part  Inferior doudenal flexure  Inferior part
  • 30. Duodenum Anatomical landmarks pylorus: L1 Descending part: L1-3 Neighbouring structures liver, gall bladder, right kidney, transverse colon, pancreas head
  • 31. The pancreas Anatomy parts • head – uncinate process • body • cauda Ducts • major pancreatic duct • minor pancreatic duct • Vater papilla Arteries • superior pancreatoduodenal a. (ct) • inferior pancreatoduodenal a. (ms)
  • 32. Ducts of the pancreas and the gall bladder
  • 33. diaphragm AD The abdomen G Pancreas head VP L1 Transverse colon duodenum IVC Superior mesenteric a. L5 jejunum, ileum R Urinary bladder R
  • 34. Axial cross section Th11 LA H G VCI A Th11 L
  • 35. Axial cross section Th12 G H VP VCI A VL P Th12 L
  • 36. Axial cross section L1 CT G J VB P H VP VL AMS J VCI J A CD L1
  • 37. Axial cross section L1 G CT J H J VP P CD VCI A RD L1 RS L
  • 38. Small intestines  Duodenum  Jejunum  Ileum  Ileocoecal junction
  • 39. Ileum, cecum, colon Colon, ascending Ileocecal junction Ileocecal valve Ileum Cecum Aperture of appendix Appendix vermiformis
  • 40. Parts of Colon Left flexure of Right flexure colon of colon Transverse colon Ascending Descending colon colon Cecum Sigmoid colon appendix vermiformis Rectum
  • 41.
  • 42. GIT on cross sectional slices
  • 43. T12
  • 44. T12
  • 45. L1-2
  • 46. L1-2
  • 47. L2
  • 48. L3
  • 49. L3
  • 50. L4
  • 51. L4
  • 52. L5/S1
  • 54. The Liver  Position  Right hypochondrium, epigastrium, left hypochondrium  Upper border: 5th rib  Lower border: right lower ribs  Lobes  Right hepatic lobe  Left hepatic lobe  Quadrate lobe  Caudate lobe  Ligaments:  Falciform lig.  Lig. teres  Right and left coronal lig.  Hepatorenal lig.  omentum minus: lig. hepatogastricum et hepatoduodenale
  • 55.
  • 56. Macroscopic anatomy of the liver lig. falciforme hepatis lig. coronarium diaphragma lobus hepatis dexter lobus hepatis sinister lig. teres hepatis vesica fellea margo inferior
  • 57. Macroscopic anatomy of the liver v. cava inferior lobus caudatus lig. coronarium lig. venosum v. portae hepatis a. hepatica propria vesica fellea lobus hepatis sinister lig. teres hepatis lobus lobus hepatis dexter quadratus
  • 58. Vessels of the liver Proper hepatic a. Vena hepatica sinistra / dextra / intermedia v. portae VCI Choledochal duct
  • 59. Segments of the liver  Couinaud  Caudate lobe: I.  Left lobe  lateral: II., III.  Right lobe  medial: IVa / IVb  inf.: IV-V-VI  sup.: VII – VIII - IX
  • 60.
  • 61. Segments of the liver demonstrated on IMAIOS
  • 62.
  • 63.
  • 64.
  • 65.
  • 66. Gall bladder and biliary ducts Gall bladder Hepatic duct (communis) Cystic duct Common bile duct (biliaris) Pancreatic duct Orifice of pancreatic duct; Major duodenal papilla
  • 67.
  • 68. Spleen  Position: 8-11 rib; left hypochondrium  Parts:  Diaphragmatic face  Gastric face  Renal face  Colic face  hilus lienalis  Vessels  Splenic a. & v.
  • 69.
  • 70.
  • 71.
  • 72.
  • 73. Kidney  Parts:  hilus  sinus  pelvis ureter  Position:  Th12-L1-2  Right kidney: lower  Vessels:  Renal a. & v.  Adrenal glands:  Upper pole of the kidney, inside the adiopose capsule  cortex, medulla
  • 74. T12 T12 – L1 Left Right VCI AO L3 L3
  • 75. T12
  • 76. L1
  • 77. L2
  • 78. Főbb képletek azonosítása IMAIOS
  • 79.
  • 80.
  • 81. L2
  • 82. L3
  • 83. L4
  • 84. L5
  • 85. S1