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87 Cards in this Set

  • Front
  • Back

external features

- large abdominal cavity, but short flank
- paralumbar fossa less marked than ox
- musculoaponeurotic boundary of EAO may be evident, especially in horses suffering from expiratory difficulty (heaves)
- similar border of IAO forms caudoventral ridge
- superficial thoracic (spur) vein may be obvious

functions of abdominal wall
1. closes gaps in abdominal bony skeleton and retains abdominal viscera
2. contraction of muscles ("abdominal press") aids:
a. larynx closed: defecation, micturition, parturition
b. larynx open: breathing, coughing, sneezing
skin

more delicate than ox

cutaneous m
- well developed in superficial fascia, especially cranio-ventrally (ventral line from withers to stifle)
deep fascia

- deep fascia becomes yellow abdominal tunic (tunica flava abdominus)
- thick fibroelastic sheet of tissue overlying the aponeurosis of the EAO
- mammaries attached
- prepubic tendon clinically significant
- attached to rib cage and tuber coxae

abdominal mm
1. EAO: extensive
2. IAO: no lumbodorsal attachment therefore fans out from tuber coxae
3. transverse abdominal
4. rectus abdominus: provides insertion for other abs by means of linea alba that separates R and L
linea alba
- strong and supportive
- relatively avascular
-incision not common in large animals due to heavy abdominal viscera
rectus sheath

- transverse abdominal m passes dorsal of the rectus abdominus m to insert on the linea alba
- EAO and IAO mm pass ventral the rectus in this regard

inguinal canal

- inguinal canal generally similar in all mammals
- located in ca abdominal wall, regarded as the inguinal region
- males: links peritoneal cavity with the vaginal cavity in the scrotum

deep inguinal ring
- deep inguinal ring is small
- cr: fleshy ca border of IAO
- ca: line of the tendon of EAO
- medially: lat edge of rectus abdominus m
superficial (external) inguinal ring
superficial (external) inguinal ring:
- slit in aponeurosis of EAO
- divides into lat and med crura of aponeurosis
- medial commisures of both rings very close
- lat: inguinal ligament
- med: aponeurosis of EAO
Inguinal canal
inguinal canal:
- lateral commisures of superficial inguinal ring diverge considerably, making craniolateral part of the canal longer that the caudomedial part

femoral lamina

femoral lamina:
- strands of CT that connect the lateral crus of the superficial inguinal opening the the medial thigh fascia
- present only in horses

inguinal hernia
inguinal hernia:
- maximal extension of the hip joint, puts a considerable amount of pull on the lateral crus of the inguinal canal
- abdominal viscera through vaginal ring into the cavity of the vaginal process
- predisposes stallions to inguinal hernia during mating when the HL slips
- uncommon in horse but more likely on L
contents of inguinal canal
contents of inguinal canal:
1. vaginal process: opens into the peritoneal cavity (diverticulum) through the vaginal ring
2. spermatic cord: in cavity of vaginal process/ vaginal tunic
3. external pudendal a and v
4. inguinal lymph vessels and nerves: both sexes
vaginal ring palpation
vaginal ring palpation:
- per rectum on ventromedial aspect of caudal abdominal wall by following the ductus deferens ventrally

stomach gen

stomach:
- cranial, dorsal, L half of ab cavity
- small, simple
- hidden from palpation, flank incision and ausculation due to caudal location
- R limb narrower, crosses midline

stomach location
stomach:
1. cranial/ parietal surface: contacts diaphragm and L liver lobe
2. caudal/ visceral surface: related to SI, pancreas, d. colon
- no contact with abdominal floor (ventral ab wall), even when full
angular notch of stomach
angular notch:
- flexed, deep
- esophageal and duodenal openings very close
saccus cecus
saccus cecus:
- blind sac (of stomach) above esophagus
margo plicatus
margo plicatus:
- divides distal glandular mucosa from proximal non- glandular, abrasive mucosa
- Gastrophilus intestinalis larvae
cardiac sphincter
cardiac sphincter:
- esophagus enters lesser curvature obliquely
- very thick, tight, effective
- reason horse doesn't eructate or vomit
- NG tube to reflate gas
pyloric sphincters
pyloric sphincters:
- cranial/ caudal
- well developed, especially caudal (more muscular) guarding the narrow pyloric exit
omenta
omenta:
- greater and lesser
- both along with the visceral surface of the stomach, enclose the omental bursa
- similar to dog
greater omentum
greater omentum:
1. gastrophrenic ligament: from greater curvature to crura of diaphragm
2. gastrosplenic ligament: from stomach to spleen
duodenum
duodenum:
- only fixed part of SI: by mesoduodenum to dorsal wall, liver, right dorsal colon and base of the cecum
parts of duodenum
parts of duodenum:
1. cr: sigmoid flexure
2. descending: related to right kidney and passes around the base of the cecum
3. caudal flexure: transverse duodenum
4. ascending
duodenal papillae
duodenal papillae:
- major and minor
- bile and pancreatic ducts opening into the second curve of the sigmoid part, opposite each other
path of the duodenum
duodenum:
- passes to the midline and turns cranially to become the ascending duodenum
- reaches the region of the L kidney and becomes the jejunum (at duodenojejunal flexure)
jejunoileum
jejunoileum:
- loose coils, mostly on the L dorsal part of the abdominal cavity
- mixed with coils of small colon
- loops of SI palpable in the dorso-caudal aspect of the abdominal cavity
epiploic foramen
epiploic foramen:
- between:
1. right lobe of liver and d duodenum
2. caudal vena cava and portal v
- loops of jejunum can get strangulated
- as ages, duodenum puts P on R liver, shrinking it and enlarging the foramen
LI
LI:
- basic pattern with modified ascending colon
1. haustra: sacculations
2. taeniae coli: longitudinal bands
- haustra and taenia coli not found in dog or ox
cecum
cecum:
- large: up to 30 L
- comma-shaped, 4 taenia coli
- extends from pelvic inlet to diaphragmatic area (xiphoid)
- ileocecal and cecocolic opening close to one another at base
-
base of the cecum
base of the cecum:
- dorsal, large, curves over
- attached to the R sublumbar region and R kidney
- right of midline
- can rectally palpate
body of the cecum
body of the cecum:
- ventrally over R flank
- lies on ventral wall, curves cranio-medially to reach the xiphoid region of the sternum
- cecocolic fold attaches the body to the RVC
apex of the cecum
apex of the cecum:
- narrow
- on ventral wall between RVC and LVC
-
ascending colon
ascending colon= large colon:
- abdominal cavity too short for its length, so flexes upon itself
RVC
RVC:
- begins at cecocolic jxn: base of last rib
- runs ventrally and cranially on right body wall and abdominal floor to the xiphoid
- 4 TC
- cecocolic fold: attaches RVC to dorsal body wall
sternal flexure
sternal flexure:
- point at which RVC turns on itself and moves to the left, becoming the LVC
LVC
LVC:
- runs caudally on abdominal floor, L of the body and apex of the cecum
- at pelvic inlet it moves dorsally, narrrows and flexes upon itself: pelvic flexure
- 4 TC
- palpable per rectum
pelvic flexure
pelvic flexure:
- at pelvic inlet LVC moves dorsally, narrrows and flexes upon itself
- rather mobile, but in pelvic inlet region
LDC
LDC:
- considerably narrow initially at pelvic flexure
1. runs cranially over LVC
2. relates to the diaphragm and L of the liver cranially
3. turns right at diaphragmatic flexure to run into the RDC
- one TC at pelvic flexure
- palpable per rectum
diaphragmatic flexure
diaphragmatic flexure:
- where LDC turns right to become the RDC
RDC
RDC:
- mostly within thoracic cage
- shortest but widest
1. lies over the RVC on its caudal course
2. at base of cecum it turns left, close to the stomach and liver
3. becomes transverse colon
- 3 TC
transverse colon
transverse colon:
- very short, crosses median plane
- funnel shaped
- cranial to root of mesentery
- attached to roof of body cavity
- 2 TC
descending colon
descending colon: small colon:
- continuation of t colon at level below L kidney
- loose coils mingling with those of the SI on the L dorsal part of the abdominal cvity and pelvic inlet region
- small caliber
- 2 TC
- fecal balls, easily palpable per rectum
intestine attached to body wall
intestine attached to body wall:
1. base of cecum: dorsal
2. transverse colon
- stable
common sites of infarction
common sites of infarction:
1. pelvic flexure
2. t colon
3. ileocecal opening
4. cecocolic opening
5. sternal flexure
6. diaphragmatic flexure
rectum
rectum :
- continuation of small colon at pelvic inlet
- long mesorectum initially
- initially: sacculated
- terminally: enlarged sac, ampulla
- in median plane dorsal to uterus, urinary bladder, urethra and accesory sex glands
- ends in anus
ampulla of rectum
ampulla of rectum:
- enlarged, terminal sac
- retroperitoneal
duodenocecostomy
duodenocecostomy:
- solution to gastro-duodeno-jejunitis: SI unable to absorb food so backs up into stomach
- side to side anastamosis of d dudoenum to base of the cecum
long great mesentery
long great mesentery:
- parts of a colon are free-floating
1. permits intestinal extension during sx
2. can cause volvulus: twisting of loops of intestine

ileum

ileum:
- common site of impaction
- reasons not well understood
ileo-cecal opening
ileo-cecal opening:
- site of impaction
- abnormally high peristalsis can cause ileum to telescope into the cecum= intussusception
ceco-colic opening
ceco-colic opening:
- common site of impaction
- enlarged cr part of base of cecum falls over cranioventrally, blocking the cecocolic orifice
- trocarization necessary
transverse colon
transverse colon:
- common site of impaction
- funnel-shaped, short
sand and the cecum
- cecum can become sand-bound:
sand resides in cecum causing impaction
large colon
large colon:
- site of impaction
- poorly attached to the body wall
- secured only at cecal base and transverse colon
- rest freely movable and suspectible to twisting= volvulus
spleen gen
spleen: on L
- attached to greater curvature of stomach
- obliquely situated in thoracic cage, only caudo-dorsal part projects beyond the rib cage: distal tip around ventral 1/3 of 6th or 7th rib
- cranial concave and caudal convex
- related to the d colon and loops of SI caudally
ligaments of spleen
ligaments of spleen:
1. gastrosplenic:
attaches to greater curvature
2. phrenicosplenic: attaches to diaphragm
3. lienorenal (renosplenic): attaches to L kidney, dorsal border may entrap loops of colon
liver location
liver location:
- asymmetrical, mostly R of median place
- R lobe atrophies with age/ P of RDC
- cranial part: lower 6th or 7th rib
- caudal and dorsal parts: level of 16th and 17th ribs, ventral to R kidney
- ventral part: doesn't reach abdominal floor at 7th or 8th rib
bile or hepatic duct
bile or hepatic duct:
- wide lumen
- opens along with major pancreatic duct into the hepaticopancreatic ampulla (major duodenal papilla) of the distal and convex part of the duodenal sigmoid flexure
- oblique passage acts as a valve
lobation of liver
lobation of liver:
- L (thinnest), quadrate, R and caudate (only caudate process)
- fissures not prominent but present between L and quad, quad and R
- no papillary process
round ligament of liver
round (teres) ligament of liver:
- strong and well formed
- may be divided to reinforce closure of a midventral incision
impressions of liver
impression of liver:
visceral surface
1. stomach
2. duodenal
3. colic
- related to pancreas dorsally
4. esophageal: dorsal part of L
5. renal: dorsal caudate process
- ca vena cava passes through craniodorsal surface on the median plane of liver
pancreas gen
pancreas:
- mostly R, sublumbar
- body, R and L lobes
- sigmoid flexure of d duodenum holds in place
- related to saccus cecus of stomach (L lobe), R kidney ( R lobe), aorta, ca vena cava and sublumbar mm dorsally
- hepatic portal v runs through
pancreatic ducts
pancreatic ducts:
1. major: opens with the bile duct into maj duodenal papilla (hepaticopancreatic ampulla)
2. accessory: opens into concave surface of ca limb of the duodenal sigmoid flexure through the minor duodenal papilla
celiac a
celiac a:
1. stomach
2. liver
3. spleen
4. duodenum: via gastro-duodenal a
cr mesenteric a
cr mesenteric a:
1. SI
2. LI: cecum, colon
ca mesenteric a
ca mesenteric a:
1. d colon
2. rectum
jejunal aa
jejunal aa:
- branches of cr. mesenteric
- up to 18 radiate distally within the mesentery, supplying loops or arches of aa to the jejunum
- shorter branches go to the gut
- jejunum not well anastamosed so if one vasa recta is blocked, portion dies
anastomoses gut
anastomoses of gut:
- network
- very evident among large aa
- advantageous in event of blockage
- not always complete between smaller aa: blockage more serious
Strongylus and large aa
-large aa ( celiac, cr and ca mesenteric and major branches) sites of lesions caused by migrating larvae
- nematodes Strongylus vulgaris and edentatus cause nodes in arterial walls that may cause aneurysms
= verminous arteritis
- vv are satellites of aa
celiac trunk
celiac trunk:
- formed by nodes of the organs and areas supplied by the celiac a
- empties into cisterna chyli
intestinal trunk
intestinal trunk:
formed by nodes of small intestine (situated at root of mesentery), cecum and colon
lumbar trunk
lumbar trunk:
- efferents sent from nodes of small colon, rectum and anus
- tributaries of cisterna chyli
cisterna chyli
cisterna chyli-->
aortic hiatus -->
thoracic duct (runs L of aorta) -->
opens into large vv at thoracic inlet
R kidney
R kidney:
- heart-shaped, flattened
- transverse diameter > or = longitudinal diameter (unique among domestic animals)
- cr pole makes renal impression on caudate process of liver
- retroperitoneal: only ventral surface covered by peritoneum
location of R kidney
location of R kidney:
- largely covered by ribs: located ventral to last 2 or 3 ribs and 1st lumbar transverse process (T16-L1)
- cranial: L
- ventral: d duodenum, pancreas, base of cecum, coils of small colon and SI
- medial: R adrenal gland, aorta
L kidney
L kidney:
- retroperitoneal but less than R
- flattened, bean-shaped
- hilus ventromedial
- caudal pole may be rectally palpated
L kidney location
L kidney location:
- ventral to T17 and L2, more ca than L
- cranial: spleen and stomach
- ventral: small colon, SI coils
- medial: aorta
kidney gen
kidneys:
- evidence of lobation only shown by blood vessels
1. unipyramidal: fused pyramids form a ridge= common renal crest
2. renal pelvis: central expanded potion and two polar terminal recesses that collect urine
3. renal sinus: medial indentatio surrounding the hillus, contains fat
urine
urine:
- mucous glands in renal pelvis and ureters
- cloudy, viscous urine
- physiological albuminuria
ureters:
ureters:
- first move caudally
- narrow on leaving the kidneys
- follow abdominal roof towards pelvis
- mare: lateral part of broad ligament
- stallion: lateral part of genital fold, ventral to ductus deferens
- descend toward the urinary bladder
renal a
renal a:
- arises from aorta
- relatively large
- may break into 2 or more branches which penetrate the ventral surface, NOT hilus
renal v
renal v:
- large
- satellite of renal a
- direct tributary of the ca vena cava
adrenal glands
adrenal glands:
- medial aspect of cranial pole of kidneys