3-7 Abdominal Cavity

Front 1

Abdominal Cavity
(in general - contains)

Back 1

peritoneum
abdominal viscera, especially those associated with digestive system

Front 2

Peritoneum
(characteristics, components)

Back 2

transparent, continuous serous membrane
parietal peritoneum
visceral peritoneum
mesentery
omentum
peritoneal ligament
peritoneal fold
peritoneal recess
peritoneal cavity

Front 3

Parietal peritoneum
(lines _, characteristic)

Back 3

lines abdominopelvic wall
*sensitive

Front 4

Visceral peritoneum
(covers)

Back 4

organs

Front 5

Peritoneal Cavity
(type of space, contains)

Back 5

potential space
peritoneal fluid (allow for movement)

Front 6

Peritonitis (inflammation)
ascites (fluid)
adhesions (stuck together)

Back 6

pp 223-224

Front 7

Intraperitoneal organs
(covered with, moveable?)

Back 7

covered with visceral peritoneum
more moveable than retroperitoneal

Front 8

Retroperitoneal organs
(located b/w, moveable?)

Back 8

located b/w parietal peritoneum and posterior abdominal wall
stuck, don't move as much

Front 9

Mesentery
(composed of, continuous with)

Back 9

double layer of peritoneum
continuous with parietal and visceral peritoneum

Front 10

Mesentery
(connects, what passes in it)

Back 10

connects organ to posterior abdominal wall
vessels and nerves pass in it

Front 11

Omentum
(made of, divisions)

Back 11

double layer of peritoneum
Greater omentum
Lesser omentum

Front 12

Greater omentum
(hangs down from, folds back and atta to)

Back 12

hangs down from greater curvature of stomach and proximal duodenum
folds back and atta to anterior transverse colon and its mesentery

Front 13

Lesser omentum
(connects)

Back 13

connects lesser curvature of stomach and proximal duodenum to liver

Front 14

Peritoneal ligament
(composed of, connects, name)

Back 14

double layer of peritoneum
connects organ with another organ or
connects organ with ab wall
hepatogastric, hepatoduodenal, gastrosplenic, splenorenal, falciform ligaments, etc.

Front 15

Peritoneal fold
(what forms it, example)

Back 15

peritoneum raised by vessels, ducts, or other structures
umbilical folds, etc.

Front 16

Peritoneal recess
(pouch of _, name)

Back 16

pouch of peritoneum
*Hepatorenal recess (pouch of Morrison)*
subphrenic recess, etc.

Front 17

Low point where fluid can accumulate when lying on back

Back 17

hepatorenal recess (pouch of Morrison)

Front 18

fluid can spread and accumulate in recesses

Back 18

p 225

Front 19

Subdivisions of Peritoneal Cavity

Back 19

Greater peritoneal sac
Lesser peritoneal sac

Front 20

largest part of peritoneal cavity

Back 20

greater peritoneal sac

Front 21

lesser peritoneal sac (omental bursa)
(location, components)

Back 21

posterior to stomach and lesser omentum
superior recess
inferior recess
*omental (epiploic) foramen

Front 22

omental foramen
(aka, communication b/w)

Back 22

epiploic foramen (learn both terms)
communication b/w lesser and greater sac

Front 23

epiploic (omental) foramen
(anterior, posterior and sup boundaries)

Back 23

*anterior:
portal vein
hepatic artery
bile duct
posterior:
IVC
right crus of diaphragm
superior:
caudate lobe of liver

Front 24

Peritoneal cavity divided into _ by _
Then name them.

Back 24

divided into compartments by transverse mesocolon
supracolic compartment
infracolic compartment

Front 25

supracolic compartment
(contains)

Back 25

stomach
liver
spleen

Front 26

infracolic compartment
(contains)

Back 26

small intestine
ascending colon
descending colon

Front 27

infracolic compartment
(divided by _ into _)

Back 27

divided by mesentery of small intestine into right and left infracolic spaces

Front 28

_ of the infracolic compartment communicate with the supracolic compartment. Why does it matter?

Back 28

right and left lateral (paracolic) gutters
pathways for flow of ascites, infections, tumor cells (pg. 225)

Front 29

Abdominal viscera
(name)

Back 29

terminal esophagus
stomach
small intestine
large intestine
spleen
pancreas
liver
gallbladder

Front 30

Esophagus
( _ tube, goes from _ to _)

Back 30

muscular tube
pharynx to stomach

Front 31

Esophagus
(mostly located, where pierce diaphragm)

Back 31

mostly located in mediastinum of thorax
pierces diaphragm just to left of median plane at *T10*

Front 32

Esophagus
(enters _ of stomach at level of _)

Back 32

enters cardia of stomach
*at level of 7th left costal cartilage*
(and at level of T11 or T10 vertebrae)

Front 33

Esophagus
(name ligament and sphincter)

Back 33

phrenicoesophageal ligament
lower esophageal sphincter

Front 34

phrenicoesophageal ligament
(role)

Back 34

allows movement and
prevents too much movement

Front 35

lower esophageal sphincter
(type of sphincter, role, how work)

Back 35

physiological sphincter
prevents reflux
diaphragmatic muscle of esophageal hiatus contracts and relaxes

Front 36

Esophagus
Blood supply
(arteries)

Back 36

from left gastric artery and
left inferior phrenic artery

Front 37

Esophagus
Blood supply
(veins)

Back 37

drains into:
left gastric vein (portal system) and
azygos vein (systemic)

Front 38

Esophagus
lymphatic drainage

Back 38

left gastric nodes > celiac nodes

Front 39

Esophagus
Innervation

Back 39

esophageal plexus
(vagal trunks and thoracic splanchnic nerves)

Front 40

Heartburn (pyrosis)

Back 40

regurgitation of food or gastric fluids into esophagus (not really heartburn)
p. 254
GERD

Front 41

Stomach
(extended part of _)

Back 41

GI tract

Front 42

Stomach
(shape)

Back 42

varies but
usually looks like "J"

Front 43

Stomach
(role)

Back 43

food reservoir and mixer
enzymatic digestion and HCl > chyme

Front 44

Stomach
(general structure)

Back 44

cardia
fundus
body
pyloric part
rugae
lesser curvature
greater curvature

Front 45

Stomach
Cardia
(surrounds)

Back 45

surrounds opening from esophagus (cardial orifice)

Front 46

Stomach
Fundus
(may be dilated by, related to)

Back 46

may be dilated by gas, fluid, food
related to left dome of diaphragm

Front 47

Stomach
Body
( _ part)

Back 47

major

Front 48

Stomach
Pyloric part
(pyloric _ and _)

Back 48

pyloric antrum and canal

Front 49

Stomach
Pyloric part
Pylorus
(what is it, role)

Back 49

pyloric sphincter
controls discharge of stomach contents into duodenum

Front 50

pyloric stenosis

Back 50

atrophied, nothing getting thru
problems especially in infant
(pp 254-255)

Front 51

Stomach
Rugae
(what)

Back 51

internal longitudinal folds

Front 52

Stomach
Lesser curvature
(what atta to it, has _)

Back 52

lesser omentum
angular notch (incisure) - around where pyloric part starts

Front 53

Stomach
Greater curvature
(what atta)

Back 53

greater omentum

Front 54

Stomach
(general structure)

Back 54

cardia
fundus
body
pyloric part
rugae
lesser curvature
greater curvature

Front 55

Stomach
Cardia
(surrounds)

Back 55

surrounds opening from esophagus (cardial orifice)

Front 56

Stomach
Fundus
(may be dilated by, related to)

Back 56

may be dilated by gas, fluid, food
related to left dome of diaphragm

Front 57

Stomach
Body
( _ part)

Back 57

major

Front 58

Stomach
Pyloric part
(pyloric _ and _)

Back 58

pyloric antrum and canal

Front 59

Stomach
Pyloric part
Pylorus
(what is it, role)

Back 59

pyloric sphincter
controls discharge of stomach contents into duodenum

Front 60

pyloric stenosis

Back 60

atrophied, nothing getting thru
problems especially in infant
(pp 254-255)

Front 61

Stomach
Rugae
(what)

Back 61

internal longitudinal folds

Front 62

Stomach
Lesser curvature
(what atta to it, has _)

Back 62

lesser omentum
angular notch (incisure) - around where pyloric part starts

Front 63

Stomach
Greater curvature
(what atta)

Back 63

greater omentum

Front 64

Stomach
Surface anatomy

Back 64

(p 231-232)

Front 65

Stomach
Relations
(mostly covered by)

Back 65

mostly covered by visceral peritoneum - intraperitoneal

Front 66

Stomach
Relations
(anterior)

Back 66

*diaphragm*
left lobe of liver
anterior ab wall

Front 67

Stomach
Relations
(posterior or stomach bed)

Back 67

*pancreas*
diaphragm
spleen and splenic artery
left kidney and suprarenal gland
transverse colon and mesocolon

Front 68

Stomach
Blood supply
(arteries)

Back 68

From Celiac trunk:
-left gastric artery
-right gastric artery
-left gastroepiploic (gastro-omental) artery
-right gastroepiploic (gastro-omental) artery
short gastric arteries

Front 69

Stomach
Blood supply
(veins)

Back 69

parallel arteries
*drain into portal venous system*

Front 70

Stomach
Lymphatic drainage
Lymph drains to lymphatic vessels along _ and _
_ nodes > _ nodes

Back 70

along greater and lesser curvatures
gastroepiploic nodes > celiac nodes

Front 71

Stomach
Innervation

Back 71

Anterior and Posterior vagal trunks
Greater splanchnic > celiac plexus

Front 72

Hiatal hernias
gastric ulcers - common, wall erodes away
visceral referred pain - pain referred to dif areas

Back 72

pp 254-257

Front 73

Small Intestine
(extends from, how long, role, parts)

Back 73

extends from pylorus to ileocecal junction
20 feet long
digestion and absorption of nutrients
duodenum, jejunum, ileum

Front 74

Duodenum
(comparison to rest of SI, shape, around, located mostly, # of parts)

Back 74

shortest
widest
most fixed
*C-shaped*
around head of pancreas
mostly *retroperitoneal*
4 parts

Front 75

Duodenum
1st part
(location, proximal part _, distal part _, what atta)

Back 75

superior (anterolateral to L1)
proximal part intraperitoneal
distal part retroperitoneal
greater omentum and
hepatoduodenal ligaments atta

Front 76

Duodenum
2nd part
(location, intra- or retroperitoneal, what enters, spot where enter = ?, right and parallel to _)

Back 76

descending (right of L2-3 vertebrae)
retroperitoneal
common bile duct (bile) and
pancreatic ducts (digestive enzymes) enter
Major (and Minor) duodenal papilla
right and parallel to IVC

Front 77

Duodenum
3rd part
(location, retro- or intraperitoneal, crossed by _ and _)

Back 77

horizontal (anterior to L3 vertebrae)
retroperitoneal
crossed by superior mesenteric vessels
and root of mesentery

Front 78

Duodenum
4th part
(location, retro- or intraperitoneal, _ flexure, _ muscle of duodenum = ?)

Back 78

ascending (left of L3 vert > superior to L2 vert)
retroperitoneal
duodenojejunal flexure
suspensory muscle of duodenum = *ligament of Treitz*)

Front 79

Duodenum
Blood suppy
(arteries)

Back 79

From celiac artery (prox to entry of bile duct) and
superior mesenteric artery = SMA (distal to entry of bile duct)
Celiac:
-gastroduodenal a
-supraduodenal a
-superior pancreaticoduodenal a (anterior and posterior)
SMA:
-inferior pancreaticoduodenal a (anterior and posterior)

Front 80

Duodenum
(blood supply prox to bile duct, blood supply distal to entry of bile duct)

Back 80

prox to bile duct: celiac artery
distal to bile duct: SMA

Front 81

Duodenum
(celiac artery branches to)

Back 81

gastroduodenal artery
supraduodenal artery
superior pancreaticoduodenal (anterior and posterior)

Front 82

Duodenum
(SMA branches to)

Back 82

inferior pancreaticoduodenal artery (anterior and posterior)

Front 83

Duodenum
(veins drain to)

Back 83

veins parallel arteries
drain into portal venous system

Front 84

Duodenum
Lymphatic drainage

Back 84

pancreaticoduodenal nodes
*superior mesenteric nodes
*celiac nodes

Front 85

Duodenum
innervation

Back 85

celiac and superior mesenteric plexuses (*vagus and *thoracic splanchnics)

Front 86

duodenal ulcers

Back 86

acid components from stomach
(p 257)

Front 87

Jejunum
(length, location)

Back 87

8 feet long
mostly in left upper quadrant

Front 88

Illeum
(length, location)

Back 88

12 feet long
mostly in right lower quadrant

Front 89

Jejunum and Illeum
( _peritoneal, suspended by _, root of mesentery - oblique from _ junction to _ junction - crosses several structures)

Back 89

intraperitoneal
suspended by mesentery
Root of mesentery - oblique from duodenojejunal junction to ileocolic junction - crosses several structures

Front 90

ileum vs. jejunum
(more fat in which mesentery, more plicae circulares in, Peyer's patches in _)

Back 90

more fat in ileal mesentery
more plicae circulares in jejunum
Peyer's patches in ileum

Front 91

Peyer's patches in _

Back 91

ileum (looks more smooth in X-rays)

Front 92

Jejunum and ileum
Blood supply

Back 92

SMA - jejunal, ileal, and ileocecal branches in mesentery
--Arterial arcades > vasa recta
----More arcades in ileum than jejunum
SMV - anterior and right of SMA - joins splenic vein to form portal vein

Front 93

Jejunum and ileum
(branches of SMA to, arterial arcades to _, more arcades in ?)

Back 93

SMA branches (in mesentery):
jejunal
ileal
ileocolic
Arterial arcades > vasa recta
more arcades in ileum than jejunum

Front 94

Jejunum and ileum
Vein
(SMV is _ and _ of SMA, SMV joins _ to form _)

Back 94

anterior and right of SMA
joins splenic vein to form portal vein

Front 95

Jejunum and ileum
Lymphatic drainage

Back 95

*Lacteals - lymphatic capillaries
Mesenteric nodes > *superior mesenteric nodes

Front 96

Jejunum and ileum
Innervation

Back 96

celiac and superior mesenteric plexuses (*vagus and thoracic splanchnics*)

Front 97

ischemia (loss of blood supply)
ileus (obstruction)

Back 97

p. 258

Front 98

Large Intestine
(components, role)

Back 98

cecum
appendix
colon
rectum
anal canal
*Absorption of water*

Front 99

How distinguish SI from LI?

Back 99

Large intestine has:
teniae coli
haustra
epiploic appendages

Front 100

Large Intestine
Teniae coli
(what, none in _)

Back 100

3 longitudinal muscle bands
none in appendix or rectum

Front 101

Large Intestine
Haustra

Back 101

sacculations

Front 102

Large Intestine
Epiploic appendages
(aka, what)

Back 102

omental appendices
fatty projections

Front 103

Cecum
( _ pouch, location, covered by _ but has no _, mostly _peritoneal, _ orifice and valves, blood supply, drainage, lymphatics, innervation)

Back 103

blind pouch
covered by peritoneum but no mesentery
mostly intraperitoneal
ileocecal orifice and valves
ileocolic artery - from SMA
ileocolic vein > *SMV
ileocolic nodes > *superior mesenteric nodes
superior mesenteric plexus (vagus and thoracic splanchnics)
-sensory from appendix - T10

Front 104

Appendix
(char, usual location, _peritoneal, suspended by, blood supply, drainage, innervation)

Back 104

wormlike diverticulum of cecum
usually retrocecal (64%) but variable
intraperitoneal
suspended by mesoappendix
appendicular artery - branch of ileocolic artery
ileocolic vein > *SMV
ileocolic nodes > *superior mesenteric nodes
superior mesenteric plexus (*vagus and thoracic splanchnics)
--sensory from appendix - T10

Front 105

Ascending Colon
(which side, from _ to _, _peritoneal, blood supply, lymphatic drainage, innervation)

Back 105

right side
cecum to right colic (hepatic) flexure
retroperitoneal
ileocolic artery and
right colic artery from SMA
Veins parallel arteries > SMV
Lymph to superior mesenteric nodes
superior mesenteric plexus (*vagus and thoracic splanchnics)

Front 106

Transverse Colon
(from _ to _, size, most _, _peritoneal, suspended by, blood supply, lymphatics, innervation)

Back 106

from right colic (hepatic) flexure to left colic (splenic) flexure
largest
most mobile
intraperitoneal
suspended by transverse mesocolon
middle and right colic a - from SMA
left colic a from IMA
veins parallel > SMV and IMV
lymph to superior mesenteric nodes
superior and inferior mesenteric plexuses (*vagus and splanchnics)

Front 107

Descending Colon
( _ side, from _ to _, _peritoneal, blood supply, lymph, innervation - para and sym)

Back 107

left side
left colic (splenic) flexure to sigmoid colon
retroperitoneal
left colic artery - from IMA
veins parallel > IMV
lymph to inferior and superior mesenteric nodes
parasym - pelvic splanchnic nerves (S2-4)
sym - lumbar splanchnics and superior hypogastric plexus

Front 108

Sigmoid colon
(from _ to _, _peritoneal, suspended by, blood supply, lymphatics, innervation - para and sym)

Back 108

from descending colon to rectum (pelvic brim > S3)
intraperitoneal
suspended by sigmoid mesocolon
sigmoid arteries - from IMA
veins parallel > IMV
lymph to inferior mesenteric nodes
parasym:
-*pelvic splanchnic nerves (*S2-4)
sym:
-*lumbar splanchnics* and superior hypogastric plexus

Front 109

Rectum
( _ organ)

Back 109

pelvic organ

Front 110

Anal canal

Back 110

perineum

Front 111

McBurney point

Back 111

1/3 distance from ASIS to umbilicus
(p 199, 259)

Front 112

appendicitis
appendectomy

Back 112

pp 259-260

Front 113

colitis - inflammation
colectomy - cut stoma
colostomy
colonoscopy
diverticulosis - bulges, can be inflam
volvulus - usually to sigmoid colon, can block vessels = dead intestine

Back 113

pp 260-261

Front 114

Spleen
(size, type of organ, role, location, _peritoneal, name ligaments)

Back 114

largest lymphatic organ
cleans blood
in left upper quadrant
--*deep to left ribs 9-11*
intraperitoneal
gastrosplenic (gastrolienal) ligament
splenorenal ligament

Front 115

Spleen
(characteristics)

Back 115

diaphragmatic surface convexly curved
anterior and superior borders sharp and often notched
posterior and inferior borders rounded

Front 116

Spleen
(impressions on _)

Back 116

under surface

Front 117

Spleen
(what happens here - _ of pancreas)

Back 117

vessels enter and leave
tail of pancreas

Front 118

Spleen
(blood supply)

Back 118

splenic artery - from celiac trunk ~5 branches
splenic vein - joins with SMV to form hepatic portal vein

Front 119

Spleen
lymph drainage

Back 119

pancreaticosplenic nodes > *celiac nodes

Front 120

Spleen
innervation

Back 120

celiac plexus (mostly vasomotor)

Front 121

Spleen
rupture
splenectomy - can survive w/o
splenomegaly = large spleen, if bulging can feel (mono can cause it)
--stab would can also damage spleen

Back 121

p. 281

Front 122

Pancreas
(produces)

Back 122

digestive enzymes (pancreatic juice)
hormones (insulin and glucagon)

Front 123

Pancreas
(_peritoneal)

Back 123

retroperitoneal

Front 124

Pancreas
posterior to _ b/w _ and _, near _

Back 124

posterior to stomach
b/w duodenum and spleen,
near transpyloric plane

Front 125

Pancreas
(# of parts, name them)

Back 125

4 parts:
Head
Neck
Body
Tail

Front 126

Pancreas
Head
(location, _ process, relations

Back 126

in curve of duodenum,
right of superior mesenteric vessels
uncinate process
Relations:
posterior = IVC, right renal vessels
*posterosuperior = bile duct in groove or embedded*

Front 127

Pancreas
Head
Uncinate Process
(location)

Back 127

*posterior to superior mesenteric vessels*

Front 128

Pancreas
Neck
(size, relations, what happens posterior to it)

Back 128

short
Relations:
posterior = superior mesenteric vessels
anterior = pyloris
**SMV and splenic vein join posterior to neck to form portal vein**

Front 129

What joins posterior to neck of pancreas to form portal vein?

Back 129

SMV and splenic vein

Front 130

SMV and splenic vein
(join where, join to form)

Back 130

join posterior to neck of pancreas
to form portal vein

Front 131

Pancreas
Body
(location, relations)

Back 131

left of superior mesenteric vessels - splenic vessels above or behind
Relations:
posterior = aorta, left suprarenal gland, left kidney and vessels
anterior = stomach

Front 132

Pancreas
Tail
(location, usually contacts)

Back 132

b/w layers of splenorenal ligament
usually contacts hilum of spleen

Front 133

Pancreas
Ducts
(pathway of both, sphincters)

Back 133

main pancreatic duct > hepatopancreatic ampulla (of Vater) > major duodenal papilla
-sphincter of pancreatic duct
-hepatopancreatic sphincter (sphincter of Oddi)
accessory pancreatic duct > minor duodenal papilla

Front 134

Pancrea
blood supply
(arteries)

Back 134

branches of splenic artery, anterior and posterior superior pancreaticoduodenal arteries, anterior and posterior inferior pancreaticoduodenal arteries

Front 135

Pancreas
blood supply
veins

Back 135

pancreatic veins drain into
splenic and SMV

Front 136

Pancreas
lymphatics

Back 136

pancreaticosplenic and pyloric nodes > celiac, hepatic, and superior mesenteric nodes

Front 137

Pancreas
innervation

Back 137

celiac and superior mesenteric plexus (*vagus and thoracic splanchnics)

Front 138

Pancreatitis
pancreatic cancer

Back 138

p 283

Front 139

Liver
(size, _ % of body weight, location, shape)

Back 139

largest gland
2.5 % body weight
in right and left upper quadrants - mostly right, under ribs
varies in shape

Front 140

Liver
surface anatomy

Back 140

N 286

Front 141

Liver
(roles)

Back 141

*many metabolic activities
*stores glycogen
*secretes bile (emulsifies fats)

Front 142

Liver
surfaces

Back 142

diaphragmatic
visceral

Front 143

Liver
Diaphragmatic surface
(char, relations)

Back 143

smooth and dome-shaped
Relations:
subphrenic recess
*bare area = no peritoneum
*coronary ligament - right and left triangular, falciform*

Front 144

Liver
Visceral surface
(mostly covered with, relations)

Back 144

mostly covered with peritoneum
Relations:
stomach (gastric area)
superior duodenum (duodenal area)
lesser omentum
gallbladder
right colic flexure (colic area)
right kidney and suprarenal gland (renal area)
hepatorenal recess

Front 145

Liver
Markings

Back 145

right sagittal fissure - fossae for *gallbladder and IVC*
left sagittal fissure:
fissures for *ligamentum teres and ligamentum venosum*
porta hepatis:
where vessels and ducts enter and leave

Front 146

Liver
Anatomical Lobes
(name)

Back 146

Right lobe
Left lobe
Quadrate lobe
Caudate lobe

Front 147

Liver
right and left lobes
(separated by what anteriorly)

Back 147

separated by falciform ligament anteriorly

Front 148

Liver
Quadrate lobe
(b/w)

Back 148

between gallbladder fossa and
fissure for ligamentum teres

Front 149

Liver
caudate lobe
(b/w)

Back 149

b/w IVC fossa and fissure for ligamentum venosum

Front 150

porta hepatis
(location)

Back 150

b/w caudate and quadrate lobes

Front 151

Liver
Functional subdivisions

Back 151

right and left liver

Front 152

Liver
Right and Left liver
(each has, divided into, divided into)

Back 152

each has primary branch of hepatic artery,
portal vein,
hepatic duct
divided into medial and lateral divisions - caudate lobe separate
divided into eight surgically resectable hepatic segments

Front 153

Liver
Ducts
(pathway)

Back 153

right and left hepatic ducts > common hepatic duct > (common) bile duct > duodenum

Front 154

Liver
Blood supply

Back 154

Hepatic artery (30%) and portal vein (70%) bring blood to liver
Hepatic veins drain liver > IVC

Front 155

Liver
lymphatics

Back 155

hepatic nodes > celiac and phrenic nodes

Front 156

Liver
innervation

Back 156

hepatic plexus (vagal trunks and celiac plexus)

Front 157

Hepatomegaly
cirrhosis
transplantation

Back 157

pp 284-286

Front 158

Gallbladder
(shape, location)

Back 158

pear-shaped sac on
undersurface of liver

Front 159

Gallbladder
(role)

Back 159

stores and concentrates bile

Front 160

Gallbladder
covered with, relations

Back 160

covered with peritoneum on sides not attached to liver
Relations:
liver
duodenum
colon
anterior abdominal wall

Front 161

Gallbladder
(# of parts, name)

Back 161

3 parts:
Fundus
Body
Neck

Front 162

Gallbladder
Fundus
(size, location)

Back 162

widest
*at tip of right 9th costal cartilage in
midclavicular line*

Front 163

Gallbladder
Body
(contacts)

Back 163

contacts
visceral surface of liver
transverse colon
superior duodenum

Front 164

Gallbladder
Neck
(size)

Back 164

narrow
S-shaped band

Front 165

Gallbladder
Duct

Back 165

Cystic Duct

Front 166

Gallbladder
Cystic Duct
(joins _ to form _, _ helps keep duct open, drains into _)

Back 166

joins common hepatic duct to form (common) bile duct
spiral fold (spiral valve) helps keep duct open
Drains into duodenum

Front 167

Gallbladder
blood supply

Back 167

cystic artery
cystic vein > portal vein or liver

Front 168

Gallbladder
lymphatics

Back 168

hepatic nodes > celiac nodes

Front 169

Gallbladder
innervation

Back 169

vagus and celiac plexus
right phrenic nerve - sensory

Front 170

gallstones
cholecystectomy

Back 170

pp 287-288
chole = bile
cyst = sac