Gross Anatomy Clinical Correlations AbdomenVersion: 09Apr2009 Page 2 of 5d.
Severe pain, could lead to testicular necrosis7.
Palpation of the superficial inguinal ringa.
Looking for indirect hernia b.
Male: Palpate spermatic cord in upper part of the scrotumc.
Firm cordlike structure (posterior part) is vas deferensd.
Patient coughs to increase intraabdominal pressuree.
Female: smaller and difficult to palpatef.
Transmits round ligament8.
Inflamed parietal peritoneum is extremely sensitive to stretching b.
Pressure applied to abdominal wall with one finger c.
Associated with peritonitis b.
Post-surgical (gynecological and general abdominal) as wellc.
Adhesion occur >90% of the patients following major abdominal surgeryand in 55-100% of the women undergoing pelvic surgeryd.
Small-bowel obstruction, infertility, chronic abdominal and pelvic pain,and difficult reoperative surgery are the most common consequences10.
Ascites and Paracentesisa.
Excessive accumulation of peritoneal fluid b.
Thin patient needs 1.5L before clinically recognizablec.
Local anesthesia, needle through abdominal walld.
Skin, superficial fascia, deep fascia (very thin), aponeurosis or muscle of external oblique, internal oblique muscle, transversus abdominis muscle,fascia transversalis, extraperitoneal connective tissue (fatty), and parietal peritoneum