DINDING ABDOMEN

Dr. M. Masykur Berawi, Sp.A

Division of the wall

Division of the wall into four quadrant are difined by two planes: Transumbilical plane Median plane

Divison of the wall into nine regions are delinated by four planes
Subcostal and transtubercular planes 2 mid clavicular planes

Right Upper Quadrant (RUQ)

Liver : right lobe Gall bladder Stomach: pylorus Duodenum : parts 1-3 Pancreas: head Right suprarenal gland

Right kidney Right colic (hepatic)

flexure Ascending color : superior part Transverse colon : right half

Right Lower Quadrant (RLQ)

Vermiform appendix Most of ileum Ascending colon :

inferior part Right ovary Right uterine tube

Right ureter :

abdominal part Right spermatic cord : abdominal part Uterus (if enlarged) Urinary bladder (if very full)

Left Upper Quadrant (LUQ)

Liver : left tube Spleen Stomach Jejunum and proximal ileum Pancreas : body and tail Left kidney Left suprarenal gland

Left colic (splenic)

flexure Transverse colon : left half Descending colon superior part

Left Lower Quadrant

Sigmoid colon Descending colon =
inferior part Left ovary Left uterine tube Left ureter = abdominal part

Left spermatic cord =

abdominal part Uterus (if enlarged) Urinary badder (if very full)

Cavum abdominis
Anterolateral :
M obliquus abd. Externus M obliquus abd. internus M obliquus abdominis

Dorsal :
M quadratus lumborum M sacrospinalis Columna vertebralis

Nerves of the Antholateral abdominal wall

1. Nn Intercostales T7-T9 2. N Ilio hypogastricus u1 T10 3. N Ilio inguinalis 4. N genito femoralis
N spermaticus ext N lumboingionalis

Vaskularisasi dinding perut

A. thoracica interna
A. iliaca ext
A. epigastrica superior A. epigastrica inferior&a. circumflexa ilium profunda A. epigastrica superficialis & a. circumflexa ilium superficial

A. femoralis & v.saphena magna

Aa. Intercostales Aa. lumbales

Limphatic drainage
Superficial, bermuara:
Kranial: axillary lymph nodes Kaudal: nodi lymphoidei inguinales superficialis Nodi lymphoidei lumbales N.L iliaci external N.L iliaci communes

Deep: