复旦大学：《局部解剖学 Regional Anatomy》教学课件（英文）Part 15 – Abdomen（Part 3）Retroperitoneal organs & posterior abdominal wall

s Regional Anatomy Part 15- Abdomen(Part 3) Retroperitoneal organs posterior abdominal wall INTERNATIONAL EDITION Hongqi zhang(张红旗) Dissector Dept of Anatomy, Histoembryology CEmail:zhanghg58@126.com

1 Regional Anatomy Part 15 – Abdomen (Part 3) Retroperitoneal organs & posterior abdominal wall Hongqi Zhang (张红旗 ) Dept. of Anatomy,Histoembryology Email: zhanghq58@126.com

Tubercle Liver carcinoma lung Nodular Tuberculosis (TB)

Liver carcinoma lung Tuberculosis (TB) Nodular Tubercle

1-Only azygos No accessory 1 2 hemiazygos v 55 No hemiazygos v 5 3 2-int. thoracic a 3-left phrenic n 4-esophagus 5-post intercostal vv

1-Only azygos No accessory hemiazygos v. No hemiazygos v. 2-int.thoracic a. 3-left phrenic n. 4-esophagus 5-post.intercostal vv. 1 2 3 4 5 5 5 5

Artificial blood vessel Sympathetic trunk(arrow) (arrow) Great splanchnolic n (yellow arrow)

Artificial blood vessel (arrow) Sympathetic trunk (arrow) Great splanchnolic n.(yellow arrow)

Relations of abdominal viscera 1. First layer liver, gallbladder, stomach 2. Second layer duodenum, pancreas, spleen 3. Third layer suprarenal gland, kidney, ureter, inferior vena cava abdominal aorta, nerves and lymphatics

Relations of abdominal viscera 1. First layer liver, gallbladder, stomach. 2. Second layer duodenum, pancreas, spleen. 3. Third layer suprarenal gland, kidney, ureter, inferior vena cava, abdominal aorta, nerves and lymphatics

大网膜 greater omentum 空肠 升结肠 降结肠 ascending colon colon 肠脂垂 epiploic appendices 小肠系膜 mesentery haustra of colon 回肠 乙状结肠 ileum sigmoid colon Organs of infracolic compartment

Organs of infracolic compartment

Relations of spleen Diaphragmatic surface-diaphragm Visceral surface Anteriorly: fundus of stomach Posteriorly: left suprarenal gland and kidney Inferiorly: tail of pancreas& left colic flexure

Relations of spleen • Diaphragmatic surface －diaphragm • Visceral surface – Anteriorly：fundus of stomach – Posteriorly：left suprarenal gland and kidney – Inferiorly：tail of pancreas & left colic flexure

1. Med. surface of 9 Middle finger 11 ribs 2. Two surface 3. Two extremites 4. Hilum of spleen St 5. Splenic notch 6. Gastroslenic lig 6 Index 7. Splenorenal lig 后 posterior extremity posterior extremity 上缘 gastric surface superior margin 胃面 下缘 牌动脉pnn inferior margin 脾静脉了 splenic VI 肾面 enral surface 前端 下缘 anterior extremity inferior margi 脏面 膈面 Visceral surface Diaphragmatic surface

1. Med.surface of 9- 11 ribs 2. Two surface 3. Two extremites 4. Hilum of spleen 5. Splenic notch 6. Gastroslenic lig. 7. Splenorenal lig. 6 7

Duodenum and Pancrease Hepatic art. Left gastric art. Splenic art Right suprarenal gland rtal vein /心 T12 Bile duct L1 Gastro duodenal a, Ridney L2 Sup. mesenteric L3 Inf. mesenteric 23 L4 Peter Vertebral levels Figure 13. 4. Abdominal viscera and vessels-the key picture /VC, inferior vena cava

Duodenum and Pancrease

Duodenum Four parts Superior part-1 ◆ Duodenal cap. Superior duodenal flexure Descending part-2 LOngitudinal fold of duodenum Major duodenal papilla ◆ Minor duodenal papilla Inferior duodenal flexure Horizontal part. -3 Ascending part-4 duodenojejunal flexure

Four parts Superior part -1 Duodenal cap. Superior duodednal flexure. Descending part -2 Longitudinal fold of duodenum. Major duodenal papilla. Minor duodenal papilla. Inferior duodenal flexure. Horizontal part.-3 Ascending part-4. duodenojejunal flexure. Duodenum 2 1 4 3