176

Peritoneum

Urogenital diaphragm. [[Diaphragm urogeni-

15

Pudendal [[Alcock’s]] canal. Canalis pudendalis

1

1

tale]]. Fibromuscular wall spread out between the

[[Alcock]]. Splitting of obturator fascia in lateral

right and left inferior rami of the pubis. A B E

wall of ischioanal fossa to form a tunnel for passage

2

2

Deep perineal space. Spatium perinei profun-

of the pudendal vessels and nerves. A

16

Retropubic

space.

Spatium

retropubicum

dum. Space between the inferior and superior

3

fascia of the urogenital diaphragm. Contents:

[[spatium praevesicale; cavum Retzii]]. Space be-

Deep transversus perinei and sphincter urethrae

tween the urinary bladder and the pubis filled

muscles; bulbo-urethral glands; nerves and ves-

with loose connective tissue and bounded inferi-

4

sels for the penis. A

orly by the puboprostatic ligament. C

3

M. transversus perinei profundus. Trapezoid-

17 PERITONEUM. Serous membrane that lines the

peritoneal cavity.

5

shaped muscular plate stretched out in the pubic

18

Abdominal cavity. [[Cavitas abdominalis]].

arch. I: Pudendal nerve. A B E F

4

M. sphincter urethrae. Muscular fibers sur-

19

Peritoneal cavity. Cavitas peritonealis. Space in

6

rounding the membranous part of the urethra. I:

abdominal cavity enclosed by peritoneum.

Pudendal nerve. A E F

19 a

Extraperitoneal space. Spatium extraperitoneale.

7

4 a M. compressor urethrae. Muscle fibers that ex-

Space in connective tissue with no relationship to

the peritoneum.

tend distally from the m. sphincter urethrae to

20

Spatium

retroperi-

the ramus of the ischium. F

Retroperitoneal

space.

8

4 b M. sphincter urethrovaginalis. Muscle fibers

toneale. Space between the peritoneum and the

that extend distally from the m. compressor

transversalis fascia.

21

Extraperitoneal fascia. Fascia extraperitonealis.

9

urethrae to the bulb of the vestibule. F

5 Superior fascia of urogenital diaphragm. Fascia

Connective

tissue

layer

of varying

thickness

beneath the peritoneum.

diaphragmatis urogenitalis superior. Fascia of the

22

Organum

extraperi-

10

Extraperitoneal

organ.

deep transverse perinei muscle located on the

side of the ischio-anal fossa. A

toneale. Organ in extraperitoneal space.

11

6

Perineal membrane [Inferior fascia of urogeni-

23 Parietal peritoneum. Peritoneum parietale. Peri-

toneum of abdominal wall. D

tal diaphragm]. Membrana perinei [fascia dia-

24

Tunica

serosa.

Serous

membrane

lined by

phragmatis urogenitalis inferior]. Fascia on the

12

anteroinferior surface of the deep transverse per-

smooth, simple peritoneal epithelium.

inei muscle.

25

Tela subserosa. Connective tissue layer beneath

13

7

Transverse perineal ligament. Lig. transversum

the serosa.

perinei. Thickened fusion of both fasciae of the

26

Visceral peritoneum. Peritoneum viscerale. Peri-

urogenital diaphragm at the anterior, upper mar-

toneum covering the abdominal viscera. D

14

gin of the deep transverse perinei muscle. E

27

Tunica serosa. See 24.

8

Superficial perineal space. Spatium perinei su-

28

Tela subserosa. See 25.

15

perficiale. Space between the superficial perineal

29

Epiploic

foramen

[[of

Winslow]].

Foramen

fascia and the inferior fascia of the urogenital dia-

omentale (epiploicum). Opening into the lesser

phragm. It contains the root of the penis. A

16

sac behind the hepatoduodenal ligament. D

9

M. transversus perinei superficialis. Inconstant

30

Omental bursa [[lesser sac of peritoneum]].

separated portion of the deep transverse perineal

Bursa omentalis. A

peritoneal

cavity situated

17

muscle. It radiates out into the perineal body. I:

mainly behind the stomach. D

Pudendal nerve. B

31

Vestibule of omental bursa. Vestibulum bursae

10 M. ischiocavernosus. Muscle that arises from the

18

omentalis. Portion of the omental bursa situated

ramus of the ischium, lies on the crus of the penis

near the caudate lobe of the liver and bounded by

and attaches to its tunica albuginea. I: Pudendal

the gastropancreatic folds on the left. D

19

11

nerve. A B

32

Upper omental recess. Recessus superior omen-

M. bulbospongiosus [[m. bulbocavernosus]].

talis. Upwardly directed recess between the infe-

20

Muscle that arises from the perineal body and the

rior vena cava and the esophagus. D

median raphe of the corpus spongiosum, then

33

Lower omental recess. Recessus inferior omen-

passes lateral to them and extends to the inferior

talis. Lower portion of the omental bursa located

21

perineal membrane and the dorsum of the penis.

between the stomach and transverse colon, or, in

In the female it follows the course of the bulb of the

some cases, between the anterior and posterior

vestibule. I: Pudendal nerve. A B; see also

layers of the greater omentum. D

22

page 225 D

34

Splenic recess. Recessus splenicus (lienalis). Left

12

Superficial perineal fascia. Fascia perinei superfi-

portion of lower omental recess bounded by

23

cialis. Fascia forming the anteroinferior border of

splenic ligaments. D

the superficial perineal space. A

35

Gastropancreatic

folds. Plicae gastropancreat-

13

ISCHIOANAL FOSSA. Fossa ischioanalis. Space be-

icae. Folds in the posterior wall of the lesser sac

24

tween the levator ani and obturator internus

formed by the left gastric and common hepatic ar-

muscles. It is bordered anteroinferiorly by the uro-

teries. D

25

genital diaphragm. A B

35 a

Hepatopancreatic fold. Plica hepatopancreatica.

14

Fat body of ischioanal fossa. Corpus adiposum

Also called plica gastropancreatica dextra. Peri-

fossae ischioanalis. A pad of fat in the ischioanal

toneal fold that encloses the common hepatic

178

Peritoneum

1

Dorsal mesentery. [[Mesenterium dorsale 19

Splenorenal

(lienorenal,

phrenicosplenic)

1

commune]]. Embryologically original, com-

ligament.

Lig.

splenorenale

(lienorenale,

mon, dorsal suspensory ligament of the still

phrenicosplenicum). Peritoneal fold that ex-

2

undifferentiated intestinal tube.

tends from the diaphragm, kidney and pan-

2

Mesentery. Mesenterium. Dorsal

peritoneal

creas to the hilum of the spleen; on the right, it

3

fold for the fixation of the intraperitoneal small

is continuous with the transverse mesocolon. B

intestine. It transports blood vessels and

20

Hepatic ligaments. Ligg. hepatis.

nerves. B

21

Coronary ligament. Lig. coronarium. The line

4

3

Root of mesentery. Radix mesenterii. Line of

or reflection of the parietal peritoneum that ex-

attachment that extends from the posterior

tends from the diaphragmatic surface to the

5

wall of the abdominal cavity near the second

visceral peritoneum of the liver at the margin of

lumbar vertebra to the right iliac fossa. A

the bare area. A

4

Mesocolon. Peritoneal fold bearing vessels and

22

Falciform ligament of liver. Lig. falciforme (he-

6

nerves; it attaches and supplies the colon.

patis). Peritoneal fold from the anterior and in-

5

Transverse mesocolon. Mesocolon transver-

ferior sides of the liver to the anterior abdomi-

7

sum. Suspensory ligament of the transverse

nal wall. B

colon. A B

23

Right triangular ligament. Lig. triangulare

6

Mesocolon of ascending colon. Mesocolon

dextrum. Triangular peritoneal fold between

8

ascendens. It fuses with the posterior abdomi-

the right lobe of the liver and the diaphragm. It

nal wall in the 4th embryonic month.

forms the right end of the coronary ligament. A

7

Mesocolon of descending colon. Mesocolon

24

Left triangular ligament. Lig. triangulare sin-

9

descendens. It fuses with the posterior abdomi-

istrum. Triangular peritoneal fold between the

nal wall in the 4th embryonic month.

liver and diaphragm. It forms the left end of the

10

8

Sigmoid mesocolon. Mesocolon sigmoideum.

coronary ligament. A

Suspensory ligament of sigmoid colon. B

25

Hepatorenal

ligament.

Lig.

hepatorenale.

9

Mes-oappendix

[[mesenteriolum]].

Suspen-

Continuation

of

the

coronary

ligament at-

11

tached to the right kidney. A

sory ligament of vermiform appendix. B

10

Lesser omentum. Omentum minus. Peritoneal

26 Folds and recesses. Plicae et fossae (recessus).

12

27

Fascia retinens rostralis. Band passing upward

sheet extending mainly between the stomach

and liver.

at the duodenojejunal flexure, in some cases

13

11

Hepatogastric ligament. Lig. hepatogastricum.

together with the suspensory muscle of the

duodenum. See 124.10. A

Part of the lesser omentum between the

stomach and liver. B

28

Superior duodenal fold (duodenojejunal fold).

14

12

Hepatoduodenal

ligament.

Lig.

hepa-

Plica duodenalis superior (plica duodenoje-

toduodenale. Part of lesser omentum between

junalis). Peritoneal fold on the left side of the

15

the duodenum and liver. It contains the hepatic

duodenojejunal flexures and in front of the su-

perior duodenal recess. It contains the inferior

artery proper, bile duct and the portal vein. B

13

Hepatocolic ligament. [Lig. hepatocolicum].

mesenteric vein. A

16

29

Recessus

Superior

duodenal

recess.

Inconstant continuation of the hepatoduodenal

ligament toward

the right at

the

right

colic

duodenalis superior. Peritoneal recess behind

17

flexure or near the transverse colon. B

the superior duodenal fold. A

30

Inferior duodenal fold

(duodenomesocolic

14

Greater omentum. Omentum majus. Doubled

fold). Plica duodenalis inferior (plica duode-

peritoneal apron hanging down from the

18

nomesocolica). Peritoneal fold just in front of

stomach and transverse colon; it contains vari-

able amounts of fat. B

duodenojejunal flexure. A

19

15

Gastrophrenic ligament. Lig. gastrophrenicum.

31 Inferior duodenal recess. Recessus duodenalis

inferior. Peritoneal recess behind the inferior

Upper continuation of the phrenicosplenic and

duodenal fold. A

gastrosplenic ligaments between the stomach

20

32

[Plica

paraduodenalis].

Paraduodenal

fold.

and diaphragm. A B

16

Gastrosplenic (gastrolienal)

ligament.

Lig.

Peritoneal fold located on the left side of the

21

gastrosplenicum

(gastrolienale).

Peritoneal

duodenum. A

33

Paraduodenal recess. [Recessus para-

connection from the lesser curvature of the

stomach to the hilum of the spleen. B

duodenalis]. Peritoneal recess behind the para-

22

17

Gastrocolic ligament. Lig. gastrocolicum. Peri-

duodenal fold that opens toward the right. A

toneal connection between the lesser curvature

34

Retroduodenal recess. [Recessus retroduo-

23

of the stomach and the omental tenia of the

denalis]. Peritoneal recess between the aorta

transverse colon. It is attached to the gastros-

and the duodenum that opens toward the left.

plenic ligament. B

A

180

Peritoneum

1

Intersigmoid recess. Recessus intersig-

18

Lateral umbilical fold [epigastric fold]. Plica

1

moideus. Peritoneal recess left of and below the

umbilicalis lateralis [[plica epigastrica]]. Peri-

root of the sigmoid mesocolon. A

toneal fold produced by the inferior epigastric

2

2

Superior ileocecal recess. Recessus ileocaecalis

artery. A B

superior. Peritoneal recess above the opening

19 Lateral inguinal fossa. Fossa inguinalis later-

3

of the ileum into the cecum. A

alis. Depression lateral to the lateral umbilical

3 Vascular cecal fold. Plica caecalis vascularis.

fold corresponding to the deep inguinal ring. B

4

Peritoneal fold in front of the superior ileocecal

20

Transverse vesical fold. Plica vesicalis trans-

recess; it contains a branch of the ileocolic

versa. Peritoneal fold extending transversely

artery. A

over the moderately filled bladder. It disap-

5

4 Inferior ileocecal recess. Recessus ileocaecalis

pears when the bladder is full. A

21 Paravesical fossa. Fossa paravesicalis. Shallow

inferior. Peritoneal recess below the opening of

6

the ileum into the cecum. A

depression lateral to the bladder. It is bounded

5

Ileocecal fold. Plica ileocaecalis. Peritoneal fold

laterally by the ductus deferens. B

in front of inferior ileocecal recess that extends

22 Urogenital peritoneum. Peritoneum urogeni-

7

inferiorly up to the appendix. A

tale. Peritoneum of the reproductive organs.

6 Retrocecal recess. Recessus retrocaecalis. Peri-

23

Vaginal process of peritoneum. [[Processus

toneal fold often present on the right side of the

vaginalis peritonei]]. Finger-like diverticulum

8

body behind the cecum or ascending colon. A

of the peritoneum that extends through the in-

7

Cecal folds. Plicae

caecales. Peritoneal folds

guinal canal accompanying the descent of the

9

testis.

outside the cecum. They correspond to the

24 Broad ligament of uterus. Lig. latum uteri. Per-

semilunar folds in the colon. A

8

Paracolic

sulci. Sulci

paracolici.

Occasional

itoneal duplication between the uterus and

10

lateral pelvic wall for transmission of vessels

pockets left of the descending colon. A

and nerves. A

9 Subphrenic recess. Recessus subphrenici. Peri-

11

25

Mesometrium. Portion of the broad ligament

toneal recess between the diaphragm and both

lobes of the liver, right and left of the falciform

passing to the uterus. A

12

ligament; it is bounded posterosuperiorly by

26

Mesosalpinx. Mesentery of uterine tube. A

the coronary ligament. C

27

Mesovarium. Mesentery of ovary. A

10

Subhepatic

recess.

Recessus

subhepatici.

28

Suspensory ligament of ovary. Lig. suspen-

13

Recess between the liver and transverse colon

sorium ovarii. Ligament derived from the

or adjoining viscera. C

cranial gonadal fold; it suspends the ovary su-

14

11

Hepatorenal

recess. Recessus hepatorenalis.

periorly and contains the ovarian vessels. A

29 Ovarian fossa. Fossa ovarica. Depression at the

Portion of the subhepatic recess bounded by

the kidney and suprarenal gland. C

origin of the internal and external iliac arteries.

15

12

Anterior

parietal

peritoneum.

Peritoneum

30

Rectouterine fold. Plica rectouterina. Peri-

parietale anterius.

toneal fold between the rectum and uterus. A

16

13

Median umbilical fold. Plica umbilicalis medi-

31 Rectouterine pouch [[pouch of Douglas]]. Ex-

ana [[plica umbilicalis media]]. Fold passing

cavatio rectouterina. Deepest part of abdominal

17

from the apex of the urinary bladder to the

cavity between the rectum, uterus and the two

umbilicus. It contains the remains of the ura-

rectouterine folds. A

chus. A B

32 Vesicouterine pouch. Excavatio vesicouterina.

18

14

Supravesical fossa. Fossa supravesicalis. Shal-

Peritoneal space between the uterus and blad-

low depression in front of the urinary bladder

der. A

19

between the median and medial umbilical

33

Rectovesical pouch. Excavatio rectovesicalis.

folds. B

Deepest part of the abdominal cavity between

15 Medial umbilical fold. Plica umbilicalis medi-

the rectum and bladder in the male.

20

alis [[plica umbilicalis lateralis]]. Fold corre-

sponding to the obliterated umbilical artery. It

21

is located in the anterior abdominal wall be-

tween the median umbilical (obliterated ura-

22

chus) and lateral umbilical (inferior epigastric

artery) folds. A B