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Peritoneal cavity

From Wikipedia, the free encyclopedia
Empty space between parietal and visceral layers of peritoneum
This article is about the potential space within the abdomen. For the body cavity, seeAbdominal cavity.
Peritoneal cavity
Details
PrecursorIntraembryonic coelom
Identifiers
Latincavitas peritonealis,
saccus serosus peritonei
MeSHD010529
TA98A10.1.02.001
TA23702
THH3.04.08.0.00011
FMA14704
Anatomical terminology

Theperitoneal cavity is apotential space located between the two layers of theperitoneum—the parietal peritoneum, theserous membrane that lines theabdominal wall, and visceral peritoneum, which surrounds theinternal organs.[1] While situated within theabdominal cavity, the termperitoneal cavity specifically refers to the potential space enclosed by these peritoneal membranes. The cavity contains a thin layer of lubricatingserous fluid that enables the organs to move smoothly against each other, facilitating the movement and expansion of internal organs during digestion.

The parietal and visceral peritonea are named according to their location and function. The peritoneal cavity, derived from thecoelomic cavity in theembryo, is one of several body cavities, including thepleural cavities surrounding the lungs and thepericardial cavity around the heart.

The peritoneal cavity is the largest serosal sac and fluid-filled cavity in the body,[2] itsecretes approximately 50 milliliters (1.7 U.S. fl oz) of fluid daily. This fluid serves as a lubricant and hasanti-inflammatory properties. The cavity is divided into thegreater andlesser sacs, with the greater sac further subdivided into the supracolic and infracolic compartments.[3][4]

Compartments

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Further information:Greater sac andLesser sac

The peritoneal cavity is divided into the greater and lesser sacs. The greater sac comprises the majority of the peritoneal cavity, while the lesser sac, also known as the omental bursa, is smaller and situated posterior to the stomach andlesser omentum. They are connected by theomental foramen.[4]

The greater sac is further subdivided into two compartments by the mesentery of thetransverse colon, known as thetransverse mesocolon. This division creates an upper and a lower compartment within the greater sac, named the supracolic and infracolic compartment respectively, each housing different organs and structures of the abdominal cavity.[3][4]

Theliver,spleen, stomach, and lesser omentum are contained within the supracolic compartment. Thesmall intestine surrounded by the ascending, transverse, anddescending colon, and theparacolic gutters are contained within the infracolic compartment.

Clinical significance

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The peritoneal cavity is widely used inintraperitoneal injections to administerchemotherapy drugs,[5][6] and is also utilized inperitoneal dialysis.[7] An increase incapillary pressure in the abdominal organs can cause fluid to leave theinterstitial space and enter the peritoneal cavity, resulting in a condition calledascites. Whencerebrospinal fluid overaccumulates, such as inhydrocephalus, the fluid is commonly diverted intentionally to the peritoneal cavity using a surgically placedcerebral shunt.[8] Sampling of body fluid from the peritoneal cavity is referred to asperitoneocentesis.

See also

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References

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  1. ^Pannu, HK; Oliphant, M (October 2015)."The subperitoneal space and peritoneal cavity: basic concepts".Abdominal Imaging.40 (7):2710–22.doi:10.1007/s00261-015-0429-5.PMC 4584112.PMID 26006061.
  2. ^Heimbürger, Olof (1 January 2019). "29 - Peritoneal Physiology".Chronic Kidney Disease, Dialysis, and Transplantation (Fourth Edition). Elsevier: 450–469.e6.doi:10.1016/b978-0-323-52978-5.00029-x.ISBN 9780323529785.
  3. ^abSharma, M; Madambath, JG; Somani, P; Pathak, A; Rameshbabu, CS; Bansal, R; Ramasamy, K; Patil, A (March 2017)."Endoscopic ultrasound of peritoneal spaces".Endoscopic Ultrasound.6 (2):90–102.doi:10.4103/2303-9027.204816.PMC 5418973.PMID 28440234.
  4. ^abc"The Peritoneal Cavity - Greater Sac - Lesser Sac - TeachMeAnatomy".teachmeanatomy.info. Retrieved2024-09-29.
  5. ^Yu, Wansik (2003-07-01)."Impact of perioperative intraperitoneal chemotherapy on the treatment of primary gastric cancer".Surgical Oncology Clinics of North America.12 (3):623–634.doi:10.1016/S1055-3207(03)00025-5.ISSN 1055-3207.
  6. ^Swart, A.M.C.; Burdett, S.; Ledermann, J.; Mook, P.; Parmar, M.K.B. (2008)."Why i.p. therapy cannot yet be considered as a standard of care for the first-line treatment of ovarian cancer: a systematic review".Annals of Oncology.19 (4):688–695.doi:10.1093/annonc/mdm518.ISSN 0923-7534.
  7. ^De Vin, Filip; Rutherford, Peter; Faict, Dirk (January 2009)."Intraperitoneal Administration of Drugs in Peritoneal Dialysis Patients: A Review of Compatibility and Guidance for Clinical Use".Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis.29 (1):5–15.doi:10.1177/089686080902900101.ISSN 0896-8608.
  8. ^Adzick, Scott; Thom, Spong; Brock, Burrows; et al. (17 March 2011)."A Randomized Trial of Prenatal versus Postnatal Repair of Myelomeningocele".The New England Journal of Medicine.364 (11):993–1004.doi:10.1056/nejmoa1014379.PMC 3770179.PMID 21306277.

External links

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  • peritoneum at The Anatomy Lesson by Wesley Norman (Georgetown University)
Anatomy of theperitoneum andmesentery
General
Abdominal
From
ventral mesentery
From
dorsal mesentery
Abdominal cavity
General
Pelvic
Uterus/ovaries
Recesses
Spaces
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