Diaphragm + Abdominal Aorta + IVC + Liver
Diaphragm + Abdominal Aorta + IVC + Liver
Diaphragm + Abdominal Aorta + IVC + Liver
C opening
Central Tendon
Oesophageal opening
Spleen
Aortic Opening
Urinary Bladder
Diaphragm:
o Nerve supply:
Phrenic Nerves (motor)
Branches from lower 6 or 7 inter-costal nerves (sensory )
o Openings:
Opening Vena cava opening Esophageal opening Aortic opening
Vertebral level T8 T10 T12
1" to the Rt. Of the middle line 1" to the Lt. of middle line piercing In the middle line behind the median
Position piercing the central tendon the Rt. Crus of diaphragm. arcuate lig. Of diaphragm.
1- I.V.C. 1- Esophagus. 1- Descending Aorta.
2- Rt. Phrenic n. 2- The ant. & post. Gastric nn. 2- Azygos vein.
Structures passing 3- Lymphatics from the liver to 3- Esophageal br. Of Lt. Gastric a. 3- Thoracic duct.
thoracic L.Ns
Abdominal aorta:
o Origin: at aor9c opening of diaphragm at level of T12 as con9nua9on of descending thoracic aorta.
o Termination: lower border of L4.
o Branches:
Vertebral level Single branches Paired branches
Upper border of L1 Coeliac trunk (from the front) Rt. & Lt. inf. Phrenic aa. (from sides)
Lower border of L1 Sup. Mesenteric a (from the front) Rt. & Lt. middle supra renal aa. (from sides)
L2 ------------------------------------- Rt. & Lt. renal arteries. (from sides)
L3 Inf. Mesenteric a. (from the front) Rt. & Lt. gonadal arteries (antro-lat. Aspect)
L4 Median sacral a. (back of abd. Aorta) Rt. & Lt. common iliac aa. (Terminal brs.)
Renal veins NB: the Lt. renal vein is longer than the Rt. Renal vein and vice versa with the arteries.
Spleenic artery
Spleenic vein
Root of mesentry
Liver
Oesophyegeal Caudate lobe
impression Inferior vena cava
Portal Vein
Gastric impression
Hepatic artery
Rt. kidney
Tuber
omentale
nd
2 part of duodenum
Ligamentum teres