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Abdomen Development, Peritoneal Folds
Passageway for vessels, n…
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Peritoneal Folds
Passageway for vessels, n lympathics
Parietal (stripped, somatic, BW Veseels)
Somatopleuric layer of lateral plate mesoderm
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Visceral (not stripped, autonomic,
visceral vessels)
Splanchnopleuric layer of lateral plate mesoderm
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Mesocolon
Transverse
(middle colic vessels, n and lymphatics)
Sigmoid
(sigmoid vessels, n, lympathics)
Sacs
Lesser sac (omental bursa)
Greater sac (peritoneal cavity in front of stomach)
Epiploic (between greater and leser)
Surgical Access
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Congenital Malrotations
Volvulus Non-Rotation (torsion)
90 but no 180 turning
ss.: GI pain, bilious vomiting
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Congenital Hiatal Hernia:
Failure of Dorsal Mesentery to form
SS: GER, trouble swallowing, GI upset
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Congenital Diaphragmatic Hernia:
Pleuroperitoneal membrane fails to fuse
SS: Resp Distress, FLAT abdomen, bowel sounds in chest- Left Hand side
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Tracheoesophageal Fistula (TEF): Septum assco. w/.
Esophageal atresia: Recanalization
ss: Cannot swallow, drool at rest, Immediate regurgitation
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Hypertrophic Pyloric Stenosis:
Overgrowth/ muscular thickening of the pylorus
ss: projectile vomits, non-bilious, distended stomach
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Annular Pancreas: May develop from bifid ventral bud fusing with dorsal bud to form a ring
(complete or partial bowel obstruction)
SIMILIAR to Duodenal atresia: BILIOUS VOMIT
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Congenital Megacolon (Distal Colon)
Hirschsprung Disease-Missing Autonomic Ganglia
FAILURE OF NCC to migrate to colon wall
SS: no peristalsis (can't move fecal matter)
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Anorectal Agenesis/Fistula: Failure of separation
of the urorectal septum
SS: Fecal material in penis or vagina
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LAB TAG
- Central Tendon: Septum transversum
- Crura of esophageal hiatuses: Dorsal Mesentery
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