The peritoneum and the peritoneal cavity, parietal and visceral peritoneum

By O.P. (Paul) Gobée, dept. of Anatomy and Embryology, Leiden University Medical Center, last update: 20 sept 2022

 

Where is the peritoneum?

Cross-section of the abdomen, with main structures and peritoneum indicated. (IVC: Inferior Vena Cava)
Location of the peritoneum, that encloses the peritoneal cavity, drawn on a cross-section of the abdomen. The area posterior to the peritoneum is named 'retroperitoneal'.
The yellow shaded area is a distinct space, discussed later in this series.
The peritoneum can be considered as a kind of balloon or sac that is inflated inside the abdomen and lines the inside of the abdominal wall. The peritoneum encloses a cavity: the peritoneal cavity.
The peritoneal cavity forms roughly half the (anterior to posterior) depth of the abdomen. The other half of the abdomen lies behind the peritoneum. That is named the retroperitoneal area. To help understand, some structures have been labeled.

Note: It is shown too simplified here. Only the peritoneum that lines the body walls is shown here. Furthermore, the image might give the impression that organs lie freely in the peritoneal cavity which is not true. See the section below.

 

The intestines become surrounded by peritoneum

The large silver shape denotes the peritoneum. The pink tube denotes the gut tube. The gut tube is being 'pushed' into the peritoneal cavity.
..
How are the intestines related to the peritoneum? The classical metaphor to explain it, is to describe the peritoneal sac as a 'balloon' and to imagine the intestines being pushed into this 'balloon' of peritoneum from posteriorly. As a result, a layer of peritoneum comes to lie draped over the intestine.

(In reality it’s just the other way around: in the beginning there’s a solid mass of tissue around the intestine or organ (called 'mesenchyme'). Within this tissue a large cavity forms around the organ, leaving only peritoneal tissue remaining on the inside of the abdominal wall and surrounding the organs. But the balloon metaphor sticks better in the mind.) '.

The layer of peritoneum that lines the body wall is called 'parietal peritoneum' (Lat. paries=wall). The layer that is adhered to an organ is called 'visceral peritoneum' (Lat. viscus=internal organ).  The double layer of peritoneum that connects the body wall and the gut and that contains the blood vessels, nerves and lymphe vessels that supply the gut, is called 'mesentery'.

 

The relation of the peritoneum to the gut

The heart, the lungs and the gut are surrounded by respectively the pericardium, the pleura and the peritoneum. Their anatomical configuration and functions are similar. They are explained by the classical balloon metaphor that is brought alive in this video.
(6m19s) 

 

The intact peritoneum seen in reality

The video to the left shows the intact peritoneum after removal of the body-wall in a dissection specimen. The peritoneum is then opened to show the structures lying inside the peritoneal cavity. See minutes: 1:57 - 2:20
(0m30s) 

 


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The structures in the abdomen can lie in one of three locations in relation to the peritoneum: intraperitoneal, secondary retroperitoneal or (primary) retroperitoneal. These locations differ in accessibility and mobility. The origin of these three locations, their adult configuration and the characteristics of organs at these places, are discussed.
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Peritoneum
Uploaded by: opgobee Netherlands, Leiden – Leiden University Medical Center, Leiden University
Creator(s)/credit: O. Paul Gobée MD, anatomist, LUMC
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The peritoneum and the peritoneal cavity, parietal and visceral peritoneum
Uploaded by: opgobee
Institution: Netherlands, Leiden – Leiden University Medical Center, Leiden University
Creator(s)/credit: O. Paul Gobée MD, anatomist, LUMC
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The structures in the abdomen can lie in one of three locations in relation to the peritoneum: intraperitoneal, secondary retroperitoneal or (primary) retroperitoneal. These locations differ in accessibility and mobility. The origin of these three locations, their adult configuration and the characteristics of organs at these places, are discussed.
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Anatomical structures in item
Peritoneum
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Gross