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Peritoneum

life science Maturity 11-13 Next article →

The peritoneum is a continuous serous membrane. It lines the abdominal cavity, which is the space bounded by the vertebrae, abdominal muscles, diaphragm, and pelvic floor. This membrane is essential for protecting and supporting the organs within the body. It consists of a layer of mesothelium supported by a thin layer of connective tissue. The peritoneum also acts as a conduit. It provides a path for blood vessels, lymphatic vessels, and nerves to reach the organs.

The peritoneum is organized into two distinct layers. The outer layer is the parietal peritoneum. This layer attaches directly to the abdominal and pelvic walls. The inner layer is the visceral peritoneum. This layer wraps around the visceral organs to provide protection. The visceral peritoneum is thinner than the parietal peritoneum. Between these two layers lies the peritoneal cavity. This is a potential space that contains about 50 mL of slippery serous fluid. This fluid allows the two layers to slide freely over each other without friction.

Anatomists classify abdominal structures based on their relationship to this membrane. Intraperitoneal structures are wrapped in the visceral peritoneum. Examples include the stomach, the jejunum, the ileum, the cecum, and the appendix. These organs are generally mobile. Retroperitoneal structures are located behind the intraperitoneal space. The kidneys, adrenal glands, and most of the duodenum are retroperitoneal. These organs are relatively fixed in place. Some are primarily retroperitoneal, while others, like the duodenum, are secondarily retroperitoneal because they lost their mesentery during development.

Other structures are classified as subperitoneal or infraperitoneal. These are located below the intraperitoneal space. The urinary bladder and the distal ureters are examples of these structures. The peritoneum also forms complex folds known as omentums, mesenteries, and ligaments. These folds connect organs to each other or to the abdominal wall. The mesentery is a double layer of visceral peritoneum. It attaches the gastrointestinal tract to the posterior abdominal wall. It carries vital supplies like the superior mesenteric artery and various lymph nodes.

There are two main regions within the peritoneal cavity. These are the greater sac and the lesser sac. The two sacs communicate through a passage called the epiploic foramen. The lesser sac is divided into two parts called omenta. The lesser omentum attaches the liver to the lesser curvature of the stomach. The greater omentum hangs from the greater curvature of the stomach. It loops down in front of the intestines and then curves back up. It attaches to the transverse colon. This structure acts like an apron to insulate or protect the intestines.

The peritoneum has significant clinical importance in medicine. Doctors use imaging to assess the peritoneal spaces. A CT scan is a fast method that takes about 15 seconds. MRI scans provide detail but can take 30 to 45 minutes. Patients with certain conditions might not tolerate the long MRI process. Peritonitis is a serious condition involving inflammation of the peritoneum. It often results from an infection or chemical irritation from gastric acid. Treatment usually requires antibiotics and surgery.

In some medical treatments, the peritoneum is used to filter the blood. This process is called peritoneal dialysis. A glucose solution is sent through a tube into the peritoneal cavity. The solution stays there for a set time to absorb waste products. This works because the peritoneal cavity contains a high number of arteries and veins. Waste moves from the blood into the fluid through a mechanism called diffusion. The name peritoneum comes from the Greek words meaning "stretched over."

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