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Diagnostic Ultrasound - Abdomen and Pelvis

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Abdominal Wall<br />

Anatomy: <strong>Abdomen</strong><br />

POSTERIOR ABDOMINAL WALL<br />

Central tendon (of<br />

diaphragm)<br />

Median arcuate ligament<br />

arches<br />

Esophagus<br />

Right crus of diaphragm<br />

Oblique & transverse<br />

muscles<br />

Right crus of diaphragm<br />

Medial arcuate ligament<br />

Lateral arcuate ligament<br />

Left crus of diaphragm<br />

Quadratus lumborum<br />

muscle<br />

Psoas minor muscle<br />

Anterior longitudinal<br />

ligament<br />

Psoas major muscle<br />

Iliacus muscle<br />

Levator ani muscle<br />

Rectum<br />

Piriformis muscle<br />

Inguinal ligament<br />

Urethra<br />

Insertion of iliopsoas<br />

muscle<br />

Graphic shows the lumbar vertebrae are covered <strong>and</strong> attached by the anterior longitudinal ligament, <strong>and</strong> the diaphragmatic crura are<br />

closely attached to it, as are the origins of the psoas muscles, which also arise from the transverse processes. Iliacus muscle arises from<br />

the iliac fossa of the pelvis <strong>and</strong> inserts into the tendon of the psoas major, constituting the iliopsoas muscle, which inserts onto the<br />

lesser trochanter. Quadratus lumborum arises from the iliac crest <strong>and</strong> inserts onto the 12th rib <strong>and</strong> transverse processes of the lumbar<br />

vertebrae. Diaphragmatic <strong>and</strong> transverse abdominal fibers interlace. Psoas <strong>and</strong> quadratus lumborum pass behind the diaphragm under<br />

medial <strong>and</strong> lateral arcuate ligaments.<br />

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