anatomy q - parmida

[ArchivalUser]

During a laparoscopic examination of the deep surface of the lower anterior abdominal wall (using a lighted scope on a thin tube inserted through the wall), the attending physician noted something of interest and asked the young resident to look at the medial inguinal fossa. To do so, the young doctor would have to look at the area between the

a-inf epigastric artery and urachus
b-medial umblical ligament and urachus
c-inf epigastric artery and latral umblical fold
d-medial umblical fold and inf epigastric artery
e-median umblical ligamnet and medial umblical ligament

[ArchivalUser]

gosh i havent even heard abt half the structurs..
hmm
c??

[ArchivalUser]

A..

[ArchivalUser]

A...

[ArchivalUser]

medial umbilical ligament and inferior epigastric artery
D
Remember, the medial umbilical fold is made by the medial umbilical ligament (the obliterated portion of the umbilical artery), while the lateral umbilical fold is a fold of peritoneum over the inferior epigastric vessels. The median umibilical fold is a midline structure made by the median umbilical ligament (obliterated urachus). The medial inguinal fossa is the space on the inner abdominal wall between the medial umbilical fold and the lateral umbilical fold. This is the place in the abdominal wall where there is an area of weak fascia called the inguinal triangle--direct inguinal hernias can break through this space. The lateral inguinal fossa is a space lateral to the lateral umbilical fold--indirect inguinal hernias push through the deep inguinal ring in this space.