King's Applied Anatomy of the Abdomen and Pelvis of Domestic Mammals. Geoff Skerritt

of the Abdomen

      1.1 Introduction

      The abdomen is the major cavity of the body in the domestic animals and human beings. It contains the gastrointestinal tract, the liver, spleen, pancreas, kidneys and the ovaries together with most of the female reproductive tract. The abdomen is separated from the thorax cranially by the diaphragm and the caudal ribs; caudally it is continuous with the pelvic cavity.

      Dorsally the abdomen is bounded by the vertebrae. Laterally and ventrally the boundaries of the abdomen comprise the abdominal wall, a soft tissue structure consisting of muscle, connective tissue and the layers of the skin. The abdominal wall is capable of stretching in the short term, as when the gastrointestinal tract is full of ingesta, and more gradually to accommodate the expanding uterus in pregnancy.

      Apart from the important functions of containing and protecting the abdominal contents, the muscular components of the abdominal wall can aid in the expulsion of faeces, urine and foetuses. In addition, contraction of the abdominal muscles can assist in breathing, coughing and sneezing.

1.2 The Diaphragm (Figure 8.3)

      The diaphragm is the musculotendinous structure that separates the thoracic and abdominal cavities. It is dome‐shaped with its apex pointing cranially. In the dog the diaphragm attaches to the sternum cranial to the xiphoid cartilage and to the medial surface of the 8th–13th ribs in the dog and cat. NB the horse has 18 pairs of ribs, ruminants 13, pigs 13–16. Dorsally the diaphragm attaches via the left and right crura to the third and fourth lumbar vertebrae. Dorsally the aorta, azygos vein and thoracic duct pass between the crura at the aortic hiatus. The oesophagus and the vagus nerves pass through the oesophageal hiatus located towards the centre of the diaphragm. The caval foramen (portal vena cava) is located on the right side of the central tendinous part of the diaphragm. Herniation of the diaphragm can occur as the result of trauma (see Section 1.7.4).

1.3 The Layers of the Abdominal Wall

      Between the skin and the parietal peritoneum lie several layers of fascia and muscle. A proper appreciation of these layers, and the direction of their fibres, is important when making surgical incisions for entry to the abdominal cavity.

      1.3.1 The skin

      The skin, or common integument, varies in thickness between species and bodily location. The abdominal skin is very thick (4–5 mm) in the ox but is quite delicate and thin (1–3 mm) in the other domestic species. Hair grows from the skin in all of the species but is much less in the pig. In all species there is much less hair on the ventral abdomen than elsewhere. Most of the hair of the sheep has a specific structure and is termed wool. In all species except the pig a principal function of the hair/wool is to reduce heat loss; the pig relies on a large amount of subcutaneous fat for this function.

      The domestic species vary in regard to the number and distribution of the mammary glands. The mare has only two mammary glands, and these are located either side of the midline on the ventral abdomen in a prepubic position. The cow usually has four mammary glands, collectively known as the udder; it is located mainly ventral to the caudal abdomen but with its caudal part ventral to the pelvis. The udder is suspended by strong elastic tissue extending essentially from the linea alba and the symphyseal tendon.

      There are seven pairs of mammary glands in the sow, although only 8–10 are usually functional depending on litter size. In this species the mammary tissue extends in the body wall from the axilla to the level of the stifle.

      The udder of small ruminants comprises two glands and is situated in the inguinal region. In the bitch there are usually five pairs of mammary glands; in the cat there are generally four pairs.

      

      1.3.2 The subcutaneous fascia

      Superficial fascia: In the pig this layer is adipose over most of its area and functions as an insulating layer promoting heat retention. However, in most other species this adipose tissue is not complete except in the inguinal region. In horses and cattle the cutaneous muscle is well developed in the superficial fascia layer and serves to twitch the skin to dislodge flies.

      Deep fascia: In the horse and ox the deep fascia is developed as a thick sheet of fibroelastic tissue covering most of the external abdominal oblique muscle, the ribs and the tuber coxae. This is termed the yellow elastic tunic providing support for the abdominal contents and contributing to the suspensory apparatus of the udder in the cow.

1.3.3 The rectus abdominis muscle (Figures 1.1 and 1.2)

Figure 1.1 Lateral view of inguinal region of horse showing the rectus abdominis muscle. The peritoneum of the vaginal tunic is strongly reinforced by fusion with the internal spermatic fascia (derived from the transverse abdominal muscle).

Figure 1.2 Ventral view of the inguinal region of horse showing the rectus abdominis muscle. The left side of the diagram shows the relative positions of the superficial inguinal ring and the vaginal ring. On the right side of the diagram the vaginal tunic is shown wending its way from the deep inguinal ring, through the inguinal canal and out through the superficial inguinal ring.

      Origin: The ventral surfaces of the sternal ribs and sternum.

      Insertion: The cranial border of the pubis with the prepubic tendon. The prepubic tendon is the tendon of insertion of the two rectus abdominis muscles, although most of its fibres extend between the iliopubic eminences.

Structure: The left and right muscles are separated longitudinally by the linea alba, a band of fibrous tissue extending from the xiphoid cartilage to the prepubic tendon. A series of three to six transverse tendinous inscriptions cross each muscle belly, but the resulting muscle segments are not correlated with the nerve supply.

      Species variations: In the ox there is wide separation of the medial borders of the rectus abdominis muscles. caudally. In the immature animal the linea alba is perforated by the umbilicus.

1.3.4 External abdominal oblique muscle (Figures 1.3–1.5)

Figure 1.3 Lateral view of the inguinal region of the horse left external oblique abdominal muscle.The spermatic sac is seen emerging from the left superficial inguinal ring.The spermatic sac contains the testicle and the spermatic cord (See Figure 15.4).For a definition of the spermatic sac see Section 16.4