AbdomenThe abdomen is the anatomical area between the
chest and the pelvis. In non-medical speak, it is often
called the "tummy" or "stomach".
As far as medicine is concerned, the abdomen has a front
and two sides. Posteriorly, the area on the outside is
called the back and so the back of the abdomen cannot be
seen in a normal person.
Inside the body, there is a roof to the abdomen. This is
a muscle called the diaphragm which separates the chest from
the abdomen. The heart and lungs sit on the top of the
diaphragm, the abdominal contents below. Through this
muscle, the oesophagus ("gullet") and the major blood
vessels, the aorta and inferior vena cava, pass. The
diaphragm is used mainly in breathing.
There is no floor to the abdomen. The abdominal cavity
goes straight into the pelvic cavity, with the intestines
moving freely between the two.
Within the abdomen, the gastrointestinal tract and
associated organs are held. The gastrointestinal tract start
in the abdomen with the end of the oesophagus, stomach which
then goes into the duodenum. The small intestine comes next,
namely the jejunum first and then the ileum. In the right
lower abdomen, at the end of the small intestine inserts
into the large intestine (colon) at a point called the
caecum. This then is the start of the large intestine
(colon). The colon runs at the back of the abdomen at first
called the ascending colon, then comes forward in the upper
abdomen to go to the other side at the transverse colon,
before descending once again at the back of the abdomen on
the left side called the descending colon. At this point it
once again comes forward and is called the sigmoid: which
joins the rectum at the junction between pelvis and abdomen.
Apart from the gastrointestinal tract, the abdominal
cavity has the liver on the upper right side with the
associated gallbladder underneath it and the pancreas just
below it behind the gastrointestinal tract. On the left-hand
side, under the ribs in a mirror image of the liver, is the
spleen. The spleen is a lot smaller than the liver.
In the male, the abdominal cavity is a closed cavity with
no openings into it.
In the female, there is the potential route into the
abdomen through the vagina, cervix, uterus and then out
through the fallopian tubes. It is this reason that women
who get gynaecological infections are much more likely to
get infections in the pelvis or abdomen which spread way
beyond the gynaecological organs and can become quite
serious.
On a social side, the abdomen is quite an important area
of the body. Young people quite often like to show their
abdomen if slim - women are often exposing it between tops
and bottoms and men like you to show off a "six pack".
Both sexes put on weight on the abdomen if they become
overweight - in a male this often been called a "beer
belly".
As the abdomen contains a lot of organs that may need
surgery, and the abdomen itself is often part of how we view
people, any procedures to the abdomen, the plan will be to
try to minimise scars.
Keyhole surgery (laparoscopic surgery) is now often used
for abdominal operations as the scars can be hidden away
successfully. Also aesthetic medicine often involves the
abdomen with either laser liposuction or liposuction to
reduce the amount of fat, or procedures such as Thermage to
reduce wrinkly abdominal skin after pregnancy.
To find a specialist look up