SURFACE ANATOMY
OF ABDOMEN
DR.T.C.FROEBEL MD
ASSISTANT PROFESSOR
1. ABDOMINAL REGIONS
2. MC BURNEY’S POINT
3. MURPHY’S POINT
4. ABDOMINAL AORTA
5. SPLEEN
6. LIVER
7. STOMACH
ABDOMINAL PLANES
ABDOMINAL REGIONS
MC BURNEY’S POINT
Draw the median and transpyloric planes.
1. Draw a line from ASIS to umbilicus
2. Mark the junction of lateral 1/3rd and medial 2/3rd of the line
MURPHY’S POINT
Murphy’s point
• Meeting point of right costal margin and right midclavicular line
ABDOMINAL AORTA
2
ABDOMINAL AORTA
Draw the median and transpyloric planes.
1. Put a point on the median plane 2.5 cm above the
transpyloric plane.
2. Mark a point 1.2 cm below and left to the umbilicus
from the median plane.
Join the points 1 and 2 by two parallel lines about 2 cm apart.
LIVER
2
3
1
4
1.
LIVER
Mark a point a little below and medial to the left nipple.
2. Mark the xiphisternal joint.
3. Put a point a little below the right nipple.
4. Put a point 1 cm just below the tip of the right tenth costal cartilage.
5. Mark the tip of the right ninth costal cartilage.
UPPER BORDER
Draw a straight line from point 1 to 3
RIGHT BORDER
Draw a convex line from point 3 and 4
LOWER BORDER
Draw 2 convex lines from 4-5 and 5-1
KIDNEY 2 2
1
1
• The left kidney should be
drawn a little higher than the 3
right. 3
KIDNE
Y and subcostal planes.
Draw the median ,transpyloric
HILUM
1. Mark the hilum 5 cm away from the median plane at the
transpyloric plane.
UPPER POLE
2. Mark a point 4 cm from the midline at half way between the
xiphisternum and the transpyloric plane
LOWER POLE
3. Mark a point 8 cm from midline on right side just above the
umbilical plane and left side at subcostal plane
Draw a curved convex line from 1 to 3 and draw a concavoconvex line
from 1-2-3
SPLEEN
1
2
SPLEEN
MEDIAL END
1. Mark a point 4 cm lateral to T10 spine
LATERAL END
2. Mark a point on the left 11th rib in the mid-axillary line
to indicate the lower pole.
UPPER BORDER
Draw a curved line along the upper border of 9th rib
LOWER BORDER
Draw a curved line along the lower border of 11th rib
STOMACH
Left
1 3
2
4 Left
STOMACH
Draw the median plane,Transpyloric plane and subcostal plane
CARDIAC END
1. Put a mark 2.5 cm to the left of the median plane on the seventh
costal cartilage.
Draw two short parallel lines 2 cm apart directed downwards and to
the left
PYLORIC END
2. Put a point on the transpyloric plane, 1.2 cm to the right of the
median plane .
Draw two short parallel lines 2 cm apart, directed upwards and to the
right.
STOMACH
LESSER CURVATURE
Join the right margin of cardiac end to the pyloric end with a curved ‘J’
shaped line
FUNDUS
3.Put a point in the left 5th intercostal space just below Nipple
Draw a curve with upward convexity reaching the above point
GREATER CURVATURE
4.Put a point between the tips of ninth and tenth left costal cartilages.
Draw a curved line convex to the left from the fundus to the pylorus
THANK YOU