The pathway of ascites flow over lower abdomen

a. The pelvic cavity, especially the pouch of Douglas
Pouch of Douglas - The most caudal and posterior part of the peritoneal cavity
Upper 4th sarcal segment
Fixation of the peritoneum to Denonvillier's fascia
b. The right lower quadrant at the termination of the small bowel mesentery
c. The superior aspect of the sigmoid mesocolon
d. The right paracolic gutter

Major Upper Abdominal Peritoneal Reflection

Falciform ligament - Right coronary ligament - Left triangular ligament
Lesser omentum
Gastrohepatic ligament
- Glisson's capsule
- Left gastric artery
- Coronary vein
- Left gastric nodal chain
Hepatoduodenal ligament
- Free edge of gastrohepatic ligament
- Portal triad
- Portacaval region

Gastrocolic ligament
- Gastroepiploic vessels
- superior mesenteric vein ate the level of uncinate process of pancreas
- Transverse mesocolon
- Taenia mesocolica
Duodenocolic ligament
- descending duodenum
- posterior hepatic flexure
Gastrosplenic ligament
- Gastrocolic ligament and extended from the greater curvature of the stomach to the spleen.
Phrenicocolic ligament
- From the anatomic splenic flexure of the colon to the diaphragm at the level of 11th rib and serves to support the spleen in the left upper quadrant
Small bowel mesentery
- Extended from the left side of the second lumbar vertebra downward to the right. across the aorta and inferior vena cava, to the right sarcoiliac joint, about 15cm.

Typical aging change of pancreas