General topography of the abdomen

Last revised by Daniel J Bell on 7 Aug 2024

To facilitate clinical description, the general topography of the abdomen is divided into four quadrants or nine regions by lines on the surface of the anterior abdominal wall.  

Abdominal regions
Four quadrant scheme

The four quadrants are created by vertical and horizontal lines passing through the umbilicus.

  • right upper quadrant (RUQ)

  • left upper quadrant (LUQ)

  • right lower quadrant (RLQ)

  • left lower quadrant (LLQ)

Nine region scheme
  1. midclavicular lines - two vertical lines are the midclavicular lines which extend to the mid inguinal point

  2. intertubercular plane - a lower transverse line drawn between the tubercles of the iliac crest

  3. transpyloric plane - an upper transverse line which lies midway between the suprasternal notch and superior surface of the symphysis pubis (or between the xiphisternum and umbilicus.

Using the four lines, the three central regions created between them, from above down are:

  • epigastrium

  • umbilical

  • suprapubic (a.k.a. hypogastrium)

Similarly, the paired lateral regions from above down are:

  • hypochondrial (a.k.a. hypochondrium)

  • lumbar

  • iliac (a.k.a. inguinal/groin)

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