[Durgical](https://durgical.com/en/) › [DurgiPedia](https://durgical.com/en/durgipedia/) › [Histology](https://durgical.com/en/histology/) › [Respiratory system](https://durgical.com/en/histology/#a-respiratory) › Serous membranes: pleura and peritoneum

[Histology](https://durgical.com/en/histology/) · [Respiratory system](https://durgical.com/en/histology/#a-respiratory)

# Serous membranes: pleura and peritoneum

- Tissue

The lungs and belly organs are wrapped in thin, slippery membranes that let them slide; fluid builds up between the layers when they are diseased.

Updated 2026-11-01

**See it in 3D:** [Pleura](https://durgical.com/en/anatomy/pleura/) · [Peritoneum](https://durgical.com/en/anatomy/peritoneum/) · [Greater omentum](https://durgical.com/en/anatomy/greater-omentum/)

## Key points

- Serous membrane = mesothelium (simple squamous) + thin connective tissue.
- Parietal layer on the wall, visceral on the organ, fluid between them.
- Parietal layers feel pain; visceral pleura does not.
- Mesothelioma: asbestos.
- Exudate = inflamed or invaded membrane; transudate = pressure imbalance.

## What it is

Serous membranes line closed body cavities and cover the organs inside them. Each is a single layer of flat mesothelial cells over a thin connective tissue, arranged as a parietal layer on the wall and a visceral layer on the organ, with a thin film of fluid between them. The pleura, peritoneum and pericardium share this structure, so effusions, infections, tumour spread and mesothelioma follow the same rules.

## Structure

- Mesothelium: simple squamous epithelium with microvilli that hold the lubricating fluid.
- Submesothelial connective tissue with elastic fibres, blood vessels, lymphatics and nerves.
- Visceral pleura covers the lung and dips into its fissures; parietal pleura lines the chest wall, mediastinum and diaphragm; they meet at the hilum.
- Visceral peritoneum covers intraperitoneal organs (forming their serosa); parietal peritoneum lines the abdominal wall; mesenteries and omenta are double folds carrying vessels.

## Function

- The fluid film reduces friction and, in the chest, couples the lung to the chest wall so it expands with it.
- Mesothelial cells secrete and reabsorb fluid; lymphatics of the parietal layer drain it.
- The omentum walls off infections in the abdomen.

## Transudate vs exudate

| Feature | Transudate | Exudate |
| --- | --- | --- |
| [Mechanism](https://durgical.com/en/conditions/pleural-effusion/) | Imbalance of hydrostatic or oncotic pressure | Inflamed or invaded membrane leaks protein |
| Protein and LDH | Low | High |
| [Typical causes](https://durgical.com/en/conditions/tuberculosis/) | Heart failure, cirrhosis, nephrotic syndrome | Pneumonia, tuberculosis, cancer, peritonitis |
| Cells | Few | Neutrophils, lymphocytes or malignant cells |

## Clinical notes

- The parietal pleura and parietal peritoneum carry somatic pain fibres, so their inflammation gives sharp, well-localized pain.
- Tuberculous pleurisy, frequent in Colombia, produces a lymphocyte-rich exudate.
- Malignant mesothelioma arises from mesothelium after asbestos exposure.
- Peritonitis follows perforation or infection and spreads through the peritoneal spaces.

## Memory aid

A serous membrane is a balloon pressed in by a fist: one layer touches the fist (organ), the other faces out (wall), and a drop of fluid lets them slide.

## Test yourself

Think of the answer, then tap the question to see it.

## Which epithelium lines the pleural and peritoneal cavities?

Mesothelium, a simple squamous epithelium with microvilli.

## Why is pleuritic chest pain sharp and well localized?

The parietal pleura is supplied by somatic nerves of the chest wall, while the visceral pleura is insensitive to pain.

## Which occupational exposure is classically linked to mesothelioma?

Asbestos.

## What separates a transudate from an exudate in principle?

A transudate comes from pressure imbalance with an intact membrane; an exudate comes from an inflamed or invaded membrane leaking protein and cells.

[Add to my cards (4)](https://durgical.app/estudiar/?add=/en/histology/serous-membranes-pleura-and-peritoneum/)

## See it in 3D

The structures of Durgical's 3D anatomy where it is found.

- [Pleura](https://durgical.com/en/anatomy/pleura/)
- [Peritoneum](https://durgical.com/en/anatomy/peritoneum/)
- [Greater omentum](https://durgical.com/en/anatomy/greater-omentum/)

## Related

- [The alveolus: type I and II pneumocytes, surfactant, the blood–air barrier](https://durgical.com/en/histology/the-alveolus-type-i-and-ii-pneumocytes-surfactant-the-blood-air-barrier/)
- [The GI tract wall: mucosa, submucosa, muscularis, serosa; enteric plexuses](https://durgical.com/en/histology/the-gi-tract-wall-mucosa-submucosa-muscularis-serosa-enteric-plexuses/)
- [Simple, stratified, pseudostratified and transitional epithelium](https://durgical.com/en/histology/simple-stratified-pseudostratified-and-transitional-epithelium/)

## Related conditions

- [Pleural effusion](https://durgical.com/en/conditions/pleural-effusion/)
- [Peritonitis](https://durgical.com/en/conditions/peritonitis/)
- [Pneumothorax](https://durgical.com/en/conditions/pneumothorax/)
- [Tuberculosis](https://durgical.com/en/conditions/tuberculosis/)

## Microorganisms

- [Mycobacterium tuberculosis](https://durgical.com/en/microbiology/mycobacterium-tuberculosis/)

[← All of histology](https://durgical.com/en/histology/)

Educational content on normal microscopic structure and its clinical relevance; no substitute for studying slides or for a health professional's advice.

Sources: [22.2 The Lungs - Anatomy and Physiology 2e | OpenStax](https://openstax.org/books/anatomy-and-physiology-2e/pages/22-2-the-lungs) (OpenStax (Rice University), 2022); [Membranes | SEER Training](https://training.seer.cancer.gov/anatomy/cells_tissues_membranes/membranes.html) (National Cancer Institute (SEER Training), 2026); [23.1 Overview of the Digestive System - Anatomy and Physiology 2e | OpenStax](https://openstax.org/books/anatomy-and-physiology-2e/pages/23-1-overview-of-the-digestive-system) (OpenStax (Rice University), 2022).

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Representative model, for educational purposes only.

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Source: https://durgical.com/en/histology/serous-membranes-pleura-and-peritoneum/
License: CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). Cite as: DurgiPedia (durgical.com), https://durgical.com/en/histology/serous-membranes-pleura-and-peritoneum/
