Atlas of Human Anatomy by Netter

(Darren Dugan) #1
Is the continuity of visceral and parietal peritoneum
Provides a pathway for neurovascular communication between organ and body wall
Contains lymph nodes and variable amounts of fat
The mesentery is the mesentery of the small intestine
The mesocolon is the mesentery of the large intestine
Transverse mesocolon
Sigmoid mesocolon

Peritoneal ligaments
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page 140


Ligament = double layer of peritoneum connecting an organ to another organ or to the abdominal wall
Ligaments of the liver:
Falciform ligament: from liver to anterior abdominal wall
Gastrohepatic ligament
From lesser curvature of stomach to liver
= a portion of lesser omentum
Hepatoduodenal ligament
From the liver to the first part of the duodenum
= Right, thickened free edge of lesser omentum
Contains portal triad (portal vein, hepatic artery, bile duct)
Ligaments of the stomach
Gastrophrenic ligament: from stomach to inferior diaphragmatic surface
Gastrosplenic ligament: from stomach to hilum of spleen
Gastrocolic ligament: from stomach as the greater omentum to the transverse colon
Ligaments of the spleen
Gastrosplenic: from stomach to hilum of spleen
Splenorenal (lienorenal): from spleen to the left kidney
Phrenicocolic ligament (sustentaculum lienis)
From the left hepatic flexure of transverse colon to diaphragm
Supports the spleen

Peritoneal subdivisions


Greater sac: main peritoneal cavity
Lesser sac (omental bursa)
Posterior to the stomach
Visible through the lesser omentum
Superior recess: limited by the diaphragm and posterior layers of the coronary ligament of the liver (Section 4-4: Abdomen-Viscera
(Gut))
Inferior recess: potential space between layers of the greater omentum
Communicates with the greater sac via the epiploic foramen (of Winslow)

Boundaries of the epiploic foramen


Boundary Structures
Anterior Hepatoduodenal ligament containing portal triad
Posterior Inferior vena cava (IVC) and right crus of diaphragm which is covered by the parietal peritoneum
Superior Caudate lobe of liver which is covered by the visceral peritoneum
Inferior First part of duodenum, portal vein, hepatic artery, bile duct

Supracolic compartment
Greater sac above the transverse mesocolon
Contains stomach, liver, and spleen
Infracolic compartment
Greater sac below transverse mesocolon,
Contains small bowel, ascending and descending colon.
Divided into left and right divisions by the mesentery of the small intestine
Free communication between the supracolic and infracolic compartments via the paracolic gutter
Grooves or recesses between the ascending and descending colon and the posterior abdominal wall along their lateral
borders
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