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Peritoneum

parietal layer
visceral layer

Lesser sac

Greater sac
Epiploic foramen
Peritoneal cavity

Peritoneal cavity

1. Lesser omentum
hepatoduodenal
hepatogastric
Parts of visceral peritoneum
hepatocolic

Rt. Triangular lig.

Coronary lig.
Falciform lig.
Lt. Triangular lig.
2.Ligaments of liver

3. Greater omentum

T. C.

3. Greater omentum

Gastrophrenic lig.
Gastrolienal lig.
Gastrocolic lig.

4. Peritoneal ligaments

Phrenicocolic lig.
Lienorenal lig.
Phrenicolienal lig.

Other parts of visc. Perit.

mesoappendix

1. mesentaries, omenta, lig. Carry b.v., n., lymph. to viscera

2. Greater omentum (abdominal policeman)

Fusion fascia, intraperitoneal, retroperitoneal

Fusion fascia contains NO vessels, nerves
rectum
A.colon
pancreas
duodenum
D.colon

Fusion fascia

Dorsal mesogastrium
90
Post.
Ant.
Rt..
Lt.
Omental bursa (lesser sac)

Boundaries of epiploic foramen (Winslow)

Caudate process
Free margin of less. omentum
1st part of duod.
Inf. Vena cava

Boundaries of epiploic foramen (Winslow)

Boundaries of omental bursa
Less. omentum
stomah
Gastrocolic lig.
T. meso
pancreas
T. C.
Post. peritonium

Floor of omental bursa (stomach bed)

Left colic flexure
T.C. and mesocolon
pancreas
Left kid. & Ad. Gl.
spleen
Diaph.

Peritoneal folds and fossae

And intraperitoneal hernia
1. At ileocecal junction:
Sup. Ileocecal fold
Sup. Ileocecal fossa
inf. Ileocecal fold
inf. Ileocecal fossa
Retrocecal fossa

2. At duodenojejunal junction:

Retrduodenal fossa
Sup. Duod.fold
Sup. Doud. fossa
inf. Doud. fossa
inf. Doud. fold
parauodenal fold & fossa

Blood, nerve supply and lymphatics of Peritoneum

parietal layer like abd. walls
visceral layer like viscera but it has no nerves

The stomach

cardiac
pyloric
Right side
Left side
L 1-2
vertebra
T11
Xiph.proc.

Right side

Left side
Hepatoduodenal
Lig.
Gastrophrenic
Lig.

Cardiac notch

Greater curvature
Right side
Left side
Curvatures & Parts of Stomach

Peritoneal relations of stomach

Lesser omentum
Greater omentum

Stomach has 2 surfaces

Right side
Left side
Ant. surface

Floor of omental bursa (stomach bed)

Left colic flexure
T.C. and mesocolon
pancreas
Left kid. & Ad. Gl.
spleen
Diaph.

Floor of omental bursa (stomach bed)

Right side
Left side

Celiac trunk

Left gastric: hepatic, esoph., gastric
Com.hepatic: A.gastroduodenal:
Supraduod., retroduod., post. and ant. pancreaticoduod., Rt gastroepiploic
B. proper hepatic:
Rt gastric, Rt and Lt hepatic
splenic:
Pancreatic, short gastric, Lt gastroepiploic

Arterial supply of stomach

Right gastric. (lower right part of the stomach).
Left gastric. (upper right part of the stomach).
R. gasrtoepi. (lower left part of the stomach).
L. gastroepi. (upper left part of the stomach).
Short gastric. (fundus)

Right side

Left side

Parasympathetic innervations

Hepatic plexus
Left gastric plexus
Celiac plexus
Splenic plexus
Ant. Vagal trunk

Gastric ulcer



رفعت المحاضرة من قبل: Deaa Al-deen El-taee
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