Peritoneum
parietal layervisceral layer
Lesser sac
Greater sacEpiploic foramen
Peritoneal cavity
Peritoneal cavity
1. Lesser omentumhepatoduodenal
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.
mesoappendix1. 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
rectumA.colon
pancreas
duodenum
D.colon
Fusion fascia
Dorsal mesogastrium90
Post.
Ant.
Rt..
Lt.
Omental bursa (lesser sac)
Boundaries of epiploic foramen (Winslow)
Caudate processFree margin of less. omentum
1st part of duod.
Inf. Vena cava
Boundaries of epiploic foramen (Winslow)
Boundaries of omental bursaLess. omentum
stomah
Gastrocolic lig.
T. meso
pancreas
T. C.
Post. peritonium
Floor of omental bursa (stomach bed)
Left colic flexureT.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 fossaSup. 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. wallsvisceral layer like viscera but it has no nerves
The stomach
cardiacpyloric
Right side
Left side
L 1-2 vertebra
T11 Xiph.proc.
Right side
Left sideHepatoduodenal Lig.
Gastrophrenic Lig.
Cardiac notch
Greater curvatureRight side
Left side
Curvatures & Parts of Stomach
Peritoneal relations of stomach
Lesser omentum
Greater omentum
Stomach has 2 surfaces
Right sideLeft side
Ant. surface
Floor of omental bursa (stomach bed)
Left colic flexureT.C. and mesocolon
pancreas
Left kid. & Ad. Gl.
spleen
Diaph.
Floor of omental bursa (stomach bed)
Right sideLeft 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 sideParasympathetic innervations
Hepatic plexusLeft gastric plexus
Celiac plexus
Splenic plexus
Ant. Vagal trunk