The =mesogastrium= or peritoneal fold for the stomach passes from that
part of the median dorsal line lying between the kidneys and the
diaphragm, to the greater curvature of the stomach. It does not pass
directly to the stomach, but passes first ventrad of the small intestine
as far as the pelvis. Thence it turns craniad to reach the greater
curvature of the stomach. The fold thus formed is called the =great
omentum=. It forms the dorsal and ventral walls of a sac, the =omental
sac=, the cavity of which is called the =lesser peritoneal cavity=. The
descending limb of the fold forms the dorsal wall of the sac, and its
ascending limb forms the ventral wall. Each of these walls is double
like a mesentery, so that the great omentum consists of four sheets of
peritoneum. Between the two sheets forming the descending limb lies the
left half of the pancreas, which passes thence to the right into the
duodenal mesentery. A transverse fold passes from the descending limb of
the omentum along the cranial border of the pancreas to the duodenal
mesentery. Farther to the right the descending limb of the omentum,
which is here shorter, encloses the spleen and holds it in position
parallel to the greater curvature of the stomach and about one
centimeter from it. This part of the great omentum is sometimes called
the =gastrosplenic= or =gastrolienal= omentum.
The great omental sac communicates with the peritoneal sac by an
opening, the =foramen epiploicum= or =foramen of Winslow=. This opening
lies caudad and dextrad of the caudate lobe of the liver. This lobe
itself lies within the sac. Along the ventral border of the foramen
epiploicum pass the common bile-duct from the liver and the portal vein
to the liver.
The size of the great omental sac is increased by the =lesser omentum=.
This is a double sheet of peritoneum which stretches horizontally from
the liver to the duodenum and the lesser curvature of the stomach. It
covers ventrad the caudate lobe of the liver. Its right border is at the
foramen epiploicum. The part of it which stretches to the duodenum is
called the =duodenohepatic= ligament and contains the bile-ducts and the
portal vein. The part that stretches to the stomach is called the
=gastrohepatic= ligament. The peritoneum covers the caudal and cranial
surfaces of the liver and is reflected to the adjacent parts to form the
ligaments of the liver.
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