The Anatomy of the Human Peritoneum and Abdominal Cavity: Considered from the Standpoint of Development and Comparative AnatomyHuntington, George S. (George Sumner)
Science
The Anatomy of the Human Peritoneum and Abdominal Cavity: Considered from the Standpoint of Development and Comparative Anatomy
Huntington, George S. (George Sumner)
Abdomen; Peritoneum
[Illustration: FIG. 283.--Schema of lines of reflection of peritoneum on
dorsal surface of liver and in the formation of the gastro-hepatic
omentum. _A B_, transverse section of lesser omentum attached to
transverse fissure of liver and to pyloric section of lesser curvature
(_A' B'_); _B C_, vertical section of lesser omentum passing between
fissure of ductus venosus and cardiac section of lesser curvature of
stomach (_B' C'_); _C D_, line of reflection of peritoneum from cephalic
border of Spigelian lobe to diaphragm; _D E_, line of reflection of
peritoneum from right border of Spigelian lobe to left margin of
postcava and diaphragm.]
[Illustration: FIG. 284.--Portion of abdominal viscera of adult human
subject, hardened _in situ_. (Columbia University, Study Collection.)
The segment of stomach between cardiac and pyloric orifices has been
removed, dividing the lesser omentum to this extent, but leaving the
right extremity of the membrane (lig. hepato-duodenale) intact. Behind
this portion the arrow passes through the foramen of Winslow.]
[Illustration: FIG. 285.--Liver and stomach of _Macacus pileatus_.
(Columbia University, Study Collection.)]
Fig. 284 shows this right-angled course of the lesser omentum at the
hepatic line of attachment in a preparation of the abdominal viscera
hardened in situ, with the segment of the stomach between the cardiac
and pyloric orifices removed. The arrow is passed behind the right free
edge of the lesser omentum. This portion of the membrane is still
intact, not having been disturbed by the removal of the body of the
stomach, and includes between its layers the structures connected with
the liver at the transverse fissure (duct, hepatic artery and portal
vein). The lesser omentum is seen to be attached to the liver along the
transverse fissure (Fig. 284, _A_) and along the fissure for the ductus
venosus (Fig. 284, _B_), constituting the transverse and vertical
segments above referred to, which pass into each other at the angle of
junction between the transverse fissure (left end) and the fissure for
the ductus venosus (Fig. 284, _C_). The caudal and left border of the
Spigelian lobe is exposed by the division of the omentum, and the extent
of the Spigelian or hepatic recess of the lesser peritoneal sac is
shown. Fig. 285 shows the liver, stomach and lesser omentum of a Macaque
monkey hardened in situ, and demonstrates still more conclusively that
the uniform curve of the omentum along the lesser curvature of the
stomach becomes a broken line at the hepatic attachment, the angle being
placed at the left end of the transverse fissure at the point where the
same encounters the fissure for the ductus venosus.
[Illustration: FIG. 286.--Abdominal viscera of adult human subject,
hardened _in situ_; with liver lifted up after incision of the
gastro-hepatic omentum. (Columbia University Museum, No. 1845.)]
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