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Diagnostic Ultrasound - Abdomen and Pelvis

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Peritoneal Spaces <strong>and</strong> Structures<br />

PERITONEAL CAVITY<br />

Liver (caudate lobe)<br />

Anatomy: <strong>Abdomen</strong><br />

Lesser omentum<br />

Lesser sac<br />

Stomach<br />

Pancreas<br />

Superior mesenteric<br />

artery<br />

Duodenum (3rd portion)<br />

Gastrocolic ligament<br />

Transverse mesocolon<br />

Transverse colon<br />

Greater omentum<br />

Small bowel mesentery<br />

Graphic of a sagittal section of the abdomen shows the peritoneal cavity artificially distended, as with air. Note the margins of the<br />

lesser sac in this plane, including the caudate lobe of the liver, stomach, <strong>and</strong> gastrocolic ligament anteriorly <strong>and</strong> pancreas posteriorly.<br />

The hepatogastric ligament is part of the lesser omentum <strong>and</strong> carries the hepatic artery <strong>and</strong> portal vein to the liver. The mesenteries<br />

are multilayered folds of the peritoneum that enclose a layer of fat <strong>and</strong> convey blood vessels, nerves, <strong>and</strong> lymphatics to the<br />

intraperitoneal abdominal viscera. The greater omentum is a 4-layered fold of the peritoneum that extends down from the stomach,<br />

covering much of the colon <strong>and</strong> small intestine. The layers are generally fused together caudal to the transverse colon. The gastrocolic<br />

ligament is part of the greater omentum.<br />

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