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Diagnostic Ultrasound - Abdomen and Pelvis

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Bowel<br />

Falciform ligament<br />

STOMACH AND DUODENUM IN SITU<br />

Liver (left lobe)<br />

Fundus<br />

Cardia<br />

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

Gallbladder<br />

Duodenal bulb<br />

Pylorus<br />

Antrum<br />

Body<br />

Gastroepiploic artery branches<br />

Gastrocolic ligament<br />

Transverse colon<br />

Greater omentum<br />

Hepatogastric ligament<br />

Left gastric artery<br />

Hepatoduodenal ligament<br />

Celiac artery<br />

Pyloric sphincter<br />

Inner (oblique) muscle layer<br />

Outer (longitudinal) muscle<br />

layer<br />

Middle (circular) muscle layer<br />

(Top) Graphic shows the stomach <strong>and</strong> proximal duodenum in situ. The liver <strong>and</strong> gallbladder have been retracted upward. Note that the<br />

lesser curvature <strong>and</strong> anterior wall of the stomach touch the underside of the liver <strong>and</strong> the gallbladder abuts the duodenal bulb. The<br />

greater curvature is attached to the transverse colon by the gastrocolic ligament, which continues inferiorly as the greater omentum,<br />

covering most of the colon <strong>and</strong> small bowel. (Bottom) Graphic shows the lesser omentum extending from the stomach to the porta<br />

hepatis, divided into the broader <strong>and</strong> thinner hepatogastric ligament <strong>and</strong> the thicker hepatoduodenal ligament. The lesser omentum<br />

carries the portal vein, hepatic artery, common bile duct, <strong>and</strong> lymph nodes. The free edge of the lesser omentum forms the ventral<br />

margin of the epiploic foramen. Note the layers of gastric muscle; the middle circular layer is thickest.<br />

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