FREE BOOKS

Author's List




PREV.   NEXT  
|<   78   79   80   81   82   83   84   85   86   87   88   89   90   91   92   93   94   95   96   97   98   99   100   101   102  
103   104   105   106   107   108   109   110   111   112   113   114   115   116   117   118   119   120   121   122   123   124   125   126   127   >>   >|  
ram of Horizontal Section through upper part of 1st Lumbar Vertebra. A, Aorta. H.A, Hepatic Artery. Sp, Spleen. K, Kidney. B.D, Bile duct. L, Liver. V.C, Vena Cava. St, Stomach. P, Pancreas. P.V, Portal Vein. The dotting of the peritoneum is as in fig. 1.] This section, therefore, shows two completely closed sacs without any visible communication. In the female, however, the great sac is not absolutely closed, for the Fallopian tubes open into it by their minute _ostia abdominalia_, while at the other ends they communicate with the cavity of the uterus and so with the vagina and exterior. A horizontal section through the upper part of the first lumbar vertebra will, if a fortunate one (see fig. 2), pass through the foramen of Winslow and show the communication of the two sacs. A starting-point may be made from the mid-ventral line and the parietal peritoneum traced round the left side of the body wall until the outer edge of the left kidney (K) is reached; here it passes in front of the kidney and is soon reflected off on to the spleen, which it nearly surrounds; just before it reaches the hilum of that organ, where the vessels enter, it is reflected on to the front of the stomach (St), forming the anterior layer of the _gastro-splenic omentum_; it soon reaches the lesser curvature of the stomach and then becomes the anterior layer of the lesser omentum, which continues until the bile duct (B.D) and portal vein (P.V) are reached at its right free extremity; here it turns completely round these structures and runs to the left again, as the posterior layer of the lesser omentum, behind the stomach (St) and then to the spleen (Sp) as the posterior layer of the gastro-splenic omentum. From the spleen it runs to the right once more, in front of the pancreas (P), until the inferior vena cava (V.C) is reached, and this point is just behind the portal vein and is the place where the lesser and greater sacs communicate, known as the foramen of Winslow. From this opening the lesser sac runs to the left, while all the rest of the peritoneal cavity in the section is greater sac. From the front of the vena cava the parietal peritoneum passes in front of the right kidney (K) and round the right abdominal wall to the mid-ventral line. The right part of this section is filled by the liver (L), which is completely surrounded by a visceral layer of peritoneum, and no reflection is
PREV.   NEXT  
|<   78   79   80   81   82   83   84   85   86   87   88   89   90   91   92   93   94   95   96   97   98   99   100   101   102  
103   104   105   106   107   108   109   110   111   112   113   114   115   116   117   118   119   120   121   122   123   124   125   126   127   >>   >|  



Top keywords:

lesser

 

omentum

 

peritoneum

 

section

 

kidney

 

stomach

 

completely

 

reached

 

spleen

 
communication

foramen
 

Winslow

 

communicate

 
splenic
 

reaches

 

gastro

 
cavity
 

portal

 
anterior
 

greater


ventral
 

passes

 

parietal

 

closed

 

posterior

 

reflected

 

surrounds

 

opening

 

inferior

 

peritoneal


abdominal

 

reflection

 

visceral

 
surrounded
 

filled

 

pancreas

 

continues

 
curvature
 

forming

 
structures

extremity
 
vessels
 

Portal

 

dotting

 

visible

 

absolutely

 

female

 

Pancreas

 
Stomach
 

Lumbar