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The suspensory muscle of duodenum (also known as suspensory ligament of duodenum, Treitz's muscle or ligament of Treitz [1]) is a thin muscle connecting the junction between the duodenum and jejunum (the small intestine's first and second parts, respectively), as well as the duodenojejunal flexure to connective tissue surrounding the superior mesenteric and coeliac arteries.
The cystoduodenal ligament is also found in the lesser omentum and is distinct from both the hepatoduodenal and hepatogastric ligaments. The cystoduodenal ligament is an abnormal peritoneal fold that attaches the duodenum to the gallbladder , representing a rare variation in the anatomy of the lesser sac and its foramen.
The duodenal bulb is a remnant of the mesoduodenum, a mesentery that suspends the organ from the posterior abdominal wall in fetal life. [10] The first part of the duodenum is mobile, and connected to the liver by the hepatoduodenal ligament of the lesser omentum. The first part of the duodenum ends at the corner, the superior duodenal flexure.
Anatomically, the lesser omentum is divided into ligaments, each starting with the prefix "hepato" to indicate that it connects to the liver at one end. Most sources divide it into two parts: [1] hepatogastric ligament: the portion connecting to the lesser curvature of the stomach; hepatoduodenal ligament: the portion connecting to the duodenum
The duodenum is the first and shortest section of the small intestine. It is a hollow, jointed C-shaped tube connecting the stomach to the jejunum. It starts at the duodenal bulb and ends at the suspensory muscle of duodenum. The attachment of the suspensory muscle to the diaphragm is thought to help the passage of food by making a wider angle ...
By mobilizing the duodenum and pancreas, surgeons gain exposure to the structures in the hepatic portal area. Exposure of hepatoduodenal ligament: The procedure facilitates the dissection and exposure of the hepatoduodenal ligament. This exposure is crucial for various hepatic and biliary surgeries. Visualizing the common bile duct:
The Pringle manoeuvre consists in clamping the hepatoduodenal ligament (the free border of the lesser omentum). This interrupts the flow of blood through the hepatic artery and the portal vein, which helps to control bleeding from the liver. The common bile duct is also temporarily closed during this procedure. This can be achieved using:
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