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In human anatomy, the omental foramen (epiploic foramen, foramen of Winslow after the anatomist Jacob B. Winslow, or uncommonly aditus; Latin: Foramen epiploicum) is the passage of communication, or foramen, between the greater sac, and the lesser sac of the peritoneal cavity.
The lesser omentum (small omentum or gastrohepatic omentum) is the double layer of peritoneum that extends from the liver to the lesser curvature of the stomach, and to the first part of the duodenum. The lesser omentum is usually divided into these two connecting parts: the hepatogastric ligament, and the hepatoduodenal ligament. [1]
The lesser sac, also known as the omental bursa, is a part of the peritoneal cavity that is formed by the lesser and greater omentum. Usually found in mammals, it is connected with the greater sac via the omental foramen or Foramen of Winslow. In mammals, it is common for the lesser sac to contain considerable amounts of fat.
It is connected with the lesser sac via the omental foramen, also known as the foramen of Winslow or epiploic foramen, which is anteriorly bounded by the portal triad – portal vein, hepatic artery, and common bile duct.
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. [2]
The peritoneal cavity is divided into the greater and lesser sacs. The greater sac comprises the majority of the peritoneal cavity, while the lesser sac, also known as the omental bursa, is smaller and situated posterior to the stomach and lesser omentum. They are connected by the omental foramen. [4]
The left border of the greater omentum is continuous with the gastrosplenic ligament; its right border extends as far as the beginning of the duodenum. The greater omentum is usually thin, and has a perforated appearance. It contains some adipose tissue, which can accumulate considerably in obese people. It is highly vascularised. [3]
The vesicouterine pouch is a fold of peritoneum over the uterus and the bladder, forming a pelvic recess. [1] It is continued over the intestinal surface and body of the uterus onto its vesical surface, which it covers as far as the junction of the body and cervix uteri, and then to the bladder.