1054 THE ORGANS OF DIGESTION. 



two layers attached to the anterior and posterior borders of the transverse fissure, 

 descends to the lesser curvature of the stomach, containing between its layers 

 some ascending branches of the left vagus nerve. The posterior layer descends 

 behind the stomach as the anterior wall of the bursa omentalis, and arches behind 

 the cardia into the posterior wall of this bursa. On the right both layers 

 unite, forming a free edge, constituting the anterior margin of the foramen of 

 Winslow. 



This edge, whose layers separate below and nearly enclose the whole of the 

 superior curve of the duodenum, constitutes the lig. hepato-duodenale, which con- 

 tains the portal vein, hepatic artery, common bile-duct, lymphatics and nerves 

 (not hepatic veins). 



A part of this ligament passes on over the duodenum into the great omentum 

 and reaches the transverse colon. This is the hepato-colic ligament (Fig. 635). 



The lig. hepato-renale passes down from the under surface of the right lobe 

 rising near the neck of the gall-bladder and vena cava and behind the foramen of 

 Winslow to the upper part of the right kidney. It possesses a free edge directed 

 forward. Between this and the right lateral ligament of the liver is often a recess, 

 recessus hepato-renalis, into which fits the right end of the inferior and posterior 

 surfaces of the liver. The posterior wall of this recess touches in part the right 

 suprarenal capsule and in part the right kidney. That part of th^e hepato-duode- 

 nal ligament which rises from the gall-bladder is the lig. cystico-duodenale. 



The ligaments of the liver are coronary, right and left lateral or triangular, 

 falciform or suspensory, round or lig. hepato-umbilicalis, lesser omentum, which 

 consists of lig. Jiepato-gastricum and lig. hepato-duodenale, lig. cystico-duodenale, 

 lig. hepato-colicum, and lig. hepato-renale (Figs. 615 and 635). 



Peritoneal Lines. Beginning at the left, we see the space between the two layers 

 of the left lateral ligament (Figs. 668 and 665). The anterior layer belongs wholly 



Falciform 

 ligament 



Left lateral 

 ligament 



Right lateral 

 ligament 



FIG. 668. " Peritoneal lines " of the liver. Schematic. 



to the greater sac. It passes from the left lateral ligament to the left layer of the 

 falciform, forming a part of the coronary. This becomes continuous with the 

 right layer at the umbilicus. The right layer runs along the upper margin of the 

 liver, making the middle part of the coronary ligament, and then goes to the right, 

 forming the rest of the coronary in front of the posterior rough surface on the 

 liver, finally ending in the right lateral ligament. Taking the posterior layer 

 from this point, we shall see it belongs mostly to the greater sac. It first completes 

 the right lateral ligament, then runs behind the rough surface and enters into the 

 impressio renalis, forming the lig. hepato-renale. It then passes under the rough 

 impressio suprarenale in front of the vena cava and behind the tuberculum cauda- 

 tum to the lobus Spigelii. It ascends on high to the left of the vena cava, sur- 

 rounds the upper end of the Spigelian lobe, descends on its left side, turns in 

 front of the papillary tubercle, follows the anterior edge of the caudate tubercle, 

 and goes back to the right lobe. It here enters upon the under surface of the 



