ABDOMINAL CAVITY 



267 



PLATE VII 

 FIG. 1 20. View of the Interior of the Abdomen. 



The upper part of the anterior wall of the abdomen has been removed. 

 The lower part has been divided in the median plane and turned aside. 



The greater part of the left lobe of the liver has been removed and the 

 pyloric part of the stomach has been displaced downwards. 



The liver is seen in the upper and right portion of the abdominal cavity, 

 with the gall-bladder and the cystic artery on the inferior surface of its 

 right lobe. 



The round ligament of the liver and the falciform ligament have been 

 pulled over the right costal arch and have been fixed to the wall of the 

 thorax. From the point of attachment the round ligament runs downwards 

 and backwards to the umbilical fossa of the liver, and the falciform ligament 

 extends backwards to the anterior and upper surfaces of the liver. 



Below and to the left of the liver is the stomach, which is connected to 

 the liver by a fold of peritoneum called the lesser omentum. From the 

 lower border of the stomach the greater omentum hangs down in front of 

 the contents of the lower part of the abdominal cavity. 



The anterior layer of the lesser omentum has been removed along the 

 upper or lesser curvature of the stomach, to display the right and left 

 gastric vessels, which lie between the two layers ; and it has been removed 

 also along the right or free margin of the omentum, to display the hepatic 

 artery and its branches, the portal vein and the bile duct, the cystic duct 

 and the common hepatic duct. 



By the displacement downwards of the pyloric end of the stomach, the 

 gastro-duodenal branch of the hepatic artery has been brought into view. 



The anterior layer of the greater omentum has been removed along the 

 lower part of the greater curvature of the stomach to display the right and 

 the left gastro-epiploic vessels. 



1. Falciform ligament. 



2. Ligamentum teres. 



3. Left hepatic artery. 



4. Left hepatic duct. 



5. Common hepatic duct. 



6. Cystic artery. 



7. Fundus of gall-bladder. 



8. Cystic duct. 



9. Bile duct. 



10. Gastro-duodenal artery. 



11. Duodenum, descending part. 



12. Right gastro-epiploic vessels. 



13. Face of section of left lobe of 



liver. 



14. Caudate lobe, seen through 



lesser omentum. 



15. Left gastric artery. 



1 6. Right hepatic artery. 



17. Portal vein. 



18. Hepatic artery. 



19. Lesser omentum. 



20. Right gastric vessels. 



21. Left gastro-epiploic artery. 



22. Stomach. 



23. Greater omentum. 



