HEPAR



Facies diaphragmatica
   - pars superior (area nuda)
   - pars anterior
   - lig. falciforme hepatis
   - lobus dexter
   - lobus sinister
Facies visceralis
Fissura ligamenti teretis
(lig. teres hepatis)
Fissura ligamenti venosi

Fossa vesicae biliaris
Sulcus venae cavae
Lobus dexter
            sinister
            caudatus
            quadratus
Porta hepatis
 - vena portae
 - a. hepatica propria
 - ductus hepaticus
   communis
(portal triad)




                                                          V. PORTAE
                                                                   (v. mesenterica sup.
                                                                                  + v. lienalis)
                                                           A. HEPATICA PROPRIA
                                                           - a. hepatica communis
→  RAMUS DEXTER ET SINISTER

 → VV. HEPATICAE

Intrahepatic ducts     ductus hepaticus dexter
et sinister – ductus hepaticus communis
+ ductus cysticus = ductus choledochus
Ampulla hepatopancreatica
M. sphincter ampullae (Oddi)
Papilla duodeni major (Vater)
(Plica longitudinalis duodeni)
Vesica biliaris (fellea)
 - fundus, corpus,
  infundibulum, collum
 - ductus cysticus
    (plica spiralis)
180px-Gallstones




Caput, corpus, cauda,
 incisura pancreatis,
 processus uncinatus
(a. et v. mesenterica sup.)

PANCREAS

Exocrine pancreas:                           Endocrine pancreas:
ductus pancreaticus                            insulae pancreaticae
ductus pancreaticus accessorius      (islets of Langerhans)
succus pancreaticus                           insulin, glucagon

ERCP – endoscopic retrograde cholangio-pancreatography






PERITONEUM PARIETALE
PERITONEUM VISCERALE
CAVITAS PERITONEALIS

ascites
CAVITAS ABDOMINALIS
P – cavitas peritonealis
A – spatium preperitoneale
R – spatium retroperitoneale
S – spatium subperitoneale
                    (infraperitoneale)
S

Cavitas peritonealis - pars supramesocolica, inframesocolica



Pars supramesocolica
Truncus coeliacus


Pars inframesocolica
A. mesenterica superior


Pars inframesocolica
A. mesenterica inferior


Omentum minus - lig. hepatogastricum
                             - lig. hepatoduodenale - a. hepatica propria
                                                                     - v. portae
                                                                     - ductus hepaticus
                                                                       comm.
                                                                       (d.choledochus)

Omentum majus
 - lig. gastrocolicum


Lig. gastrosplenicum, phrenicosplenicum, splenorenale
Mesenterium – radix mesenterii
Mesocolon transversum, mesoappendix, mesocolon
sigmoideum, lig. phrenicocolicum

RECESSUS PERITONEI
Bursa omentalis
Internal hernias

Bursa omentalis



Foramen omentale/epiploicum (Winslow)
Recessus sup., splenicus, inf.


Recessus inferior bursae omentalis



Recessus duodenalis
sup., inf., sinister,
retroduodenalis
Recessus ileocaecalis sup.
Recessus ileocaecalis inf.
Recessus intersigmoideus
Recessus paracolici

Mesenterium dorsale
Mesogastrium ventrale
Development of the peritoneum

Development of the peritoneum
1.peritoneum parietale
2.mesogastrium dorsale
3.anlage of the stomach
4.anlage of the duodenum
5.mesenterium
6.hindgut
7.mesogastrium ventrale
8.liver
9.mesogastrium ventrale
10.peritoneum parietale
11.ductus omphaloentericus
12.umbilicus
13.connecting stalk
14.allantois
15.hindgut
16.
16.

Development of the peritoneum



Development of the peritoneum
2’. lig. phrenicolienale
2’’. lig. gastrolienale
5’. mesenterium
5’’. mesocolon
6’. anlage of the large intestine
22. omentum majus

Development of the peritoneum
23. mesocolon transversum
24. mesentery of the colon
descendens
25. mesocolon sigmoideum
26. mesentery of the colon
ascendens
27. omentum majus

Illustrations 27-31 were copied from:
Čihák R: Anatomie 2 (Splanchnologia). Avicenum,
zdravotnické nakladatelství, Praha, 1988.
Remaining illustrations, photographs, and radiographs were
copied from:
Atlas der Anatomie des Menschen/Sobotta.
Putz,R., und Pabst,R. 20. Auflage. München:
Urban & Schwarzenberg, 1993