Exploration of peritoneal cavity

Relations of liver, stomach and diaphragm, left anterolateral view

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Image #138-7
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Exploration of peritoneal cavity
Relations of liver, stomach and diaphragm, left anterolateral view
The liver has been pulled slightly forward and upward to expose the lesser omentum (4) which passes from the lesser curvature of the stomach into the fissure of the ligamentum venosum on the posteroinferior aspect of the liver. As it approaches the esophagal haitus of the diaphragm the lesser omentum attaches to the lower end of the esophagus (13).
1 . Coronary ligament of liver
2 . Left lobe of liver
3 . Falciform ligament of liver
4 . Lesser omentum (hepatogastric ligament)
5 . Body of stomach
6 . Ligamentum teres (of liver) (cut off)
7 . Gallbladder
8 . Esophagus
9 . Thoracic aorta
10 . Hemiazygos vein
11 . Greater splanchnic nerve
12 . Sympathetic trunk
13 . Left pointer: Location of esophageal hiatus (covered by peritoneum) Right pointer: Abdominal part esophagus (near cardioesophageal junction)
14 . Diaphragm
15 . Fundus of stomach (slightly indented)
16 . Spleen
17 . Greater omentum