Description

The lesser omentum (omentum minus; small omentum; gastrohepatic omentum) is the duplicature which extends to the liver from the lesser curvature of the stomach and the commencement of the duodenum.

It is extremely thin, and is continuous with the two layers of peritoneum which cover respectively the antero-superior and postero-inferior surfaces of the stomach and first part of the duodenum. When these two layers reach the lesser curvature of the stomach and the upper border of the duodenum, they join together and ascend as a double fold to the porta of the liver; to the left of the porta the fold is attached to the bottom of the fossa for the ductus venosus, along which it is carried to the diaphragm, where the two layers separate to embrace the end of the esophagus.

At the right border of the omentum the two layers are continuous, and form a free margin which constitutes the anterior boundary of the epiploic foramen.

The portion of the lesser omentum extending between the liver and stomach is termed the hepatogastric ligament,while that between the liver and duodenum is the hepatoduodenal ligament. 

Between the two layers of the lesser omentum, close to the right free margin, are the hepatic artery, the common bile duct, the portal vein, lymphatics, and the hepatic plexus of nerves—all these structures being enclosed in a fibrous capsule (Glisson’s capsule). Between the layers of the lesser omentum, where they are attached to the stomach, run the right and left gastric vessels.


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