a) The CELIAC A. (1) originates from the aorta at the level of the
first lumbar vertebra. It has a relatively long course, and after giv-
ing off phrenic arteries and adrenal branches, divides on the right
dorsal surface of the rumen into hepatic, splenic, and left gastric aa.
The arteries of the rumen and reticulum correspond to small
branches of the splenic and left gastric aa. on the simple stomach.
The splenic a. (3) enters the dorsal part of the spleen. Near its ori-
gin it gives off the large right ruminal a. (4) to the right accessory
groove as the main artery of the rumen. This gives off right dorsal
and ventral coronary aa., goes through the caudal groove, and
comes out on the left side of the rumen, where it gives off left dor-
sal and ventral coronary aa. and anastomoses with the left ruminal
a. (5), which passes through the cranial groove of the rumen from
right to left. Near its origin it gives off the reticular a. (6), which
passes over the rumen, then ventrally in the ruminoreticular groove
on the left side, and through the groove from left to right. The right
and left ruminal aa. may originate either from the splenic or left
gastric aa.
The left gastric a. (8) supplies the omasum and goes to the lesser
curvature of the abomasum, where it anastomoses with the right
gastric a. (11) from the hepatic a. (2). On the greater curvature of
the abomasum, the left (9) and right (12) gastroepiploic aa. anas-
tomose. They come from the left gastric a. and the gastroduodenal
a. (a br. of the hepatic), respectively. The accessory reticular a. (10)
arises from the left gastric or from the first part of the left gas-
troepiploic. It runs dorsally on the diaphragmatic surface of the
lesser curvature of the reticulum. The veins, branches of the portal
v., have a predominantly corresponding course.
b) The innervation by AUTONOMIC NERVES is accomplished in
general as in the dog and horse.
The dorsal and ventral trunks of the vagus nn. are of special clini-
cal interest in regulating the functions of each compartment of the
stomach. The rumen is innervated mainly by the dorsal vagal trunk
(a), but the atrium of the rumen and the other three compartments
are innervated by both vagal trunks. Individual brr. of these nerves
may vary in location or extent. The dorsal vagal trunk supplies the
right side of the atrium (h), the brr. to the celiac plexus (c), the dor-
sal ruminal brr. (d), and the right ruminal br. (b), which runs back
in the right accessory groove, giving brr. to the dorsal and ventral
sacs, and passing around in the caudal ruminal groove to the left
side. A branch of the dorsal trunk is also given off to the cranial
ruminal groove and left longitudinal groove (e) and to the greater
curvature of the abomasum (g). Branches of the dorsal trunk (f)
pass over the omasum and the visceral side of the lesser curvature
of the abomasum, innervating the right lip of the reticular groove,
the caudal (visceral) surface of the reticulum, both sides of the oma-
sum, and the visceral surface of the abomasum to the pylorus.
The ventral vagal trunk (j) gives branches to the left side of the atri-
um (l), the diaphragmatic surface of the reticulum (k), and branch-
es that run in the lesser omentum to the liver, cranial part of the
duodenum, and pylorus (p). Branches of the ventral trunk (m)
innervate the left lip of the reticular groove (see p. 70, c), and con-
tinue across the parietal side of the neck of the omasum and run in
the lesser omentum along the parietal surface of the base of the
omasum and the lesser curvature of the abomasum to the pylorus,
innervating the parietal surface of the omasum and abomasum.
c) The LYMPH NODES of the stomach and spleen include the fol-
lowing: Celiac Inn. (p. 76, A) 2–5 are found with the cran. mesen-
teric lnn. (p. 77) at the origin of the aa. of the same names. Splenic
(or atrial) Inn. (E) 1–7 are grouped dorsocranial to the spleen
between the atrium of the rumen and the left crus of the diaphragm.
Among the numerous gastric lymph nodes, the reticuloabomasal
(A), ruminoabomasal (B), left ruminal (C), right ruminal (D), cra-
nial ruminal (not illustrated), reticular (F), omasal (not illustrated),
dorsal abomasal (G), and ventral abomasal (H) lie in the grooves
and in the omental attachments of the stomach compartments.
Their efferent lymphatic vessels go to the splenic nodes or nodes
preceding them, gastric trunks, visceral trunks, or the cisterna chyli
(p. 74).
d) OMENTA. The embryonic dorsal mesogastrium and ventral
mesogastrium undergo important changes in form and position
with the development of the four compartments of the stomach.
After the rotation of the spindle-shaped stomach primordium
through about 90° to the left, with the axis of the stomach directed
at first from craniodorsal to caudoventral, three protuberances
appear on the greater curvature. In craniocaudal order they are the
primordia of the rumen, reticulum, and greater curvature of the
abomasum. The craniodorsal end of the rumen tube is divided by
the future caudal groove into the future dorsal and ventral caudal
blind sacs.
The only protuberance on the lesser curvature is the primordium of
the omasum. In the course of further development the reticulum
moves cranially; the two blind sacs of the rumen turn dorsally and
then caudally, so that cranial and caudal blind sacs become dorsal
and ventral. The caudal groove is extended on both sides of the
rumen as the right and left longitudinal grooves, and a flexure in
the rumen tube becomes the cranial groove. The abomasum
approaches the rumen and reticulum, and its greater curvature
becomes ventral as it continues the rotation clockwise as viewed
from the head. The omasum comes up on the right side.
In spite of these complicated translocations, the attachments of the
dorsal and ventral mesogastria to the greater and lesser curvatures
of the stomach primordium are maintained. The line of attachment
of the dorsal mesogastrium on the stomach in the adult runs from
the dorsal surface of the esophagus at the hiatus to the right longi-
tudinal groove, through the caudal groove and the left longitudinal
groove of the rumen, across a part of the left surface of the atrium
and reticulum, and along the greater curvature of the abomasum to
the cranial part of the duodenum.
The greater omentum (see the lower left figure) with its deep wall
(15) and superficial wall (14), together with the omental bursa, is
the main derivative of the dorsal mesogastrium. It extends caudal-
ly, ventrally, and to the right. Caudally near the pelvis, as in the dog,
the deep wall is reflected as the supf. wall, forming a fold enclosing
the caudal recess of the omental bursa (16). Ventrally, because the
attachment of the dorsal mesogastrium to the rumen followed the
right longitudinal, caudal, and left longitudinal grooves, the ventral
sac is enclosed by the greater omentum and forms a part of the wall
of the omental bursa. On the right, the greater omentum is adher-
ent to the medial surface of the mesoduodenum from the cranial
flexure, along the descending part, to the caudal flexure of the duo-
denum (p. 69, 12). In the sling formed by the deep and supf. walls
of the greater omentum between the mesoduodenum and the right
longitudinal groove of the rumen, is the supraomental recess (13),
open caudally and containing the bulk of the intestines. The deep
wall of the greater omentum passes from the mesoduodenum, ven-
tral to the intestines, to its attachment in the right longitudinal
groove of the rumen, whereas the supf. wall passes ventral to the
intestines and the ventral sac of the rumen to the left longitudinal
groove. Both walls of the omentum meet in the caudal groove. Cra-
nial parts of the dorsal mesogastrium disappear or are shortened in
the adult by expansion of the atrium and adhesion with its sur-
roundings. The spleen on the left and the left lobe of the pancreas
are held between the rumen and the diaphragm by adhesions. The
line of origin of the dorsal mesogastrium is displaced to the right
and runs obliquely craniocaudally from the level of the esophageal
hiatus through the origin of the celiac a. to the level of the distal
loop of the ascending colon.
The ventral mesogastrium is divided by the developing liver into the
lesser omentum on the visceral surface of the liver and the falciform
lig. (see p. 75, 13) on the diaphragmatic surface. The lesser omen-
tum extends, as the hepatogastric lig., from the porta of the liver
ventrally to the esophageal hiatus, the lesser curvature of the re-
ticulum, the base of the omasum, and the lesser curvature of the
abomasum, covering the right surface of the omasum (p. 69, 30).
The lesser omentum ends as a free border, the hepatoduodenal lig.,
from the porta of the liver to the cranial flexure of the duodenum.
It contains the portal vein and forms the ventral border of the
omental (epiploic) foramen, which leads to the vestibule of the
omental bursa. The vestibule opens into the caudal recess.
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4. BLOOD SUPPLY AND INNERVATION OF THE STOMACH; LYMPH NODES AND OMENTA
Anatomie des Rindes englisch 09.09.2003 14:18 Uhr Seite 72