Citation, DOI & article data
The lesser sac or omental bursa is a potential peritoneal space within the abdomen, part of the peritoneal cavity.
The lesser sac may be conceptualized as the space posterior to the lesser omentum, between the posterior wall of the stomach and the surface of the peritoneum that covers the anterior surface of the left kidney 1.
The epiploic foramen (of Winslow) is the only natural communication between greater and lesser sac.
As the lesser sac is a peritoneal space, all of its boundaries are lined by visceral or parietal peritoneum.
- lesser omentum
- visceral peritoneum along the posterior surface of the stomach
- gastrocolic omentum (between greater curvature of the stomach and transverse colon)
- left lateral
- right lateral
- epiploic foramen (of Winslow) communicating with greater sac
- visceral/parietal peritoneum that covers the diaphragm, pancreas, left kidney/adrenal gland, and duodenum
- transverse mesocolon (between the transverse colon and anterior surface of the pancreas)
- peritoneum covering the caudate lobe of the liver
- Superior (hepatic) recess - between caudate lobe of liver and diaphragm; it is partially separated from splenic recess by gastropancreatic fold
- Splenic recess - between splenic ligaments and stomach
- Inferior (omental) recess - between the stomach and transverse colon
The lesser omentum is composed of two peritoneal ligaments that extend from the lesser curvature of the stomach and duodenal bulb to the liver, the gastrohepatic, and hepatoduodenal ligaments, respectively. During embryologic development, the rotation of the stomach relative to the liver causes redundancy in the mesentery about the stomach.
As the greater curvature of the stomach rotates anterolaterally, a recess is formed between the redundant dorsal peritoneal ligament connecting the greater curvature of the stomach to the dorsal abdominal wall. Simultaneously, the lesser curvature of the stomach rotates posteromedially, and the ventral peritoneal ligament between stomach and liver becomes the lesser omentum, an incomplete boundary separating the main peritoneal cavity (greater sac) from the posterior recess (lesser sac).
- 1. O'Rahilly R, Muller F. Basic human anatomy. W B Saunders Co. ISBN:0721669905. Read it at Google Books - Find it at Amazon
- 2. Last, R. J., McMinn, R. M. H.. Last's Anatomy, Regional and Applied. (1994) ISBN: 9780443046629 - Google Books
- 3. Stephanie Ryan, Michelle McNicholas, Stephen J. Eustace. Anatomy for Diagnostic Imaging. (2011) Page 209, 211. ISBN: 9780702029714 - Google Books