Important gastrointestinal ligaments

Question 1

Falciform ligament: connects

Answer 1

Liver to anterior abdominal wall

Question 2

Falciform ligament: structures

Answer 2

Ligamentum teres hepatis (round ligament of the liver; derivative of fetal umbilical vein), patent paraumbilical veins

Question 3

Hepatoduodenal ligament: connects

Answer 3

Liver to duodenum

Question 4

Hepatoduodenal ligament: structures

Answer 4

Portal triad: hepatic artery, portal vein, common bile duct

Question 5

Hepatogastric ligament: connects

Answer 5

Liver to lesser curvature of stomach

Question 6

Hepatogastric ligament: structures

Answer 6

Gastric vessels

Question 7

Gastrocolic ligament: connects

Answer 7

Greater curvature and transverse colon

Question 8

Gastrocolic ligaments: structures

Answer 8

Gastroepiploic arteries

Question 9

Gastrosplenic ligament: connects

Answer 9

Greater curvature and spleen

Question 10

Gastrosplenic ligament: structures

Answer 10

Short gastrics, left gastroepiploic vessels

Question 11

Splenorenal ligament: connects

Answer 11

Spleen to left pararenal space

Question 12

Splenorenal ligament: structures

Answer 12

Splenic artery and vein, tail of pancreas

Question 13

Greater omentum: which ligaments are part of this?

Answer 13

Gastrocolic and gastrosplenic

Question 14

Lesser omentum: which ligaments are part of this?

Answer 14

Hepatoduodenal and hepatogastric

Question 15

Pringle maneuver: what is this?

Answer 15

Hepatoduodenal ligament is compressed manually or with a vascular clamp to control bleeding from hepatic inflow source (portal vein, hepatic artery) vs outflow (hepatic veins, IVC).

This interrupts the flow of blood through the hepatic artery and the portal vein, which helps to control bleeding from the liver.