Liver A&P Quiz Flashcards
How many lobes does the liver have? What are they?
3; Right, left, caudate
Which lobe of the liver is the largest?
Right lobe
How is the right lobe separated? What separates it?
Anterior and Posterior; the right hepatic vein
How is the left lobe separated? What separates it?
Medial and Lateral; ascending left portal vein
Which lobe has its own blood supply? what supplies it?
Caudate; right and left portal vein branches
What is the anterior landmark for the caudate lobe?
ligamentum venosum
What is the posterior landmark for the caudate lobe?
IVC
What is the inferior landmark for the caudate lobe?
Main Portal Vein
What separates the left and right lobes of the liver?
Main Portal Vein
_____Divides liver into ____ segments
couinaud’s; 8
uses portal and hepatic veins; important for cases of liver resection
Couinaud’s
opening of the liver in which the portal triad enter/exit the liver
Porta hepatis
What are the vessels that are part of the portal triad? Which ones enter and which ones exit?
MPV (enter), Hepatic Artery (enter), common bile duct (exit)
thin connective tissue layer that contains blood, lymphatics and nerves
Glisson’s Capsule
area of liver not covered by peritoneum; makes direct contact to diaphragm
bare area
area where fluid cannot accumulate
bare area
tongue like extension of the inferior right lobe; most common variant
Reidel’s lobe
explain Glisson’s Capsule’s sonographic appearance
smooth, homogenous; isoechoic to slightly hyperechoic when compared to right kidney; slightly hypoechoic to pancreas; isoechoic and similar texture to splean
sonographic appearance of liver (pediatric)
smooth and homogeneous parenchyma; isoechoic or hyperechoic to adjacent renal cortex; portal veins demonstrate echogenic walls
divides right lobe into anterior and posterior segments
Rt intersegmental
landmark is the RHV
Rt intersegmental fissure
divides left lobe into medial and lateral segments
Lt intersegmental fissure
landmarks are the LPV (ascending portion), LHV, Ligamentum Teres
Lt intersegmental fissure
Separates rt and Lt lobes
Main Lobar Fissure
landmark is the oblique plane at GB fossa
main lobar fissure
fissure that is anterior to caudate
transverse fissure
fissure whose landmark is the ligamentum venosum
transverse fissure
extends from umbilicus to diaphragm; attaches liver to anterior abd wall and diaphragm; contains ligamentum Teres
Falciform
ligament located left intersegmental fissure; lower free margin of the falciform
ligamentum teres
remnant of the fetal umbilical vein
ligamentum teres
divides caudate from left lobe; anterior landmark for caudate
ligamentum venosum