Liver: Surfaces Flashcards

1
Q

Anterior surface: related to diaphragm

A

Separates it from lung bases and pleurae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Anterior surface: related to anterior abdominal wall

A

Part of it 1 hand’s breadth below xiphoid process and another part 1 finger’s breadth below right costal margin lowest point directly related

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Anterior surface: attachment

A

Gives attachment to falciform ligament base

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Superior surface relations

A

Related to diaphragm which separates it from:
1. Right lung base and pleura
2. Pericardium and heart inferior surface
3. Small part of left lung and pleura

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Superior surface: attachments

A

Upper part of falciform ligament base

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Right surface

A

Related to diaphragm which separates it from:
1. Right lung and pleura
2. Right 7th to 11th ribs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Posterior surface

A

Shows the following from left to right:
1. Esophageal groove
2. Ligamentum venosum fissure
3. Caudate lobe
4. IVC
5. Bare area proper

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Esophageal groove

A
  1. On left lobe posterior aspect just to left of upper part of Ligamentum venosum fissure
  2. Related to esophagus abdominal part
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Ligamentum teres fissure

A
  1. Lodges Ligamentum venosum which is obliterated ductus venosus that connects portal vein left branch to IVC during intrauterine fetal life
  2. After birth, ductus venosus is fibrosed and transformed into Ligamentum venosum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Ligamentum teres fissure attachment

A

It’s margins give attachment to lesser omentum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Caudate lobe boundries

A
  1. Left side: Ligamentum venosum fissure
  2. On right side: IVC groove
  3. Above: liver superior surface
  4. Below: porta hepatis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Caudate lobe relations

A
  1. Related to diaphragm, which separates it from descending thoracic aorta
  2. It is separated from diaphragm by lesser sac superior recess
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Caudate lobe processes

A
  1. Inferior and to left: papillary process
  2. Inferior and to right: caudate process, which connects caudate lobe with right lobe rest and forms epiploic foramen upper boundary
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

IVC groove

A
  1. Deep vertical groove lodging IVC upper part
  2. It is devoid of peritoneal covering (bare area)
  3. Its upper part is pierced by right and left hepatic veins
  4. Occasionally bridged over by liver tissue part (pons hepatis), transforming it into a tunnel
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Bare area proper

A
  1. Triangular area on right lobe back
  2. Devoid of peritoneal covering
  3. It is directly related to diaphragm and right Suprarenal gland upper part
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Bare area proper boundries

A
  1. IVC groove: to left and from its base
  2. Coronary ligament upper layer: above
  3. Coronary ligament lower layer: below
  4. Right triangular ligament: forms apex (meeting of coronary ligament both layers on right side)
17
Q

Bare area proper lymphatics

A

Lymph vessels from bare area, ascend through diaphragm vena caval opening to end in thoracic duct

18
Q

Inferior (visceral) surface

A

Shows the following from left to right:
1. Gastric impression
2. Tuber omentale
3. Ligamentum teres (round ligament of liver) fissure
4. Quadrate lobe
5. Gall bladder fossa
6. Duodenum 2nd part
7. Right colic flexure
8. Right kidney front
9. Suprarenal gland lower part

19
Q

Gastric impression site

A

On left lobe inferior aspect

20
Q

Gastric impression relation

A
  1. Stomach fundus
  2. Stomach body
21
Q

Tuber omentale

A

Elevation in left lobe inferior surface

22
Q

Tuber omentale site

A

Between gastric area and ligament venosum fissure

23
Q

Tuber omentale relation

A

Lesser omentum

24
Q

Tuber omentale types

A
  1. Liver tuber omentale: related to lesser omentum anterior surface
  2. Pancreas tuber omentale: related to lesser omentum posterior surface
25
Q

Ligamentum teres fissure

A

Represents obliterated left umbilical vein which transmits blood from placenta via umbilical cord to portal vein left branch during intrauterine fetal life

26
Q

Ligamentum teres course

A
  1. It passes from umbilicus To
  2. Falciform Ligamentum free border
    Then
  3. Ligamentum teres fissure floor on liver inferior surface
    To End in
  4. Portal vein left branch
27
Q

Quadrate lobe boundries

A
  1. On left side: Ligamentum teres fissure
  2. On right side: gall bladder
  3. Above: porta hepatis lies transversely separating caudate from quadrate lobes
  4. Below: liver inferior border
28
Q

Quadrate lobe relation

A
  1. Transverse colon
  2. Pyloroduodenal junction
  3. Lesser omentum (from below upwards)
29
Q

Gall bladder fossa

A

Related to gall bladder anterior surface

30
Q

Duodenum 2nd part

A

Just to right of gall bladder neck

31
Q

Right colic flexure

A

Just to right of duodenum close to liver inferior border

32
Q

Right kidney front

A

To right side of duodenal impression and above colic impression

33
Q

Right Suprarenal gland lower part

A

Above right kidney

34
Q

Porta hepatis (Liver Hilum)

A
  1. Transverse fissure between liver posterior and inferior surfaces
  2. Lies between quadrate lobe anterior and caudate lobe with its caudate process posterior
  3. Its margins give attachment to lesser omentum
35
Q

Contents

A
  1. Right and left hepatic ducts
  2. Hepatic artery right and left branches
  3. Hepatic nerve plexus
  4. Portal vein right and left branches
  5. Lymph vessels and nodes
  6. Extraperitoneal fat
36
Q

Right and left hepatic ducts

A

Most anterior and near Hilum right end

37
Q

Hepatic artery right and left branches

A

In middle and near hilum left end

38
Q

Hepatic nerve plexus

A

Along hepatic artery

39
Q

Portal vein right and left branches

A

Most posterior