Liver: Surfaces Flashcards
Anterior surface: related to diaphragm
Separates it from lung bases and pleurae
Anterior surface: related to anterior abdominal wall
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
Anterior surface: attachment
Gives attachment to falciform ligament base
Superior surface relations
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
Superior surface: attachments
Upper part of falciform ligament base
Right surface
Related to diaphragm which separates it from:
1. Right lung and pleura
2. Right 7th to 11th ribs
Posterior surface
Shows the following from left to right:
1. Esophageal groove
2. Ligamentum venosum fissure
3. Caudate lobe
4. IVC
5. Bare area proper
Esophageal groove
- On left lobe posterior aspect just to left of upper part of Ligamentum venosum fissure
- Related to esophagus abdominal part
Ligamentum teres fissure
- Lodges Ligamentum venosum which is obliterated ductus venosus that connects portal vein left branch to IVC during intrauterine fetal life
- After birth, ductus venosus is fibrosed and transformed into Ligamentum venosum
Ligamentum teres fissure attachment
It’s margins give attachment to lesser omentum
Caudate lobe boundries
- Left side: Ligamentum venosum fissure
- On right side: IVC groove
- Above: liver superior surface
- Below: porta hepatis
Caudate lobe relations
- Related to diaphragm, which separates it from descending thoracic aorta
- It is separated from diaphragm by lesser sac superior recess
Caudate lobe processes
- Inferior and to left: papillary process
- Inferior and to right: caudate process, which connects caudate lobe with right lobe rest and forms epiploic foramen upper boundary
IVC groove
- Deep vertical groove lodging IVC upper part
- It is devoid of peritoneal covering (bare area)
- Its upper part is pierced by right and left hepatic veins
- Occasionally bridged over by liver tissue part (pons hepatis), transforming it into a tunnel
Bare area proper
- Triangular area on right lobe back
- Devoid of peritoneal covering
- It is directly related to diaphragm and right Suprarenal gland upper part