The Normal Liver Part 2: Ligaments

Question 1

Ligaments of NL Liver
The ligaments below divide the liver FUNCTIONALLY

\_\_\_\_\_ Ligament – Anterior and Posterior
\_\_\_\_\_ Ligament – RT and LT
\_\_\_\_\_ Ligament 
Ligamentum \_\_\_\_\_ 
Ligamentum  \_\_\_\_\_
Lesser \_\_\_\_\_

Answer 1

Coronary 
triangular
falciform
teres
venosum
omentum

Question 2

Coronary ligament

the area between upper and lower layer of the coronary ligament is the _______ area of liver which contract with the diaphragm

_____ and _____ triangular ligaments = formed by left and right extremity of coronary ligament

–Where the anteriorly and posteriorly _____ ligaments come together is the triangular ligaments

_____ triangular ligament = fixes right lobe to under surface of right dome diaphragm

Answer 2

Bare 
left
right
coronary
right

Question 3

Falciform Ligament

—A 2 layered fold of the peritoneum, ascends from the umbilicus to the _____

—In embryological age, connects umbilical vein to _____ during fetal development

—As the ligament reaches _____, it separates into a broad, thin AP fold of peritoneum

—___ and ___ lobes at diaphragmatic surface

—Extends from liver to the abdominal wall between _____ and umbilicus

—Contains the Ligament _____ (Round Ligament) which is the remains/remnant of the UV (which carried O2 blood from placenta to Fetus) after birth

Not usually imaged well on US unless there is _____ surrounding the liver….white arrow in image pointing to Falciform Ligament

Answer 3

liver
liver
peritoneum
rt
lt
diaphragm
teres
ascites

Question 4

Ligamentum Teres

—a.k.a. _____ ligament

—Anatomically is a Fibrous cord results of obliterated fetal remnant of the umbilical _____ that connected placenta with LPV

—on US ⇒ hyperechoic, linear, wedshaped, triangular shaped and may cast a shadow due to the echogenicity

—Is an anatomical landmark in the _____

—Should not be mistaken for a _____

—May recanalize in portal hypertension and be fluid filled (_____) instead of hyperechoic

—Joins the umbilical segment of the _____

—Divides left lobe of liver into _____ (2) and _____ portions (3)

—Ascends from umbilicus ⇒ free margin of _____ ligament

Answer 4

round 
vein
liver
mass
anechoic
LPV
medial
lateral
falciform

Question 5

Ligamentum Venosum

—Fibrous remnant of the fetal circulation which shunted blood from the UV to the IVC bypassing the liver called the obliterated _____ venosum

—Lies w/in the fissure for ligamentum _____

—Does not recanalize in _____

—Separates the LT lobe liver from _____ lobe

—On US-sagittal view is a linear echogenic line separated LT lobe liver and caudate lobe of liver

Answer 5

ductus
venosus
adults
caudate

Question 6

Lig _____:
fetal remnant of the umbilical vein (in red) that connected placenta with LPV

Lig. _____:
Fibrous remnant of the fetal circulation which shunted blood from the Umb Vein (in red) to the IVC by passing the liver

Answer 6

teres

venosum

Question 7

Lesser Omentum

• –Hepatogastric
• Originates undersurface _____ ⇒ contiguous with ligamentum _____ ⇒ caudal to lesser curvature of _____ and 1st part of _____

-Look for varices and enlarged lymph _____

• –Hepatoduodenal
• Investing peritoneal fold surrounds portal triad prior to entering porta _____ and within porta hepatis

Answer 7

liver
venosum
stomach
duodenum
nodes
hepatis