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Diagnostic Ultrasound - Abdomen and Pelvis

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Liver<br />

Coronary ligament<br />

HEPATIC ATTACHMENTS AND RELATIONS<br />

Falciform ligament<br />

Left triangular ligament<br />

Anatomy: <strong>Abdomen</strong><br />

Adrenal gl<strong>and</strong><br />

Right triangular ligament<br />

Lesser omentum<br />

Falciform ligament<br />

Coronary ligament<br />

Left triangular ligament<br />

Sulcus for IVC<br />

Ligamentum venosum<br />

Lateral segment (left lobe)<br />

Right triangular ligament<br />

Falciform ligament<br />

Medial segment (left lobe)<br />

Right lobe<br />

(Top) The liver is attached to the posterior abdominal wall <strong>and</strong> diaphragm by the left <strong>and</strong> right triangular <strong>and</strong> coronary ligaments. The<br />

falciform ligament attaches the liver to the anterior abdominal wall. The bare area is in direct contact with the right adrenal gl<strong>and</strong>,<br />

kidney, <strong>and</strong> inferior vena cava (IVC). (Bottom) Posterior view of the liver shows the ligamentous attachments. While these may help to<br />

fix the liver in position, abdominal pressure alone is sufficient, as evidenced by orthotopic liver transplantation, after which the<br />

ligamentous attachments are lost without the liver shifting position. The diaphragmatic peritoneal reflection is the coronary ligament<br />

whose lateral extensions are the right <strong>and</strong> left triangular ligaments. The falciform ligament separates the medial <strong>and</strong> lateral segments<br />

of the left lobe.<br />

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