Liver: Peritoneal Relations – Liver and Gallbladder

by James Pickering, PhD

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    00:01 If we move onto the peritoneal relations associated to the liver.

    00:05 These are important in enabling the liver to be suspended from the diaphragm If you remember, this is the superior view looking down onto the liver then this is posterior here, this is anterior here. Then again we have got these layers of peritoneum that are running along the surface so we have got visceral peritoneum running on the surface. These two layers converge and then migrate towards the anterior abdominal wall here as the falciform ligament.

    00:36 These two penitential layers. They also come up in this direction.

    00:41 They also extend up in this direction. And that's what we can see in other diagram over here.

    00:47 where it’s passing upwards and it's passing upwards. Now, over here we have the diaphragm. So this image here is projecting the diaphragm and then the coronary ligament running over the surface of the liver then reflex to the diaphragm so then run along the underside of the diaphragm. And we have two of these.

    01:08 We have one running around here. And we have one running around here.

    01:14 And this ligament here, and this ligament here form the coronary ligaments.

    01:19 This coronary ligament has got this anterior and the posterior layer.

    01:24 Anterior layer here and the posterior layer here.

    01:28 Remember the peritoneal ligaments have these two layers through them.

    01:32 So this is the anterior and the posterior layer of the peritoneal ligament.

    01:37 We can now see that the liver is actually suspended from the diaphragm.

    01:42 We can see now that we have this space that doesn't have any peritoneum space on the liver.

    01:48 That doesn't have any peritoneum adhere to it; because, we have got this reflection here and here.

    01:53 No peritoneum here. And that means this region of liver is known as the bare area.

    01:59 There is no peritoneum attached to this bare area.

    02:03 There are some other ligaments that are attach the liver to the lateral, to the right body wall and to the left body wall, to the diaphragm.

    02:13 And these are known as the triangular ligaments. Where this bare area here doesn't contain any peritoneum.

    02:19 Where this anterior layer of coronary ligament here converge with the posterior coronary ligament which we round underneath here. We have left and right triangular ligament.

    02:31 Where these anterior layers of the coronary ligaments converge at the extreme.

    02:37 Together, the coronary ligament and the triangular ligament are important in suspending the liver from the diaphragm, from the body wall holding it in place.

    02:47 We also have the inferior vena cava running up through the liver specially on this posterior surface and that helps to anchor the liver in place also.

    About the Lecture

    The lecture Liver: Peritoneal Relations – Liver and Gallbladder by James Pickering, PhD is from the course Abdomen.

    Included Quiz Questions

    1. Posterior
    2. Superior
    3. Right lateral
    4. Left lateral
    5. Anterior
    1. Coronary ligament
    2. Falciform ligament
    3. Inferior vena cava
    4. Ligamentum teres
    5. Lesser omentum
    1. Posterior
    2. Anterior
    3. Superior
    4. Inferior
    5. Right lateral

    Author of lecture Liver: Peritoneal Relations – Liver and Gallbladder

     James Pickering, PhD

    James Pickering, PhD

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