The biopsy is required in several clinical scenarios:
ALTERNATIVE TO ESSENTIAL ANATOMY 3 SKIN
A needle is inserted through the skin to access the liver. In addition to these supporting ligaments, the posterior surface of the liver is secured to the inferior vena cava by hepatic veins and fibrous tissue.Ĭlinical Relevance: Percutaneous Liver BiopsyĪ percutaneous liver biopsy is procedure used to obtain a sample of liver tissue. The hepatoduodenal ligament surrounds the portal triad.
It consists of the hepatoduodenal ligament (extends from the duodenum to the liver) and the hepatogastric ligament (extends from the stomach to the liver).
Lesser omentum – Attaches the liver to the lesser curvature of the stomach and first part of the duodenum. The right triangular ligament is formed in a similar fashion adjacent to the bare area and attaches the right lobe of the liver to the diaphragm. The left triangular ligament is formed by the union of the anterior and posterior layers of the coronary ligament at the apex of the liver and attaches the left lobe of the liver to the diaphragm. Coronary ligament (anterior and posterior folds) – attaches the superior surface of the liver to the inferior surface of the diaphragm and demarcates the bare area of the liver The anterior and posterior folds unite to form the triangular ligaments on the right and left lobes of the liver. Its free edge contains the ligamentum teres, a remnant of the umbilical vein. Falciform ligament – this sickle-shaped ligament attaches the anterior surface of the liver to the anterior abdominal wall. These are formed by a double layer of peritoneum. There are a number of ligaments that attach the liver to the surrounding structures.
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