[Plate 279, Liver Structure: Schema]page 148
page 149Largest gland in the body (approximately 1.5 kg)
Surfaces
Smooth diaphragmatic surface, covered by peritoneum except over bare area
Reflection of peritoneum from the diaphragm to liver forms the coronary ligament
Has anterior and posterior layers
Where layers meet on right = right triangular ligament
Posterior layer is continuous with lesser omentum
Left triangular ligament formed by the falciform ligament and lesser omentum
Visceral surface
Separated anteriorly from anterior and superior surfaces by sharp inferior border
Covered by peritoneum except at the porta hepatis and bed of the gall bladder
Related to: Right side of anterior stomach
First part of duodenum
Gall bladder
Right colic flexure and transverse colon
Right kidney and suprarenal glands
Ligaments
Falciform ligament
Peritoneal reflection from upper anterior abdominal wall from umbilicus to liver
Has ligamentum teres hepatis (round ligament) in free edge
Ligamentum teres hepatis (round ligament of liver)
Fibrous remnant of umbilical vein
Extended from umbilicus to liver
Ligamentum venosum
Remnant of the ductus venosus
Extended in fetus between the umbilical vein and inferior vena cava (IVC)
Recesses:
Subphrenic recess separates liver from diaphragm (split by falciform ligament)
Hepatorenal recess
On the right side