Exploration of liver, gall bladder, pancreas, duodenum and spleen

Posteroinferior aspect of liver

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Image #144-7

Exploration of liver, gall bladder, pancreas, duodenum and spleen

Posteroinferior aspect of liver

An area of scarring between the peritoneal reflection onto the inferior vena cava (20) and that onto the lesser omentum (8) has obliterated the peritoneal surface which normally intervenes between these reflections and which forms one boundary on the epiploic foramen. In the label drawing, this scar is not indicated and, instead, the normal peritoneal relations are shown.

1. Left triangular ligament of liver
2. Caudate lobe
3. Fissure of ligamentum venosum
4. Left lobe of liver
5. Papillary process
6. Hepatic lymph node (sectioned in division of lesser omentum)
7. Omental tubercle
8. Left pointer: Hepatic artery (cut off) Right pointer: Portal vein (cut off)
9. Common bile duct (cut off)
10. Notch for ligamentum teres
11. Ligamentum teres
12. Quadrate lobe
13. Gallbladder
14. Left triangular ligament
15. Lesser omentum (continuous downward to porta hepatis within fissure of ligamentum venosum)
16. Hepatic veins (cut off at points of entry into inferior vena cava)
17. Bare area of liver
18. Right triangular ligament
19. Sulcus of vena cava
20. Upper pointer: Caudate process Lower pointer: Peritoneum cut at line of reflection onto vena cava)
21. Coronary ligament of liver
22. Hepatic vein (from right lobe, cut off at entry into vena cava)
23. Right lobe of liver