PBL___2018

1. Liver anatomy
By -Group 10
Devlop Shrestha
Gaurav Thakuri
Kala Shrestha
Martina Gautam
Niraj Joshi
Oshan Shrestha
Pradeepta Adhikari
Roshan Chhetri
Sajal K.C
Subarna Neupane
Facilitator- Maj Dr. Suman Gurung

2. Liver
• Largest gland
• Weight: 1.6 kg in males, 1.3
kg in females
• Found in upper abdominal
cavity
• Shape: Wedge shaped

3. • Extents:
-From right upper quadrant to
left upper quadrant of the abdomen
• Location:
-Right hypochondrium
-Epigastric
-Left hypochondrium

4. Lobes
• Right (larger) and Left lobe (smaller)
a. By falciform ligament (anteriorly and
superiorly)
b. By fissure of ligamentum teres (inferiorly)
c. By fissure of ligamentum venosum (posteriorly)
• Posterior surface consists of caudate and quadrate lobes
• Right lobe forms 5/6th of liver

5. Lobes
Ligamentum teres

6. Posterior view

7. Inferior view

8. Surfaces
• Anterior
• Posterior
• Superior
• Inferior
• Right
A: Superior view; B:Posterior view; C: Anterior view; D: Inferior view

9. Peritoneal relations
Most of the part of liver
-Covered by peritoneum
Except
Triangular bare area
Groove for inferior venacava
Fossa for gallbladder
Area for attachment of lesser omentum
Fissure for attachment of ligamentum venosum

10. Posterior view

11. Visceral relation
Anterior surface
-Xiphoid process
-Diaphragm on each
side

12. Posterior surface
• Bare area- related to diaphragm
• Groove for inferior venacava
• Caudate lobe
• Fissure for ligamentum venosum
• Posterior surface of left lobe

13. Superior surface
• Quadrilateral
• Concavity at middle
- cardiac impression
• On each side of impression
- convex surface
- dome of diaphragm

14. Inferior surface
 Gastric impression
-concavity
 Fissure for ligamentum
teres
 Quadrate lobe
 Fossa for gall bladder
 Colic impression

15. Right surface
• Quadrilateral and convex
• Related to Diaphragm
-opposite the 7th to 11th ribs
• Upper 1/3rd surface
-related to diaphragm, pleura and lung

16. • Middle 1/3rd surface
-related to diaphragm and costodiaphragmatic recess
of pleura
• Lower 1/3rd surface
-related to diaphragm alone

17. Bibliography
 B.D chaurasia
 Gray’s anatomy

18. Any questions?

19. Thank you