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Bare Area Of The Liver
The bare area of the liver (nonperitoneal area) is a large triangular area on the diaphragmatic surface of the liver. It is the only part of the liver with no peritoneal covering, although it is still covered by Glisson’s capsule. It is attached directly to the diaphragm by loose connective tissue. The bare area of the liver is relevant to the portacaval anastomosis, encloses the right extraperitoneal subphrenic space, and can be a site of spread of infection from the abdominal cavity to the thoracic cavity Structure The bare area of the liver is found on the posterosuperior surface of the right lobe of the liver. This lies close to the thoracic diaphragm. It is the only part of the liver that has no peritoneal covering. It lies between the two layers of the coronary ligament, as well as the right triangular ligament. The coronary ligament represents reflections of the visceral peritoneum covering the liver onto the diaphragm. The bare area of the liver is attached to t ...
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Peritoneum
The peritoneum is the serous membrane forming the lining of the abdominal cavity or coelom in amniotes and some invertebrates, such as annelids. It covers most of the intra-abdominal (or coelomic) organs, and is composed of a layer of mesothelium supported by a thin layer of connective tissue. This peritoneal lining of the cavity supports many of the abdominal organs and serves as a conduit for their blood vessels, lymphatic vessels, and nerves. The abdominal cavity (the space bounded by the vertebrae, abdominal muscles, diaphragm, and pelvic floor) is different from the intraperitoneal space (located within the abdominal cavity but wrapped in peritoneum). The structures within the intraperitoneal space are called "intraperitoneal" (e.g., the stomach and intestines), the structures in the abdominal cavity that are located behind the intraperitoneal space are called " retroperitoneal" (e.g., the kidneys), and those structures below the intraperitoneal space are called "subpe ...
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Abdominal Cavity
The abdominal cavity is a large body cavity in humans and many other animals that contains many organs. It is a part of the abdominopelvic cavity. It is located below the thoracic cavity, and above the pelvic cavity. Its dome-shaped roof is the thoracic diaphragm, a thin sheet of muscle under the lungs, and its floor is the pelvic inlet, opening into the pelvis. Structure Organs Organs of the abdominal cavity include the stomach, liver, gallbladder, spleen, pancreas, small intestine, kidneys, large intestine, and adrenal glands. Peritoneum The abdominal cavity is lined with a protective membrane termed the peritoneum. The inside wall is covered by the parietal peritoneum. The kidneys are located behind the peritoneum, in the retroperitoneum, outside the abdominal cavity. The viscera are also covered by visceral peritoneum. Between the visceral and parietal peritoneum is the peritoneal cavity, which is a potential space. It contains a serous fluid called peritoneal fluid t ...
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Coronary Ligament
The coronary ligament of the liver refers to parts of the peritoneal reflections that hold the liver to the inferior surface of the diaphragm. Structure The convex ''diaphragmatic surface'' of the liver (anterior, superior and a little posterior) is connected to the concavity of the inferior surface of the diaphragm by reflections of peritoneum. The coronary ligament is the largest of these, having an anterior (frontal) and posterior (back) layers. The diaphragmatic surface of the liver that is in direct contact with the diaphragm (just beyond the peritoneal reflections) has no peritoneal covering, and is termed the bare area of the liver. The anterior layer of the coronary ligament is formed by the reflection of the peritoneum from the upper margin of the bare area of the liver to the under surface of the diaphragm. The posterior layer of the coronary ligament is reflected from the lower margin of the bare area and is continuous with the right layer of the lesser omentum. The ...
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Right Triangular Ligament
The right triangular ligament is situated at the right extremity of the bare area, and is a small fold which passes to the diaphragm, being formed by the apposition of the upper and lower layers of the coronary ligament. Additional images File:Gray1040.png, Diagram to show the lines along which the peritoneum leaves the wall of the abdomen to invest the viscera. References External links * () Ligaments of the torso Liver anatomy {{ligament-stub ...
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Churchill Livingstone
Churchill Livingstone is an academic publisher. It was formed in 1971 from the merger of Longman's medical list, E & S Livingstone (Edinburgh, Scotland) and J & A Churchill (London, England) and was owned by Pearson. Harcourt acquired Churchill Livingstone in 1997. It is now integrated as an imprint in Elsevier's health science division after Elsevier acquired Harcourt in 2001. In the past it published a number of classic medical texts, including Sir William Osler's textbook '' The Principles and Practice of Medicine, Gray's Anatomy,'' and ''Myles In Greek mythology, Myles (; Ancient Greek: Μύλης means 'mill-man') was an ancient king of Laconia. He was the son of the King Lelex and possibly the naiad Queen Cleocharia, and brother of Polycaon. Myles was the father of Eurotas who be ...' Textbook for Midwives.'' In the 1980s, in addition to new texts in all areas of clinical medicine, it published an extensive list of medical and nursing textbooks in low-cost edition ...
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Peritoneum
The peritoneum is the serous membrane forming the lining of the abdominal cavity or coelom in amniotes and some invertebrates, such as annelids. It covers most of the intra-abdominal (or coelomic) organs, and is composed of a layer of mesothelium supported by a thin layer of connective tissue. This peritoneal lining of the cavity supports many of the abdominal organs and serves as a conduit for their blood vessels, lymphatic vessels, and nerves. The abdominal cavity (the space bounded by the vertebrae, abdominal muscles, diaphragm, and pelvic floor) is different from the intraperitoneal space (located within the abdominal cavity but wrapped in peritoneum). The structures within the intraperitoneal space are called "intraperitoneal" (e.g., the stomach and intestines), the structures in the abdominal cavity that are located behind the intraperitoneal space are called " retroperitoneal" (e.g., the kidneys), and those structures below the intraperitoneal space are called "subpe ...
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Lobes Of Liver
In human anatomy, the liver is divided grossly into four parts or lobes: the right lobe, the left lobe, the caudate lobe, and the quadrate lobe. Seen from the front – the diaphragmatic surface - the liver is divided into two lobes: the right lobe and the left lobe. Viewed from the underside – the visceral surface, the other two smaller lobes the caudate lobe, and the quadrate lobe are also visible. The two smaller lobes, the caudate lobe and the quadrate lobe, are known as superficial or accessory lobes, and both are located on the underside of the right lobe. The falciform ligament, visible on the front of the liver, makes a superficial division of the right and left lobes of the liver. From the underside, the two additional lobes are located on the right lobe. A line can be imagined running from the left of the vena cava and all the way forward to divide the liver and gallbladder into two halves. This line is called Cantlie's line and is used to mark the division between ...
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Thoracic Cavity
The thoracic cavity (or chest cavity) is the chamber of the body of vertebrates that is protected by the thoracic wall (rib cage and associated skin, muscle, and fascia). The central compartment of the thoracic cavity is the mediastinum. There are two openings of the thoracic cavity, a superior thoracic aperture known as the thoracic inlet and a lower inferior thoracic aperture known as the thoracic outlet. The thoracic cavity includes the tendons as well as the cardiovascular system which could be damaged from injury to the back, spine or the neck. Structure Structures within the thoracic cavity include: * structures of the cardiovascular system, including the heart and great vessels, which include the thoracic aorta, the pulmonary artery and all its branches, the superior and inferior vena cava, the pulmonary veins, and the azygos vein * structures of the respiratory system, including the diaphragm, trachea, bronchi and lungs * structures of the digestive system, includ ...
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Portacaval Anastomosis
A portocaval anastomosis or porto-systemic anastomosis is a specific type of anastomosis that occurs between the veins of the portal circulation and those of the systemic circulation. When there is a blockage of the portal system, portocaval anastomosis enables the blood to still reach the systemic venous circulation. The inferior end of the esophagus and the superior part of the rectum are potential sites of a harmful portocaval anastomosis. In portal hypertension, as in the case of cirrhosis of the liver, the anastomoses become congested and form venous dilatations. Such dilatation can lead to esophageal varices and anorectal varices. Caput medusae can also result.'' Gray's Anatomy for Students'' Gray H, Drake R, Vogl W, Mitchell A, Tibbitts R, Richardson P. Philadelphia: Elsevier/Churchill Livingstone; 2010. p. 226 __TOC__ Presentation Clinical presentations of portal hypertension include: A dilated inferior mesenteric vein may or may not be related to portal hypertension. O ...
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Omental Bursa
The lesser sac, also known as the omental bursa, is a part of the peritoneal cavity that is formed by the lesser and greater omentum. Usually found in mammals, it is connected with the greater sac via the omental foramen or ''Foramen of Winslow''. In mammals, it is common for the lesser sac to contain considerable amounts of fat. Anatomic margins ;Anterior margin: listed from the top-to-bottom margin: Quadrate lobe of the liver, lesser omentum, stomach, gastrocolic ligament ;Lateral margin: listed from the most anterior to the most posterior margin: Gastrosplenic ligament, spleen, phrenicosplenic ligament ;Posterior margin: Left kidney and adrenal gland, pancreas ;Inferior margin: Greater omentum ;Superior margin: Liver If any of the marginal structures rupture their contents could leak into the lesser sac. If the stomach were to rupture on its anterior side though the leak would collect in the greater sac. The lesser sac is formed during embryogenesis from an infolding ...
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Loose Connective Tissue
Loose connective tissue, sometimes called areolar tissue, is a cellular connective tissue with thin and relatively sparse collagen fibers. Its ground substance occupies more volume than the fibers do. It has a viscous to gel-like consistency and plays an important role in the diffusion of oxygen and nutrients from the capillaries that course through this connective tissue as well as in the diffusion of carbon dioxide and metabolic wastes back to the vessels. Moreover, loose connective tissue is primarily located beneath the epithelia that cover the body surfaces and line the internal surfaces of the body. It is also associated with the epithelium of glands and surrounds the smallest blood vessels. This tissue is thus the initial site where pathogenic agents, such as bacteria that have breached an epithelial surface, are challenged and destroyed by cells of the immune system. In the past, the designations areolar tissue, adipose tissue, and reticular tissue have been list ...
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Glisson’s Capsule
The liver is a major organ only found in vertebrates which performs many essential biological functions such as detoxification of the organism, and the synthesis of proteins and biochemicals necessary for digestion and growth. In humans, it is located in the right upper quadrant of the abdomen, below the diaphragm. Its other roles in metabolism include the regulation of glycogen storage, decomposition of red blood cells, and the production of hormones. The liver is an accessory digestive organ that produces bile, an alkaline fluid containing cholesterol and bile acids, which helps the breakdown of fat. The gallbladder, a small pouch that sits just under the liver, stores bile produced by the liver which is later moved to the small intestine to complete digestion. The liver's highly specialized tissue, consisting mostly of hepatocytes, regulates a wide variety of high-volume biochemical reactions, including the synthesis and breakdown of small and complex molecules, many o ...
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