Although the liver is a fairly solid organ, it is plastic, and moulds
itself to even hollow neighbouring viscera rather than they to it. The
superior surface is in contact with the diaphragm, but has peritoneum
between (see COELOM AND SEROUS MEMBRANES). At its posterior margin the
peritoneum of the great sac is reflected on to the diaphragm to form the
anterior layer of the _coronary ligament_. Near the mid line of the
body, and at right angles to the last, another reflection, the
_falciform ligament_, runs forward, and the line of attachment of this
indicates the junction of the _right_ and _left lobes_ of the liver. The
anterior surface is in contact with the diaphragm and the anterior
abdominal wall. The attachment of the falciform ligament is continued
down it. The posterior surface is more complicated (see fig. 1);
starting from the right and working toward the left, a large triangular
area, uncovered by peritoneum and in direct contact with the diaphragm,
is seen. This is bounded on the left by the inferior vena cava, which is
sunk into a deep groove in the liver, and into the upper part of this
the _hepatic veins_ open. Just to the right of this and at the lower
part of the bare area is a triangular depression for the right
suprarenal body. To the left of the vena cava is the _Spigelian lobe_,
which lies in front of the bodies of the tenth and eleventh thoracic
vertebrae, the lesser sac of peritoneum, diaphragm and thoracic aorta
intervening. To the left of this is the fissure for the _ductus
venosus_, and to the left of this again, the left lobe, in which a broad
shallow groove for the oesophagus may usually be seen. Sometimes the
left lobe stretches as far as the left abdominal wall, but more often it
ends below the apex of the heart, which is 3½ in. to the left of the mid
line of the body. The relations of the lower surface can only be
understood if it is realized that it looks backward and to the left as
well as downward (see fig. 1). Again starting from the right side, two
impressions are seen; the anterior one is for the hepatic flexure of the
colon, and the posterior for the upper part of the right kidney. To the
left of the colic impression is a smaller one for the second part of the
duodenum. Next comes the _gall bladder_, a pear-shaped bag, the fundus
of which is in front and below, the neck behind and above. From the neck
passes the _cystic duct_, which is often twisted into the form of an S.
To the left of the gall bladder is the _quadrate lobe_, which is in
contact with the pylorus of the stomach. To the left of this is the
_left lobe_ of the liver, separated from the quadrate lobe by the
umbilical fissure in which lies the _round ligament_ of the liver, the
remains of the umbilical vein of the foetus. Sometimes this fissure is
partly turned into a tunnel by a bridge of liver substance known as the
_pons hepatis_. The under surface of the left lobe is concave for the
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