WordNet

any connection or unifying bond
a sheet or band of tough fibrous tissue connecting bones or cartilages or supporting muscles or organs

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靱帯(じんたい)(骨と骨を結びつてけ関節の動きを調節する)

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/06/17 09:52:52」(JST)

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The falciform ligament is a ligament that attaches the liver to the anterior (ventral) body wall. It is a broad and thin antero-posterior peritoneal fold, falciform (Latin "sickle-shaped"), its base being directed downward and backward and its apex upward and backward. The falciform ligament droops down from the hilum of the liver.

Structure

It is situated in an antero-posterior plane but lies obliquely, so that one surface faces forward and is in contact with the peritoneum behind the right rectus and the diaphragm, while the other is directed backward and is in contact with the left lobe of the liver.

It is attached by its left margin to the under surface of the diaphragm and the posterior surface of the sheath of the right Rectus as low down as the umbilicus; by its right margin it extends from the notch on the anterior margin of the liver, as far back as the posterior surface.

It is composed of two layers of peritoneum closely united together.

Its base or free edge contains between its layers the round ligament and the paraumbilical veins.

Development

It is a remnant of the umbilical vein of the fetus and a derivative of the embryonic ventral mesentery.

Clinical significance

Becomes canalised if the individual is suffering from portal hypertension, due to the increase in venous congestion blood is pushed down from the liver towards the anterior abdominal wall and pools resulting in periumbilical bruising.

Additional images

The primitive mesentery of a six weeks’ human embryo, half schematic.
Horizontal disposition of the peritoneum in the upper part of the abdomen.
Diagram to show the lines along which the peritoneum leaves the wall of the abdomen to invest the viscera.
Falciform ligament.Superior surface of liver.

External links

Anatomy photo:37:04-0100 at the SUNY Downstate Medical Center - "Abdominal Cavity: The Falciform Ligament of the Liver"
Anatomy photo:38:12-0205 at the SUNY Downstate Medical Center - "The Visceral Surface of the Liver"
Anatomy image:8373 at the SUNY Downstate Medical Center
liver at The Anatomy Lesson by Wesley Norman (Georgetown University)
Cross section image: pembody/body8a - Plastination Laboratory at the Medical University of Vienna

References

This article incorporates text in the public domain from the 20th edition of Gray's Anatomy (1918)

UpToDate Contents

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1. 腹壁の解剖学 anatomy of the abdominal wall
2. 肝障害のマネージメントのための外科手技 surgical techniques for managing hepatic injury
3. 腹腔鏡下胆嚢摘出術 laparoscopic cholecystectomy
4. 総胆管損傷の修復 repair of common bile duct injuries
5. 成人における横隔膜損傷の認識およびマネージメント recognition and management of diaphragmatic injury in adults

English Journal

Falciform ligament abscess from left sided portal pyaemia following malignant obstructive cholangitis.

Warren LR, Chandrasegaram MD, Madigan DJ, Dolan PM, Neo EL, Worthley CS.AbstractABSTRACT: Abscess formation of the falciform ligament is incredibly rare and perplexing when encountered for the first time. It is reported to occur in the setting of cholecystitis and cholangitis, but the pathophysiology is poorly understood.In this case report, we present a 73-year-old man with falciform ligament abscess following cholangitis from an obstructive ampullary carcinoma. The patient was referred to the Royal Adelaide Hospital from a country hospital, with progressive jaundice, anorexia and nausea. Prior to transfer, he deteriorated with cholangitis, dehydration and renal failure. On arrival, his abdomen was exquisitely tender along the course of the falciform ligament. His blood tests revealed an elevated white cell count of 14.9 x 103/mul, bilirubin of 17 mg/dl and creatinine of 347 mumol/l. His CA 19-9 was markedly elevated at 35,000 kU/l. A non-contrast computed tomography (CT) demonstrated gross biliary dilatation and a fluid collection tracking along the path of the falciform ligament to the umbilicus.The patient was commenced on intravenous antibiotics and underwent an urgent endoscopic retrograde cholangiopancreatogram (ERCP) with sphincterotomy and biliary stent drainage. Cholangiogram revealed a grossly dilated biliary tree, with abrupt transition at the ampulla, which on biopsy confirmed an obstructing ampullary carcinoma. Following ERCP, his jaundice and abdominal tenderness resolved. He was optimized over 4 weeks for an elective pancreaticoduodenectomy.At operation, we found abscess transformation of the falciform ligament. Copious amounts of pus and necrotic material was drained. Part of the round ligament was resected along the undersurface of the liver. Histology showed that there was prominent histiocytic inflammation with granular acellular eosinophilic components. The patient recovered slowly but uneventfully.A contrast CT scan undertaken 2 weeks post-operatively (approximately 7 weeks after the initial CT) revealed left portal venous thrombosis, which was likely to be a delayed discovery and was managed conservatively.We present this patient's operative images and radiographic findings, which may explain the pathophysiology behind this rare complication. We hypothesize that cholangitis, with secondary portal pyaemia and tracking via the paraumbilical veins, can cause infectious seeding of the falciform ligament, with consequent abscess formation.
World journal of surgical oncology.World J Surg Oncol.2012 Dec 22;10(1):278. [Epub ahead of print]
ABSTRACT: Abscess formation of the falciform ligament is incredibly rare and perplexing when encountered for the first time. It is reported to occur in the setting of cholecystitis and cholangitis, but the pathophysiology is poorly understood.In this case report, we present a 73-year-old man with fa
PMID 23259725

Perivascular epithelioid cell tumour: Dynamic CT, MRI and clinicopathological characteristics-Analysis of 32 cases and review of the literature.

Tan Y, Zhang H, Xiao EH.SourceDepartment of MRI, First Clinical Medical College, Shanxi Medical University, Taiyuan, Shanxi Province, China.
Clinical radiology.Clin Radiol.2012 Dec 11. pii: S0009-9260(12)00552-1. doi: 10.1016/j.crad.2012.10.021. [Epub ahead of print]
AIM: To evaluate the dynamic computed tomography (CT), magnetic resonance imaging (MRI), and clinicopathological characteristics of perivascular epithelioid cell tumours (PEComas), thus improving the diagnosis of the tumour.MATERIALS AND METHODS: A retrospective analysis was undertaken of the dynami
PMID 23245276

Computed tomography hepatic arteriography has a hepatic falciform artery detection rate that is much higher than that of digital subtraction angiography and 99mTc-MAA SPECT/CT: Implications for planning 90Y radioembolization?

Burgmans MC, Too CW, Kao YH, Goh AS, Chow PK, Tan BS, Tay KH, Lo RH.SourceDepartment of Diagnostic Radiology, Singapore General Hospital, Outram Road, Singapore 169608, Singapore. Electronic address: mburgmans@hotmail.com.
European journal of radiology.Eur J Radiol.2012 Dec;81(12):3979-84. doi: 10.1016/j.ejrad.2012.08.007. Epub 2012 Sep 3.
PURPOSE: To compare the hepatic falciform artery (HFA) detection rates of digital subtraction angiography (DSA), computed tomography hepatic arteriography (CTHA) and 99mTc-macroaggregated albumin (99mTc-MAA) single photon emission computed tomography with integrated CT (SPECT/CT) and to correlate HF
PMID 22954411

Japanese Journal

腹腔鏡下幽門側胃切除術後に肝鎌状間膜内ヘルニアを来した1例

奥村公一,細木久裕,山浦忠能,吉村文博,金谷誠一郎
日本消化器外科学会雑誌 48(2), 172-177, 2015
　腹腔鏡下胃切除術Billroth-I法再建後には間膜内間隙は理論上生じず，内ヘルニアの報告はない．今回，我々は医原性に作られた肝鎌状間膜内小孔に内ヘルニアを生じた1例を経験したので文献的考察を加え報告する．症例は67歳男性で早期胃癌の診断にて腹腔鏡下幽門側胃切除術を施行した．ペンローズドレーンを用いた肝外側区の挙上目的で左三角間膜に小孔をあける際，鎌状間膜に挿入口を設けた．初回手術で鎌状間膜の閉 …
NAID 130004908163

臨床報告肝鎌状間膜裂孔ヘルニアの1手術例

小西健一郎,小林隆,塩入貞明 [他]
臨床外科 = Journal of clinical surgery 69(1), 117-120, 2014-01
NAID 40019925704

術後13年目の多発肝転移切除後12年無再発生存中の乳癌の1例

松田信介,永井盛太,小林基之,鈴木英明
日本臨床外科学会雑誌 75(6), 1506-1510, 2014
患者は59歳女性で，34歳時，左B領域の乳癌で乳房切除・腋窩リンパ節郭清を受けた．T1（1.0×0.8cm），N0，M0，病期I，充実腺管癌であった．乳癌術後13年，血中CEAが14ng/mlと上昇，CTで肝S4に大きさ3.5cmの多血性の腫瘤がみられた．乳癌肝転移の診断で肝左葉切除を施行した．摘出標本では5個の腫瘍がみられ，いずれも肝鎌状間膜の近傍に存在した（S4;2個，大きさ3.5cm，1.2 …
NAID 130004901224

Related Pictures

falciform ligament - Liberal Dictionary Ligaments of the Gastrointestinal Tract - Anatomy | Kenhub BONE AND MUSCLE ANATOMY ---MNEMONICS: LIVER ANATOMY---MNEMONICS Falciform Ligament - Location, Function, FAQs and Pictures Related image | Medical information, Medicine, Health care liver Gastrointestinal Ligaments - Gastrointestinal - Medbullets Step 1 abdomen - Biology 4930 with Dr. E at Georgia State University - StudyBlue

★リンクテーブル★

リンク元	「肝鎌状間膜」
関連記事	「falciform」

「肝鎌状間膜」

Falciform ligament
	The superior surface of the liver. ("Attachment of falciform ligament" is white band to the left.)
	1: Right lobe of liver; 2: Left lobe of liver; 3: Quadrate lobe of liver; 4: Round ligament of liver; 5: Falciform ligament; 6: Caudate lobe of liver; 7: Inferior vena cava; 8: Common bile duct; 9: Hepatic artery; 10: Portal vein; 11: Cystic duct; 12: Hepatic duct; 13: Gallbladder
Details
Latin	ligamentum falciforme hepatis
Identifiers
Gray's	p.1192
Dorlands; /Elsevier	l_09/12492233
TA	A10.1.02.303
FMA	15823
	Anatomical terminology

　　[★]

falciform
英: falciform ligament of liver (Z,KH), falciform ligament (KL)
ラ: ligamentum falciforme hepatis

図：N.245,267 L.261
肝臓の前上面と前腹壁・横隔面との間にある腹膜ヒダ(KL.370)
正中面上かつ前腹壁面の内面に付着している？(KH.104)

発生学的由来

腹側胃間膜の中に肝臓が発生し、前腹壁と肝臓の間に肝鎌状間膜ができ、肝臓と食道下部、胃、十二指腸上部の間に小網ができる (L.259)

Henry Gray (1825-1861). Anatomy of the Human Body. 1918.

「falciform」

　　[★]

adj.

鎌状の　→ falcate

関: sickle

匿名

検索

案内

案内

falciform ligament