Falciform ligament

Ligamentum falciforme hepatis

DigestiveOrgansAbdomen

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What it is
Sickle-shaped double fold of peritoneum attaching the front of the liver to the diaphragm and anterior abdominal wall. Its free lower edge carries the ligamentum teres (round ligament), the fibrous remnant of the fetal umbilical vein, down to the umbilicus.
Function
Anchors the liver to the abdominal wall and marks the boundary between the anatomical right and left lobes.
Size
A thin sheet a few millimetres thick running from the diaphragm to the umbilicus.
Clinical note
In portal hypertension, small paraumbilical veins alongside it enlarge and radiate from the umbilicus as "caput medusae".