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

Bare area of the liver
Vertical disposition of the peritoneum. Main cavity, red; omental bursa, blue (bare area of the liver labeled at right, second from the top)
The liver, as seen from behind. The bare area is visible on the upper-right, labeled as nonperitoneal surfaces
Details
Part of	Liver
Identifiers
Latin	area nuda hepatis
FMA	14480
Anatomical terminology [edit on Wikidata]

Structure

The bare area of the liver is found on the posterosuperior surface of the right lobe of the liver.^[1] This lies close to the thoracic diaphragm. It is the only part of the liver that has no peritoneal covering.^[1][2] It lies between the two layers of the coronary ligament, as well as the right triangular ligament.^[1] The coronary ligament represents reflections of the visceral peritoneum covering the liver onto the diaphragm.^[3]

The bare area of the liver is attached to the thoracic diaphragm by loose connective tissue.^[4] It touches the bottom surface of the diaphragm.^[2] It is also not covered in capsule.^[5]

Clinical significance

The bare area of the liver is clinically important because of the portacaval anastomosis. It is a site where infection can spread from the abdominal cavity to the thoracic cavity. It encloses the right extraperitoneal subphrenic space.

History

The bare area of the liver may also be known as the nonperitoneal area.^{[citation needed]}

References

This article incorporates text in the public domain from page 1150 of the 20th edition of Gray's Anatomy (1918)

1. Mahadevan, Vishy (2020-08-01). "Anatomy of the liver". Surgery (Oxford). 38 (8): 427–431. doi:10.1016/j.mpsur.2014.10.004. ISSN 0263-9319. S2CID 71059658.
2. Mitchell, Barry; Sharma, Ram (2009). "7 - The digestive system". Embryology (2nd ed.). Churchill Livingstone. pp. 41–48. doi:10.1016/B978-0-7020-3225-7.50010-5. ISBN 978-0-7020-3225-7.
3. Abdel-Misih, Sherif R. Z.; Bloomston, Mark (August 2010). "Liver Anatomy". The Surgical Clinics of North America. 90 (4): 643–653. doi:10.1016/j.suc.2010.04.017. ISSN 0039-6109. PMC 4038911. PMID 20637938.
4. Abdel-Misih, Sherif R. Z.; Bloomston, Mark (August 2010). "Liver Anatomy". Surgical Clinics of North America. 90 (4): 643–653. doi:10.1016/j.suc.2010.04.017. PMC 4038911. PMID 20637938.
5. Bolender, David L.; Kaplan, Stanley (2017). "3 - Basic Embryology". Fetal and Neonatal Physiology. Vol. 1 (5th ed.). Elsevier. pp. 23–39. doi:10.1016/B978-0-323-35214-7.00003-2. ISBN 978-0-323-35214-7.

Additional images

• 
  Bare area of the liver.Diaphragmatic surface of liver.

External links

• Anatomy photo:38:10-0201 at the SUNY Downstate Medical Center - "Stomach, Spleen and Liver: Ligaments of the Liver"
• liver at The Anatomy Lesson by Wesley Norman (Georgetown University)