Hepatogastric ligament
Citation, DOI, disclosures and article data
Citation:
Bonini L, Fahrenhorst-Jones T, Carpenter G, et al. Hepatogastric ligament. Reference article, Radiopaedia.org (Accessed on 09 Mar 2025) https://doi.org/10.53347/rID-26566
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rID:
26566
Article created:
28 Dec 2013,
Luigi Bonini
Disclosures:
At the time the article was created Luigi Bonini had no recorded disclosures.
View Luigi Bonini's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Travis Fahrenhorst-Jones had no recorded disclosures.
View Travis Fahrenhorst-Jones's current disclosures
Revisions:
7 times, by
5 contributors -
see full revision history and disclosures
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Synonyms:
- Gastrohepatic ligament
The hepatogastric (gastrohepatic) ligament is a peritoneal ligament that together with the hepatoduodenal ligament forms the lesser omentum. It derives from the embryonic ventral mesentery.
Gross anatomy
The hepatogastric ligament extends from the fissure of the ligamentum venosum and porta hepatis to the lesser curvature of the stomach.
It is formed by two layers of peritoneum separated by a variable amount of connective tissue, principally fat.
Contents
- left gastric artery
- right gastric artery
- left gastric (coronary) vein
- right gastric vein
- part of the hepatic lymph node chain4
Clinical importance
The gastrohepatic ligament acts as an important route of gastric neoplasm spread to the hilum of the liver with gastric perforation in addition also possibly extending within the fold 4.
References
- 1. Beauchamp RD, Evers BM et-al. Sabiston Textbook of Surgery. Saunders. ISBN:1437715605. Read it at Google Books - Find it at Amazon
- 2. Desai G, Filly RA. Sonographic anatomy of the gastrohepatic ligament. J Ultrasound Med. 2010;29 (1): 87-93. Pubmed citation
- 3. Tirkes T, Sandrasegaran K, Patel AA et-al. Peritoneal and retroperitoneal anatomy and its relevance for cross-sectional imaging. Radiographics. 2012;32 (2): 437-51. doi:10.1148/rg.322115032 - Pubmed citation
- 4. Mellnick VM, Balfe DM, Peterson CM. Anatomy and Imaging of the Peritoneum and Retroperitoneum. 2014. In: Richard M. Gore, Marc S. Levine. Textbook of Gastrointestinal Radiology. (2021) ISBN: 9780323640824
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Cases:
- Infiltrative hepatocellular carcinoma
- Bartonellosis with splenic infarcts
- Neuroendocrine carcinoma of gallbladder - metastatic
- Pancreatic neuroendocrine tumor
- Perforated gastric ulcer
- Metastatic gastric adenocarcinoma
- Gastric cancer extending into gastro-oesophageal junction
- Gastric antrum adenocarcinoma
- Infectious mononucleosis
- Gastroesophageal junction adenocarcinoma with liver metastases
- Ulcerated gastrointestinal stromal tumor of the stomach
- Gastrohepatic ligament appendagitis
- Pancreatic adenocarcinoma (unresectable)
- Silicosis with progressive massive fibrosis
- Richter transformation: chronic lymphocytic leukaemia to diffuse large B-cell lymphoma
- Gastrohepatic ligament lymph node enlargement
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