Ligamentum venosum

Systemic & remnants · detail · Was: ductus venosus

Fibrous remnant of the ductus venosus lying in a fissure on the posterior surface of the liver between the caudate lobe and the left lobe, running from the left portal vein toward the IVC.

Traced from the start

  1. Placenta
  2. Umbilical vein
  3. Ductus venosus
  4. Ligamentum venosum

Detail

Origin
Ductus venosus, functionally closed within 1-2 weeks and fibrosed by ~2-3 months
Relations
The lesser omentum attaches along its fissure; the caudate lobe lies to its right and behind it
Continuity
Joins the ligamentum teres at the left end of the porta hepatis

When it goes wrong

Ductus venosus that fails to close (congenital portosystemic shunt)

Portal blood bypasses the liver: hyperammonaemia and encephalopathy, a false-positive galactosaemia on newborn screening, hepatopulmonary syndrome and liver nodules

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