# Beyond embryological remnants: imaging of ligamentum teres hepatis and falciform ligament pathologies

**Authors:** Sevtap Arslan, Ali Devrim Karaosmanoglu, Deniz Akata, Mustafa Nasuh Ozmen, Muşturay Karcaaltincaba

PMC · DOI: 10.1186/s13244-025-02116-0 · 2025-10-25

## TL;DR

This paper reviews the anatomy and pathologies of the falciform ligament and ligamentum teres hepatis, emphasizing the importance of imaging for accurate diagnosis and avoiding misinterpretation.

## Contribution

The paper provides a comprehensive review of imaging characteristics and pathologies of the falciform ligament and ligamentum teres hepatis, highlighting their clinical significance.

## Key findings

- The falciform ligament and ligamentum teres hepatis are susceptible to various pathologies due to their anatomical relationships.
- Cross-sectional imaging is essential for diagnosing these pathologies and differentiating them from pseudolesions.
- Accurate recognition of these structures on imaging helps avoid unnecessary interventions and improves surgical planning.

## Abstract

The falciform ligament and the ligamentum teres hepatis (LTH) have historically been regarded as embryological remnants with minimal clinical significance. However, their complex anatomical relationships with the liver, diaphragm, retroperitoneum, and abdominal and thoracic walls make them susceptible to various pathological conditions. This review highlights the anatomy of the falciform ligament and the LTH, their significance in surgical procedures, and pathologies of these structures on cross-sectional imaging. We will discuss the normal anatomy, congenital variations, inflammatory and infectious processes, neoplastic conditions, and vascular anomalies affecting these structures. Recognition of the imaging characteristics of the falciform ligament and the LTH pathologies is crucial for accurate diagnosis and management.

Recognition of the falciform ligament and the ligamentum teres hepatis pathologies is critical for accurate diagnosis, surgical planning, and avoiding misinterpretation of pseudolesions. Cross-sectional imaging helps identify pathologies of these structures, guide management, and avoid unnecessary interventions.

The falciform ligament and the ligamentum teres hepatis have critical anatomical relationships that make them susceptible to various pathologies.Cross-sectional imaging is essential for the diagnosis of pathologies affecting these structures.Pseudolesions associated with these structures can mimic true liver pathology on CT and MRI.

The falciform ligament and the ligamentum teres hepatis have critical anatomical relationships that make them susceptible to various pathologies.

Cross-sectional imaging is essential for the diagnosis of pathologies affecting these structures.

Pseudolesions associated with these structures can mimic true liver pathology on CT and MRI.

## Full-text entities

- **Diseases:** vascular anomalies (MESH:D020785), inflammatory (MESH:D007249)

## Figures

13 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12553636/full.md

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Source: https://tomesphere.com/paper/PMC12553636