Which ligaments are associated with the liver?

• A. Ligamentum venosum, ligamentum teres, falciform ligament, main lobar fissure
• B. Ligamentum venosum, ligamentum teres, falciform ligament
• C. Ligamentum venosum, falciform ligament, main lobar fissure
• D. Ligamentum teres, falciform ligament, main lobar fissure, coronary ligament

Answer: (A)

The liver is held in place by peritoneal folds and surface landmarks that define its attachments. The three classic ligaments are the falciform ligament, which connects the liver to the anterior abdominal wall and diaphragm; within it runs the ligamentum teres hepatis, a remnant of the fetal umbilical vein; and the ligamentum venosum, a fibrous band on the visceral surface marking the former ductus venosus along the boundary between the left lobe and the caudate lobe. The main lobar fissure is a major surface groove that helps distinguish the lobes and lies in relation to these structures, so it’s commonly listed together as an associated hepatic feature. Among the options, this combination includes the essential ligaments and the key surface landmark, making it the most complete match. The other choices either omit one of the core ligaments or substitute a different peritoneal reflection (such as the coronary ligament) without capturing all of the main hepatic attachments.