Impression from the Inferior Hepatic Border

The inferior border of the liver often appears as a short indentation in the angulus region (Figs. 2.562.58). It is difficult to appreciate the topography in this region due to the looped position of the endoscope in the antrum. The topography is shown in Figure 2.59.

Fig. 2.56 Impression from the liver. Typical appearance of the anterior stomach wall in the angulus region. The impression from the liver is visible between the 7- and 9-o'clock positions (*)

b Transverse scan

Fig. 2.58 Ultrasound views of the hepatic border. The sharp-angled hepatic border creates a distinct impression in the stomach wall (arrow) a Longitudinal scan b Transverse scan

Fig. 2.57 Relation of the stomach and liver. Conventional anatomical view

Fig. 2.59 Topography in the endoscopic image. The endoscope is angled upward in the antrum to view the angulus from below. The liver forms a visible impression in the anterior stomach wall on the left side of the image l = liver d = duodenum

Fig. 2.58 Ultrasound views of the hepatic border. The sharp-angled hepatic border creates a distinct impression in the stomach wall (arrow) a Longitudinal scan

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