Hepatovenous segment IV at a glance
- What it is
- Couinaud segment IV is the left medial section of the liver, also called the quadrate lobe in its inferior part.
- Location
- It lies between the falciform ligament on the left and the middle hepatic vein (Cantlie line) on the right, and is divided into IVa (superior) and IVb (inferior).
- Function
- Each Couinaud segment is a functionally independent unit of liver with its own portal triad (portal vein branch, hepatic artery branch, bile duct) and hepatic venous drainage, so it can be resected separately.
- Body system
- Digestive · single, midline structure
- FMA ID
- FMA15742 (Foundational Model of Anatomy)
Key facts
- The anatomical quadrate lobe corresponds to segment IVb, between the gallbladder fossa and the fissure for the ligamentum teres.
- Segment IV is supplied by the left portal vein and left hepatic artery, so it belongs to the functional left liver.
- Segment IV is part of the anatomical right lobe.
Clinical relevance
Segmental anatomy guides surgical planning for liver resections and localisation of lesions on imaging.
Structures next to the hepatovenous segment iv
The nearest named structures in the 3D model, measured from the centre of each part:
- Portal vein · cardiovascular
- Hepatovenous segment III · digestive
- Middle hepatic vein · cardiovascular
- Gastric artery · cardiovascular
- Gastric vein · cardiovascular
- Hepatic artery proper · cardiovascular
- Hepatic vein · cardiovascular
- Stomach · digestive
- Caudate lobe of liver · digestive
- Superior epigastric artery · cardiovascular
References
- Foundational Model of Anatomy: Hepatovenous segment IV (FMA15742). EMBL-EBI Ontology Lookup Service.
- OpenStax. Anatomy and Physiology 2e, §23.1 Overview of the Digestive System. Rice University, 2022.
- Mitsuhashi N. et al. (2009). BodyParts3D: 3D structure database for anatomical concepts. Nucleic Acids Research 37, D782–D785. Data © The Database Center for Life Science, CC BY 4.0.
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