This paper presents SRMA-Mamba, a novel Mamba-based network for early diagnosis and intervention of liver cirrhosis, which plays a crucial role in the prognosis of chronic liver disease. SRMA-Mamba leverages spatial anatomical details from MRI data to model spatial relationships within cirrhotic tissue. By incorporating the Spatial Anatomy-Based Mamba module (SABMamba), we combine sagittal, coronal, and axial anatomical information to construct a global spatial contextual representation, enabling efficient volumetric segmentation of pathological liver structures. Furthermore, we introduce the Spatial Backward Attention Module (SRMA), designed to progressively enhance cirrhotic details in the segmentation map by leveraging a coarse segmentation map and hierarchical encoding features. Experimental results demonstrate that SRMA-Mamba outperforms state-of-the-art methods in 3D pathological liver segmentation. The source code is publicly available.