LIVER
• Liver isa reddish brown , wedge shaped organ.
• Largest internal organ and gland of the body.
• Develops from the endoderm of the foregut during embryogenesis.
• The liver has a property to self regenerate .
• The liver is protected by the ribs.
4.
FUNCTIONS OF THELIVER
• Metabolism.
• Detoxification of drugs via cytochromes.
• Bile production.
• Storage of nutrients.
• Protein synthesis.
• Hormone production.
• Plasma protein synthesis
5.
• Coagulation ,production of clotting factors
• Protective functions , eg Kupffer cells.
• Decomposition of red blood cells.
• Maintaining core body temperature.
• PH balance and correction of lactic acidosis
• Urea formation.
6.
ANATOMY OF THELIVER
LOCATION AND EXTERNAL FEATURES
• Right hypochondriac extending into the epigastrium and left hypochondriac
regions.
• Divided into 2 major surfaces.
• Diaphragmatic surface , convex and in contact with diaphragm.
• Visceral surface , concave , facing the abdominal organs.
LOBES OF THELIVER
• Right lobe_ largest ,contains gallbladder fossa.
• Left lobe_ smaller than right lobe.
• Caudate lobe_ located posteriorly near the inferior vena cava.
• Quadrate lobe_ situated near the gallbladder and porta hepatis.
LIGAMENTS OF THELIVER
• Falciform ligament _divides the right and left lobes of the liver
• Connect the liver to the anterior abdominal wall.
• Round ligament _connect the liver to the umbilicus.
• Coronary ligament _Attaches the liver to the diaphragm.
• Triangular ligament which divides into left and right triangular ligaments.
11.
BLOOD SUPPLY ANDDRAINAGE
• Hepatic Artery {20%} :Oxygenated blood from celiac trunk via the common
hepatic artery.
• Portal vein { 80%} :Brings nutrient rich blood from the gastrointestinal tract.
• Hepatic veins {right , middle and left} drain into the IVC
12.
HISTOLOGY OF THELIVER
LIVER ARCHITECTURE
• Lobules _ functional units of the liver.
• Consists of hepatocytes
• Portal triad _they are Found at the corners of the lobules.
• Consist of:
A branch of the portal vein.
A branch of the hepatic artery
A bile duct
13.
SINUSOIDS
• Specialised capillarieslined by fenestrated endothelial cells.
• Allow plasma exchange between blood and hepatocytes.
• Central vein : Drain blood into the hepatic veins and eventually into inferior
vena cava.
14.
LIVER CELLS
• Hepatocytes: Main liver cells.
• Involved in metabolism ,protein synthesis and bile production.
• Kupffer cells : specialized macrophages found within sinusoids.
• Responsible for phagocytosing old red blood cells and phathogens.
15.
BLOOD FLOW ANDBILE FLOW
• Blood flow : from the portal vein and hepatic artery to sinusoids to central
vein to hepatic veins and finally to inferior vena cava.
• Bile flow : from the hepatocytes to bile canaliculi to bile ducts to common
hepatic duct and finally to gallbladder or duodenum.
16.
CLINICAL NOTES
COMMON LIVERDISEASES
• Hepatitis , inflammation of the liver due to viral infection.
• Liver cirrhosis ,chronic liver disease.
• Liver cancer , common in patients with cirrhosis
• Jaundice
• Liver failure.