Liver: anatomy & functions
The Liver
• Largest gland in the body
(about 3 pounds)
• Over 500 functions
• Inferior to diaphragm in
RUQ and epigastric area
protected by ribs
• R and L lobes
– Plus 2 smaller lobes
• Falciform ligament
– Mesentery binding liver to
anterior abdominal wall
• 2 surfaces
– Diaphragmatic
– Visceral
• Covered by peritoneum
– Except “bare area” fused to
diaphragm 2
posterior
Fissure on visceral surface
Porta hepatis: major vessels and nerves anterior
enter and leave –
Ligamentum teres: remnant of
umbilical vein in fetus, attaches to navel
3
Fetal circulation
Ligamentum
Umbilical vein ___________ teres__________
Navel_______
4
5
Gross Anatomy
• The liver is divided) into four lobes:
the right (the largest lobe), left,
quadrate and caudate lobes.
• Supplied with blood via the protal
vein and hepatic artery.
• Blood carried away by the hepatic
vein.
• It is connected to the diaphragm
and abdomainal walls by five
ligaments.
• The liver is the only human organ that has
the remarkable property of self-
regeneration. If a part of the liver is
removed, the remaining parts can grow
back to its original size and shape.
Anatomy
GALLBLADDER ANATOMY
GALLBLADDER ANATOMY
• Thin-walled green
muscular sac
• On the inferior surface of
the liver
• Stores bile that is not
immediately needed for
digestion
• When the muscular wall of
LIVER
the gallbladder contracts
bile is expelled into the bile GALL
duct BLADDER
BILE
• BILE – bile salts, bile
pigments, cholesterol,
neutral fats, phospholipids
and electrolytes
• Liver produces 0.5-1 l of
bile daily
LIVER
•
GALL
BLADDER
Gallbladder*
• Bile is produced in the liver
• Bile is stored in the gallbladder
• Bile is excreted into the
duodenum when needed (fatty
meal)
• Bile helps dissolve fat and
cholesterol
• If bile salts crystallize, gall stones
are formed
– Intermittent pain: ball valve effect
causing intermittent obstruction
– Or infection and a lot of pain,
fever, vomiting, etc.
* 11
LIVER ANATOMY
• Liver lobules – hexagonal
structures consisting of
hepatocytes
• Hepatocytes radiate
outward from a central
vein
• At each of the six
corners of a lobule is a
portal triad
• Liver sinusoids
LIVER ANATOMY
• Hepatocytes produce bile
• Bile flows through canals
called bile canaliculi to a bile
duct
• Bile ducts leave the liver
via the common hepatic duct
LIVER ANATOMY
20 %
80 %
Functions
• Metabolic
Synthesis
Breakdown
Other functions – storage of vitamin A,D,B12,F…
• Excretion of waste products from bloodstream
into bile
• Vascular – storage of blood
Synthesis
• Protein metabolism
Synthesis of amino acids
• Carbohydrate metabolism
Gluconeogenesis
Glycogenolysis
Glycogenesis
• Lipid metabolism
Cholesterol synthesis
Lipogenesis
• Production of coagulation factors I, II, V, VII, IX, X
and XI, and protein C, protein S and antithrombin
• Main site of red blood cell production
Breakdown
• Breaks down insulin and other hormones
• Breaks down hemoglobin
• Breaks down or modifies toxic substances →
sometimes results in toxication
• Converts ammonia to urea
Other functions
• Produces albumin, the major osmolar
component of blood serum
• Synthesizes angiotensinogen, the hormone
responsible for raising blood pressure when
activated by renin (enzyme released when the
kidney senses low blood pressure)