11. Foregut 2 Flashcards
Name the lobes of the liver (4)
Left
Right
Caudate
Quadrate
What are the ligaments of the liver?
Falciform ligament
Triangular ligaments (R and L)
Coronary ligament
Ligamentum teres (string of tissue that hangs down from falciform ligament)
What is the function of the falciform ligament of the liver?
Holds the liver to the body wall
What is the ligamentum teres an embryological remnant of?
Umbilical vein
What makes up the porta hepatis?
Bile duct (most anterior) Hepatic artery Portal vein (most posterior)
NOT hepatic veins - these are within the liver itself
What ducts form the bile duct?
Right and left hepatic ducts form common bile duct
Which joins with cystic duct
Which important structure attaches to the porta hepatis?
Free edge of lesser omentum
What type of peritoneum covers the liver?
Visceral
**except the part of the liver attached to the diaphragm - it is bare here
What do the layers of falciform ligament of the liver form?
R –> coronary ligament
L –> left triangular ligament
Describe the blood supply of the liver.
30% - oxygenated blood from hepatic artery
70% - deoxygenated, nutrient rich blood from portal vein
Where does blood from the liver drain to?
Central veins –>
R and L hepatic veins (4 in total) –>
IVC
Where does lymph from the liver drain?
Nodes at porta hepatis
Then coeliac nodes
Where can pain from the liver refer to?
Epigastric region R shoulder (via diaphragm)
Where is bile secreted?
Liver
Where is bile stored?
Gall bladder
Where does the bile duct pierce the duodenum?
In second part of duodenum
via sphincter of Oddi (major duodenal papilla)
What makes up the ampulla of Vater? Aka the hepatopancreatic ampulla
Bile duct + main pancreatic duct