Abdomen, Pelvis and Perineum 2 Flashcards
(87 cards)
Why is the liver an intraperitoneal organ?
it is covered on all sides by visceral peritoneum
What are the functions of the liver?
- clears the blood of harmful substances e.g alcohol
- produces cholesterol
- converts glucose to glycogen to aid with its storage
How does the liver aid digestion?
- Produces bile
- Bile aids with the break down of dietary fats and also assists with carrying waste out of the liver
What is the arterial supply of the liver?
Right and left hepatic arteries
What is the innervation of the liver?
- sympathetic = coeliac plexus
- parasympathetic = vagus fibres
What are the four lobes of the liver?
Right, left, quadrate and caudate
How many functional segments does the liver have?
8
Where is the liver located?
The highest part of the right abdominal cavity, beneath the diaphragm (RUQ)
What are the attachments of the liver?
Ligaments made of peritoneum
Where does the falciform ligament run from?
From the highest part of the liver to the hepatic notch (anterior border)
What is the falciform ligament?
- two layers of peritoneum
- anchors surface of liver to the abdominal wall and diaphragm
- demarcates the left and right lobes
Label this diagram
- Left lobe
- Falciform ligament
- Right lobe
- Gall bladder
- Inferior margin
What are the other ligaments of the liver?
- left and right triangular ligament
- coronary ligament
- ligamentum teres
- round ligament
What is the hilum/porta hepatis of the liver?
the site at which the hepatic portal vein, proper hepatic artery and the common hepatic duct enter/leave the liver
What is Glisson’s capsule?
- dense connective tissue layer underneath the visceral peritoneum of the liver
- pain from here is very well localised
What happens when the Glisson’s capsule is stretched?
Sharp pain over the right upper quadrant
What are the two surfaces of the liver?
- diaphragmatic (anterior)
- visceral (posterior)
What is the bare area of the liver?
- area that is not covered in peritoneum
- between liver and diaphragm
- borders are anterior and posterior coronary ligaments and left and right triangular ligaments
What is the gallbladder?
Storage site for bile
What type of organ is the gallbladder?
Intraperitoneal
What are the relations of the gallbladder?
- fundus projects below lower margin of the liver in line with the 9th costal cartilage
- in contact with the transverse colon and descending duodenum posteriorly
What is the blood supply of the gallbladder?
- cystic artery (branch of the right hepatic artery)
- cystic vein (drains directly into the hepatic portal vein)
Where is a gallstone most likely to become lodged in the gallbladder
Neck due to its narrow diameter
How does billiary colic present?
sharp pain in the epigastric and/or right hypochondrium region