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The middle hepatic vein drains the central portion of the liver, draining segments IV, V, and VIII. The middle hepatic vein most often joins the left hepatic vein to form a short common trunk to drain jointly into the inferior vena cava; the middle hepatic vein drains into the inferior vena cava as a separate vessel in less than 10% of individuals.
The hepatic vein subsequently drains into the inferior vena cava. The hepatic artery provides 30 to 40% of the oxygen to the liver, while only accounting for 25% of the total liver blood flow. The rest comes from the partially deoxygenated blood from the portal vein. The liver consumes about 20% of the total body oxygen when at rest.
Mumoli's sign (also known as a "Playboy Rabbit" sign) is a radiologic sign seen in the normal liver. It appears as a rabbit-shaped image caused by the confluence of the middle and right hepatic veins as they merge with the inferior vena cava. It can be seen on ultrasound images of the liver with a transverse subcostal view during deep inspiration.
This enables the interventional radiologist to gain access to the patient's hepatic vein by traveling from the superior vena cava into the inferior vena cava and finally the hepatic vein. Once the catheter is in the hepatic vein, a wedge pressure is obtained to calculate the pressure gradient in the liver.
The inferior vena cava is a large vein that carries the deoxygenated blood from the lower and middle body into the right atrium of the heart. It is formed by the joining of the right and the left common iliac veins , usually at the level of the fifth lumbar vertebra .
The division divides the liver into two planes. It extends from the middle hepatic vein (or the inferior vena cava) to the middle of the gallbladder. [1] [2]Using Couinaud's classification system, segments two, three, and both parts of four are on the left side of the division, while segments five, six, seven, and eight are on the right.
Approximately 75% of total liver blood flow is through the portal vein, with the remainder coming from the hepatic artery proper. The blood leaves the liver to the heart in the hepatic veins . The portal vein is not a true vein , because it conducts blood to capillary beds in the liver and not directly to the heart.
The caudate lobe of the liver is bounded below by the porta hepatis, on the right by the fossa for the inferior vena cava, and on the left by the fossa for the ductus venosus and the physiological division of the liver, called the ligamentum venosum. It looks backward, being nearly vertical in position; it is longer from above downward than ...