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The liver is divided into four lobes. This image shows the large right lobe and a smaller left lobe separated by the falciform ligament. 1: Right lobe of liver. 2: Left lobe of liver. 3: Quadrate lobe of liver. 4: Round ligament of liver. 5: Falciform ligament. 6: Caudate lobe of liver. 7: Inferior vena cava.
A liver segment is one of eight segments of the liver as described in the widely used Couinaud classification (named after Claude Couinaud) in the anatomy of the liver.This system divides the lobes of the liver into eight segments based on a transverse plane through the bifurcation of the main portal vein, [1] arranged in a clockwise manner starting from the caudate lobe.
This can be measured together with the ventro-dorsal dimension (or depth), which is normally up to 13 cm. [2] Also, the caudate lobe is enlarged in many diseases. In the axial plane, the caudate lobe should normally have a cross-section of less than 0.55 of the rest of the liver. [2]
The liver is grossly divided into two parts when viewed from above – a right and a left lobe – and four parts when viewed from below (left, right, caudate, and quadrate lobes). [16] The falciform ligament makes a superficial division of the liver into a left and right lobe. From below, the two additional lobes are located between the right ...
Other suggestive findings are an enlarged caudate lobe, liver surface nodularity [63] widening of the fissures and enlargement of the spleen. [64] An enlarged spleen , which normally measures less than 11–12 cm (4.3–4.7 in) in adults, may suggest underlying portal hypertension . [ 65 ]
Liver cell death and severe lactic acidosis may be present as well. Caudate lobe enlargement is often present. The majority of patients have a slower-onset form of Budd–Chiari syndrome. This can be painless. A system of venous collaterals may form around the occlusion which may be seen on imaging as a "spider's web".
Lobules of liver. The structure of the liver’s functional units or lobules. Blood enters the lobules through branches of the portal vein and hepatic artery proper, then flows through sinusoids. In histology (microscopic anatomy), the lobules of liver, or hepatic lobules, are small divisions of the liver defined at the microscopic scale.
The right hepatic vein is the longest and largest of all the hepatic veins. It drains the liver segments VI and VII in their entirety, and variably participates in the drainage of segments V and VIII; the extent of drainage of the latter two segments by the right hepatic veins as opposed to the middle hepatic vein and possible variant accessory veins determines the calibre of the right hepatic ...
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