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130

Digestive system

 

 

 

 

 

 

Visceral surface. Facies visceralis. Posteroinfe-

19

Anterior segment of liver. Segmentum an-

1

 

1

 

 

 

rior, partially concave surface of liver facing the

 

terius. C D

 

2

 

 

 

viscera.

20

Posterior segment of liver. Segmentum post-

 

 

 

Fossa of gallbladder. Fossa vesicae biliaris.

 

2

 

erius. C D

 

 

 

 

 

Fossa on the visceral surface of the liver that

21 Left lobe of liver. Lobus hepatis sinister. Its right

 

 

 

 

lodges the gallbladder. A

3

 

 

 

 

border corresponds to a line connecting the in-

 

3

Fissure for round ligament. Fissura ligamenti

 

 

 

 

ferior vena cava and fundus of gallbladder. A B C

4

 

 

 

teretis. Fissure on the visceral surface of the liver

22

Medial segment. Segmentum mediale. C D

 

 

 

that lodges the ligamentum teres hepatis. A

 

 

 

23

Quadrate part. Pars quadrata. Part belonging

 

 

4

Round ligament of liver. Lig. teres hepatis. The

 

 

 

to the quadrate lobe. D

5

 

 

 

 

connective tissue remains of the umbilical vein.

 

 

 

 

24

Lateral segment. Segmentum laterale. C D

 

 

 

 

B

 

 

 

 

25 Quadrate lobe. Lobus quadratus. Liver lobe sit-

6

5

Ligamentum venosum. [[Arantii]]. Venous liga-

 

uated between the gallbladder, round ligament

 

 

 

ment of liver, the fibrous remains of the ductus

 

 

 

 

 

venosus. B

 

and hilum. A B

7

 

 

 

 

 

 

 

26

Caudate lobe. Lobus caudatus. Liver lobe sit-

6

Hilum of liver. Porta hepatis. Fissure between

 

 

uated between the inferior vena cava, hilum and

 

 

 

 

the caudate and quadrate lobes in which run the

 

8

 

 

 

hepatic artery proper, portal vein and hepatic

 

ligamentum venosum. A B

 

 

 

27

Papillary process. Processus papillaris. Portion

 

 

 

 

duct. A B

 

7

Tuber omentale. Bulge on the visceral surface

 

of caudate lobe projecting caudally. A B

9

 

28

Caudate

process. Processus caudatus.

 

 

 

of the left lobe to the left of the ligamentum ve-

 

 

 

 

 

 

 

 

nosum. A B

 

Parenchymal connection between the caudate

10

 

 

 

 

8

Esophageal impression. Impressio oe-

 

and right lobes cranial to the hilum. A B

 

 

 

 

sophagea. Groove on the left lobe where the

29

Tunica serosa. Peritoneal covering containing

11

 

 

 

liver is indented by the esophagus. A

 

simple squamous epithelium.

 

9

Gastric impression. Impressio gastrica. Im-

30

Tela subserosa. Connective tissue layer beneath

 

12

 

 

 

pression caused by contact of the stomach with

 

the serosa.

 

 

 

 

the visceral surface of the left lobe of the liver. A

31

Tunica fibrosa. Immobile connective tissue

 

 

 

 

 

10

Duodenal impression. Impressio duodenalis.

 

capsule of liver; thick, especially in the bare area

13

 

 

 

 

Impression caused by contact of the duodenum

 

not covered by peritoneum.

 

 

 

 

with the right side of the visceral surface of the

32 Ligament of vena cava. [[Lig. venae cavae]].

 

 

 

 

liver next to the neck of the gallbladder. A B

14

 

 

 

 

Connective tissue bridging over the inferior

 

 

 

 

 

 

11

Colic impression. Impressio colica. Impression

 

vena cava.

 

 

 

 

 

 

 

 

caused by contact of the colon with the visceral

 

 

 

15surface of the right lobe of liver to the right of the gallbladder. A

1612 Renal impression. Impressio renalis. Impression caused by contact of the right kidney with the visceral surface of the right lobe. It overlaps

17the bare area. A

18

13

Suprarenal

impression. Impressio

su-

 

prarenalis. Impression caused by contact of the

 

 

right suprarenal gland with the bare area on the

19

 

right side near the inferior vena cava. A

 

 

14

[Appendix fibrosa hepatis]. Connective

tissue

 

20

band occasionally present at the upper end of

the left lobe of the liver. A

 

 

 

15 Inferior margin. Margo inferior. Border be-

21tween the diaphragmatic and visceral surfaces of the liver. A

2216 Incisura lig. teretis. Notch for round ligament at the lower border of the liver. A B

2317 Lobes of liver. Lobi hepatis. The four macroscopically visible lobes of the liver, which are described below.

2418 Right lobe of liver. Lobus hepatis dexter. Its border to the left lobe corresponds to the line

25connecting the inferior vena cava and fundus of the gallbladder. A B C

Digestive system 131

14

8

32

28

13

926

7

 

 

 

 

 

 

 

 

 

12

 

 

 

 

 

 

 

 

 

 

21

 

 

 

 

 

 

 

 

 

 

 

 

27

 

18

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

 

 

 

3

 

 

 

 

 

 

 

 

10

 

 

 

 

25

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11

A

Liver from behind and below

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16

 

 

 

 

 

 

 

 

15

 

 

 

 

 

 

 

 

 

15

 

 

 

 

246.21

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18

21

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

 

 

 

 

 

 

24

 

 

 

 

 

 

 

20

19

22

 

 

 

 

 

 

 

26

 

 

 

 

 

 

7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

28

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21

 

 

 

 

 

 

 

 

 

 

Liver segments,

 

 

 

 

 

18

 

 

 

C

 

 

 

 

 

 

 

 

 

 

 

 

anterior view

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

 

 

10

 

 

25

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

 

 

 

 

24

 

 

 

 

 

 

 

 

 

 

 

21

 

 

16

 

22

20

 

 

 

 

 

 

 

 

 

178.22

134.1

 

 

23

 

 

22

 

 

 

 

 

 

 

 

 

 

Hepatic porta

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B

 

 

 

 

19

 

23

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24

 

 

 

 

 

 

Liver segments,

 

 

 

 

 

 

 

 

 

D

 

 

 

 

 

 

 

 

 

 

25

 

 

 

 

 

 

posterior view

 

 

 

 

 

 

 

 

 

 

 

 

 

 

132

Digestive system

 

 

1 Hepatic lobules. Lobuli hepatis. They measure

1

 

 

 

1−2 mm in size. A

 

 

 

 

2Perivascular fibrous capsule. Capsula fibrosa

2perivascularis. Connective tissue sheath accompanying the liver vessels and biliary ducts until

3

their terminal branches. A

3 Interlobular arteries. Arteriae interlobulares. Branches of the hepatic artery proper between

4the liver lobules. A

4 Interlobular veins. Venae interlobulares.

5Branches of the portal veins between the liver lobules. A

6

5 Central veins. Venae centrales. Efferent veins in

the center of the liver lobule. A

 

6 Interlobular ductules. Ductuli interlobulares.

7Biliary drainage channels between the liver lobules. A

87 Ductuli biliferi. Biliary drainage channels which connect the interlobular ductules with the right and left hepatic ducts.

98 Common hepatic duct. Ductus hepaticus communis. Duct between the cystic duct and the

10 junction of right and left hepatic ducts. B

 

9 Right hepatic duct. Ductus hepaticus dexter.

11

Duct arising from the right lobe of liver. B

 

10 Anterior branch. Ramus anterior. Anterior branch of the right hepatic duct. B

1211 Posterior branch. Ramus posterior. Posterior branch of the right hepatic duct. B

1312 Left hepatic duct. Ductus hepaticus sinister. Duct arising from the left lobe of the liver. B

1413 Lateral branch. Ramus lateralis. Lateral branch of the left hepatic duct. B

1514 Medial branch. Ramus medialis. Medial branch of the left hepatic duct. B

15 Right duct of caudate lobe. Ductus lobi caudati

16dexter. Branch coming from the right half of the caudate lobe and usually leading into right he-

17patic duct. B

16Left duct of caudate lobe. Ductus lobi caudati sinister. Branch arising from the left half of the

18caudate lobe and emptying usually into the left hepatic duct. B

19

20

21

22

23

24

25

Digestive system 133

2

5 4 3 6

A Two liver lobules

15 16

11

13

14

10

9

12

 

 

8

BBranches of the hepatic duct, anterior view

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

134 Digestive and respiratory system

1

 

1

GALLBLADDER. Vesica biliaris (fellea). 8−

17

 

RESPIRATORY SYSTEM.

Apparatus

respira-

 

 

 

12 cm long, pear-shaped reservoir for bile. A

 

 

torius (systema respiratorium).

 

2

 

2

Fundus of gallbladder. Fundus vesicae biliaris.

18

EXTERNAL NOSE. Nasus externus. E

 

 

 

 

Caudally directed rounded end of gallbladder. A

19

Root of nose. Radix nasi (nasalis). Upper por-

 

 

 

3 Body of gallbladder. Corpus ves. biliaris. Por-

 

tion of the nose which lies between the two or-

3

 

 

 

tion of gallbladder between

the fundus and

 

bits. D E

 

 

 

 

 

 

 

neck. A

 

20 Dorsum (bridge) of nose. Dorsum nasi. E

 

 

 

 

 

 

 

 

4 Neck of gallbladder. Collum

vesicae biliaris.

4

 

 

21 Tip of nose. Apex nasi. E

 

 

 

 

The portion of the gallbladder continuous with

 

 

 

 

22

Alae (wings) of

nose. Alae nasi. Winglike

 

 

 

 

the cystic duct. A

 

 

 

 

 

 

 

structures forming the lateral borders of the

5

 

 

 

 

 

5

Tunica serosa. Peritoneal lining of the gallblad-

 

 

nares. E

 

 

 

 

 

 

 

 

der. B

 

23

Nasal cartilages. Cartilagines nasi (nasalis).

 

 

 

 

 

6

6

Tela subserosa. Connective tissue underlying

 

Pieces of cartilage which form the non-osseous

 

 

 

 

the peritoneum. B

 

 

supporting skeleton of the nose. C

 

7

 

 

7 Tunica muscularis. Muscle layer in the wall of

24

Lateral nasal cartilage. [Cartilago nasi later-

 

 

 

the gallbladder. B

 

 

 

 

 

 

 

alis]. No longer classified as independent left

8

 

8

Tunica mucosa. Mucous membrane of gall-

 

and right plates of cartilage, but as part of the

 

 

 

bladder with simple columnar epithelium

 

nasal septum with which each is partially

 

 

 

 

comprised of tall prismatic cells. B

 

fused. C

 

 

 

 

9

 

9

Plicae mucosae. Mucosal folds that project

25

Greater alar cartilage. Cartilago alaris major.

 

 

 

 

into the lumen, thus producing a loculate relief

 

Hook-shaped cartilage surrounding the nares

10

 

 

 

pattern. A B

 

 

and forming the tip of the nose. C

 

 

10

Cystic duct. Ductus cysticus. Duct that drains

26

Medial crus. Crus mediale. The part of the

 

 

 

 

the gallbladder. It joins the common hepatic

 

greater alar cartilage that forms the anterior

11

 

 

 

duct to form the common bile duct (ductus

 

and lower part of the nasal septum. C D

 

 

 

 

choledochus). A

 

27

Lateral crus. Crus laterale. The part of the

12

 

11

Spiral fold. Plica spiralis. A spiral elevation in

 

greater alar

cartilage

that curves

laterally

 

 

 

the neck of the gallbladder and the cystic duct.

 

around the nares. C

 

 

 

 

 

 

 

 

 

13

 

 

 

A

 

28

Lesser alar cartilages. Cartilagines alares

 

12

Bile duct. Ductus choledochus (biliaris). Duct

 

minores. Single, small plates of cartilage which

 

 

 

 

formed by the union of the cystic duct and

 

supplement the greater alar cartilage. C

14

 

 

 

common hepatic duct; it passes into the greater

29

Accessory

nasal

cartilages. Cartilagines

 

 

 

duodenal papilla. A

 

 

 

 

 

 

 

nasales accessoriae. Small pieces of cartilage

15

 

 

13 Sphincter muscle of bile duct. M. sphincter

 

occasionally present between the cartilaginous

 

 

 

ductus choledochi. Thickened, annular muscle

 

nasal septum and greater alar cartilage that

 

 

 

 

that forms sphincter directly before the hepa-

 

supplement the cartilaginous nasal skeleton.

16

 

 

 

topancreatic ampulla. A

 

30

Cartilaginous nasal septum. Cartilago septi

 

 

14

Hepatopancreatic ampulla. Ampulla hepato-

 

nasi. Large independent piece of cartilage in the

17

 

 

 

pancreatica. Dilatation in the wall of the

 

wall of the nasal septum between the perpen-

 

 

 

duodenum immediately after the opening of

 

dicular plate of the ethmoid and the vomer. D

18

 

 

 

the pancreatic duct into the bile duct. A

30 a Lateral process. Processus lateralis. Dorsolateral

 

15

M. sphincter ampullae hepatopancreaticae

 

cartilaginous ridge of the nasal septum fused

 

 

 

 

(sphincter ampullae). Thickened annular

 

above with the lateral nasal cartilage. D

19

 

 

 

sheath of muscle that invests the ampulla

31

Posterior process. Processus posterior (sphe-

 

 

 

(sphincter of Oddi). A

 

 

 

 

 

 

 

noidalis). Variably long process between the

20

 

 

16 Biliary glands. Gll. biliares. Mucous glands in

 

vomer and the perpendicular plate; it can ex-

 

 

 

the wall of the biliary excretory ducts.

 

tend as far as the sphenoid. D

 

 

 

 

 

 

 

32

Vomeronasal cartilage. Cartilago vomer-

21

 

 

 

 

 

 

onasalis [[Jacobson’s cartilage]]. Narrow strip of

 

 

 

 

 

 

 

cartilage on the lower end of the nasal septum

22

 

 

 

 

 

 

between the cartilaginous nasal septum and

 

 

 

 

 

 

the vomer. D

 

 

 

 

23

 

 

 

 

 

33 Mobile part of nasal septum. [[Pars mobilis

 

 

 

 

 

 

septi nasi]]. Anterioinferior, very mobile part of

 

 

 

 

 

 

 

the nasal septum which contains the medial

24

 

 

 

 

 

 

crus of the greater alar cartilage.

 

 

 

 

 

 

 

 

 

 

 

 

 

25