Liver histology

Last updated: November 01, 2022

Liver histology

GI

GI

Anatomy of the pharynx and esophagus
Anatomy of the oral cavity
Anatomy of the salivary glands
Anatomy of the tongue
Anatomy of the anterolateral abdominal wall
Anatomy of the abdominal viscera: Blood supply of the foregut, midgut and hindgut
Anatomy of the abdominal viscera: Esophagus and stomach
Anatomy of the abdominal viscera: Small intestine
Anatomy of the abdominal viscera: Large intestine
Anatomy of the abdominal viscera: Pancreas and spleen
Anatomy of the gastrointestinal organs of the pelvis and perineum
Anatomy of the abdominal viscera: Innervation of the abdominal viscera
Anatomy of the abdominal viscera: Liver, biliary ducts and gallbladder
Anatomy of the diaphragm
Anatomy of the inguinal region
Anatomy of the muscles and nerves of the posterior abdominal wall
Anatomy of the peritoneum and peritoneal cavity
Anatomy clinical correlates: Anterior and posterior abdominal wall
Anatomy clinical correlates: Viscera of the gastrointestinal tract
Anatomy clinical correlates: Peritoneum and diaphragm
Anatomy clinical correlates: Other abdominal organs
Development of the digestive system and body cavities
Development of the gastrointestinal system
Development of the teeth
Development of the tongue
Gallbladder histology
Esophagus histology
Stomach histology
Small intestine histology
Colon histology
Liver histology
Pancreas histology
Gastrointestinal system anatomy and physiology
Anatomy and physiology of the teeth
Liver anatomy and physiology
Enteric nervous system
Esophageal motility
Gastric motility
Gastrointestinal hormones
Chewing and swallowing
Carbohydrates and sugars
Fats and lipids
Proteins
Vitamins and minerals
Intestinal fluid balance
Pancreatic secretion
Bile secretion and enterohepatic circulation
Prebiotics and probiotics
Cleft lip and palate
Congenital diaphragmatic hernia
Esophageal web
Tracheoesophageal fistula
Pyloric stenosis
Sialadenitis
Parotitis
Oral candidiasis
Ludwig angina
Aphthous ulcers
Temporomandibular joint dysfunction
Dental abscess
Gingivitis and periodontitis
Dental caries disease
Oral cancer
Warthin tumor
Barrett esophagus
Achalasia
Plummer-Vinson syndrome
Mallory-Weiss syndrome
Boerhaave syndrome
Gastroesophageal reflux disease (GERD)
Zenker diverticulum
Diffuse esophageal spasm
Esophageal cancer
Eosinophilic esophagitis (NORD)
Gastritis
Gastric dumping syndrome
Peptic ulcer
Gastroparesis
Cyclic vomiting syndrome
Gastroenteritis
Gastric cancer
Gastroschisis
Omphalocele
Meckel diverticulum
Imperforate anus
Hirschsprung disease
Intestinal atresia
Intestinal malrotation
Necrotizing enterocolitis
Intussusception
Tropical sprue
Small bowel bacterial overgrowth syndrome
Celiac disease
Short bowel syndrome (NORD)
Lactose intolerance
Whipple's disease
Protein losing enteropathy
Microscopic colitis
Crohn disease
Ulcerative colitis
Bowel obstruction
Intestinal adhesions
Volvulus
Gallstone ileus
Abdominal hernias
Femoral hernia
Inguinal hernia
Small bowel ischemia and infarction
Ischemic colitis
Familial adenomatous polyposis
Peutz-Jeghers syndrome
Gardner syndrome
Juvenile polyposis syndrome
Colorectal polyps
Colorectal cancer
Carcinoid syndrome
Irritable bowel syndrome
Diverticulosis and diverticulitis
Appendicitis
Anal fissure
Anal fistula
Hemorrhoid
Rectal prolapse
Inflammatory bowel disease: Pathology review
Salmonella (non-typhoidal)
Clostridium perfringens
Bacillus cereus (Food poisoning)
Listeria monocytogenes
Hepatitis A and Hepatitis E virus
Clostridium botulinum (Botulism)
Leptospira
Pancreatitis: Pathology review
Gallbladder disorders: Pathology review
Pancreatic cancer
Colorectal polyps and cancer: Pathology review

Transcript

Watch video only

The liver is the largest internal organ in the body and weighs about 1.5 kg.

It’s surrounded by a capsule of fibrous connective tissue called Glisson’s capsule.

If we look at the liver from an inferior view, which is a view from the bottom of the liver, we can see that the liver is divided into a large left lobe and right lobe, as well as two smaller lobes, called the quadrate and caudate lobes.

The liver parenchyma or functional tissue of the liver is organized into thousands of hepatic lobules, which have a dual blood supply that comes from terminal branches of the hepatic portal vein and hepatic artery.

The blood then flows through sinusoids surrounded by hepatocytes before draining into the lobule’s central vein.

Hepatocytes are the main functional cells of the liver that perform a large variety of functions, including the production of bile, a number of plasma proteins, and non-essential amino acids; the metabolism of fat, carbohydrate, and protein; the storage of glucose, vitamins, and iron; and the breakdown or detoxification of metabolic waste products, drugs, and toxins.

At lower magnification, the hexagonal shape of the hepatic lobules can be identified by their slightly darker edges and the prominent central veins in the center of each lobule.

The portal triad consists of a bile ductule, portal venule, and arteriole.

After identifying the lobule, it can be easier to locate portal triads in an image since they’re typically located at the corners of the lobules.

If we take a closer look at just one portal triad, we can more easily identify the portal venule by its large diameter and thin walls compared to the arteriole, which has a much smaller diameter and thicker walls.

Similar to this image, the portal tract can sometimes have more than one bile duct.

The bile ducts can be identified by their prominent simple cuboidal epithelium.

Also in this image are a couple small lymphatic vessels, which have even thinner walls than the venule.

Let’s now take a closer look at the hepatocytes, which are large polygonal epithelial cells that form branching plates that are only one-cell thick, separated by sinusoids, and radiate outward from the central vein.

The sinusoids carry blood from the hepatic arteriole and portal venule to the central vein, while the bile canaliculi or capillaries carry the bile produced by hepatocytes in the opposite direction in order to drain into the bile ductules.

The hepatocyte’s cytoplasm is very eosinophilic, or pink because they contain a lot of mitochondria.

Key Takeaways

The liver consists of thousands of hepatic lobules, which on microscopic examination are identified by their prominent central vein, as well as a slightly pale central portion of the lobule compared to the edges of the lobules. On corners of lobules lie portal triads, each containing a portal venule, hepatic arteriole, and bile duct. Venules can be identified by their large lumen and thin wall, as opposed to arterioles that have a thicker wall and a smaller diameter. The bile duct is identified by its simple cuboidal epithelium. The main cells of the liver parenchyma are hepatocytes. These are large polygonal cells with eosinophilic cytoplasm and basophilic nuclei.