PathoSchema by Astavalence · Hepatobiliary Anatomy Studio
Liver, Spleen, Portal Flow and Bile Drainage
Patient facing forward · spleen on screen right
Section 1 / 6
PATIENT RIGHT PATIENT LEFT PORTA HEPATIS I II III IV VIII V VI VII SPLEEN pancreas duodenum gut venous return IVC hepatic artery HCC arterial focus gallbladder common bile duct portal triad → sinusoid → central vein blood enters · bile exits opposite direction Inferior vena cavavenous exit route Porta hepatisentry and exit gateway Portal confluencesplenic vein + SMV Splenic veinpatient left to portal vein Gallbladderbile storage reservoir Hepatic arteryoxygen rich inflow Common bile ductto duodenum Hepatic veinsbetween segments Arterialised HCCarterial phase hotspot
OrientationStudent is looking at the patient face forward. Patient left is on the screen right, so the spleen sits on the right side of this simulator.
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PathoSchema by Astavalence · Portal Hypertension Flow Studio
Anterior View: Liver, Spleen, Portal Vein, Splenic Vein and IVC
Section 1 / 4
PATIENT RIGHT PATIENT LEFT ANTERIOR VIEW, FACING THE PATIENT oesophageal varices ascites IVC systemic venous return Liver porta hepatis Spleen splenic congestion stomach splenic vein SMV portal vein portal confluence SPLEEN → → LIVER hepatic veins to IVC → IVC gastric collaterals paraumbilical route rectal collaterals BACK PRESSURE HVPG threshold logic >5 portal HTN · ≥10 clinically significant · ≥12 variceal bleeding risk
Drag anatomy · follow arrow direction · adjust pressure and resistance