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From Digestive System
Quadrate Lobe
Small lobe located between gallbladder and round ligament.
Overview
The quadrate lobe is a small, functionally significant region of the liver that is anatomically part of the right lobe but functionally grouped with the left hepatic lobe due to its vascular and biliary connections. Despite its modest size, it lies adjacent to critical structures and contributes to hepatic and digestive function through bile production and metabolic processing.
Location
The quadrate lobe is located on the inferior (visceral) surface of the liver. It is bordered by:
Anteriorly: Inferior margin of the liver
Posteriorly: Porta hepatis (transverse fissure containing the hepatic vessels and ducts)
To the right: Fossa for the gallbladder
To the left: Fissure for the ligamentum teres hepatis
It lies just beneath the contact point of the liver with the anterior abdominal wall and is visible during imaging and surgery as a rectangular region near the midline.
Structure
Structurally, the quadrate lobe is:
Part of the right anatomical lobe (based on external divisions)
Part of the left functional lobe (based on internal vascular segmentation)
Segment IVb in Couinaud’s liver segment classification
It is composed of standard hepatic parenchyma containing:
Hepatocytes: Performing metabolic and detoxification functions
Hepatic sinusoids: Allowing nutrient-rich blood from the portal vein to interact with hepatocytes
Bile canaliculi: Draining bile toward the left hepatic duct
Function
Like other liver regions, the quadrate lobe is involved in multiple essential hepatic functions:
Bile production: Hepatocytes within the lobe contribute to bile synthesis, which aids in fat digestion
Detoxification: Processes substances absorbed from the gastrointestinal tract
Metabolism: Participates in carbohydrate, protein, and lipid metabolism
Storage: Stores glycogen, fat-soluble vitamins, and iron
Physiological Role(s)
Though not functionally distinct from the rest of the liver, the quadrate lobe contributes to:
Processing portal blood: Receives nutrient-rich blood from the portal vein (left branch)
Drainage of bile: Into the left hepatic duct, contributing to enterohepatic circulation
Support of adjacent structures: Anatomically related to the gallbladder and porta hepatis, important during hepatobiliary surgeries
Clinical Significance
The quadrate lobe is clinically relevant in several contexts:
Hepatobiliary surgery: Due to its proximity to the gallbladder, it may be affected during cholecystectomy or liver resections
Liver cancer and metastasis: Segment IV (which includes the quadrate lobe) may harbor primary tumors or metastases, requiring precise segmental resection
Portal hypertension: Involvement of nearby portal venous structures may alter blood flow to/from the quadrate lobe
Imaging: CT and MRI often delineate this lobe to assess lesions or anatomical variations
Anatomical landmarks: The quadrate lobe helps surgeons identify key landmarks like the porta hepatis and ligamentum teres during liver surgery
Understanding the anatomy and function of the quadrate lobe is critical for hepatic segmental surgery, biliary drainage procedures, and liver imaging interpretation.
Did you know? Your gut contains millions of neurons and is often referred to as the "second brain."