Liver, gallbladder & pancreas

In the right upper quadrant is found
The liver quite large and dark brown
Unheard when you listen
With capsule that Glissons
Moves up when you breathe and moves down.

The cord cells look like they are brothers
Regenerate quickly like mothers
Veins portal hepatic
Arranged systematic
With Kupffer cells bile ducts and others.

The liver's concerned with cirrhosis
A curious kind of fibrosis
With nodules hepatic
And structure erratic
So firm one could call it sclerosis.

Distribution is always diffuse
From generalized damage profuse
Viral or toxic
Effects are hypoxic
Cell function is greatly reduced.

Seems to be often progressive
Rarely if ever regressive
Hemorrhage and coma
Cord cell carcinoma
Sequelae can be most aggressive.

Viruses cause hepatitis
Apparently not cholangitis
A duct with a stone
Is usually shown
To also have cholecystitis.

The cord cells of livers give rise
To tumors enormous in size
They bleed and they spread
Fetoproteins are said
To be made by the cells they comprise.

Bile duct cells also can show
An uncontrolled way which they grow
They're often sclerotic
Less common necrotic
Make mucus not bile as they go.

The gallbladder rarely has cancer
For this we do not have an answer
But when tumors are found
There are stones all around
Is it cause and effect or a chancer.

The pancreas sits near the spleen
Its enzymes or hormones are seen
To rise and alarm
When disease has done harm
Cause they function the way that they've been.

Tumors of pancreas head
Silently grow as they spread
Surround the bile duct
Which then they obstruct
Patients turn yellow then dead.

Tumors of pancreas tail
As jaundice producers they fail
They lean on the spleen
And the veins in between
Varices ooze and skin's pale.

The ampulla of Vater's renowned
For the crossroads at which it is found
There even small lesions
Like stones and adhesions
Can jaundice and pain make profound.