The Liver Is the Body’s Largest Internal Organ

The liver is roughly the size of a football. An average liver weighs around three pounds.

Inflammation of the liver—hepatitis—has several possible causes, including:

  • Toxins and chemicals such as excessive amounts of alcohol
  • Autoimmune diseases that cause the immune system to attack healthy tissues in the body
  • Fat, which may cause fatty liver disease
  • Microorganisms, including viruses.

Hepatitis A virus (HAV), hepatitis B virus (HBV) and hepatitis C virus (HCV) infect liver cells called hepatocytes, which provide the best conditions for these viruses to reproduce. In response to the infection, the body’s immune system targets the liver, causing inflammation (hepatitis). If the hepatitis is severe (which can happen with HAV and HBV) or goes on for a long period of time (which can happen with HBV and HCV), hardened fibers can develop in the liver, a condition called fibrosis.

Over time, more and more normal liver tissue can be replaced by hardened scar tissue, which can obstruct the normal flow of blood through the liver and seriously affect its structure and ability to function properly. This is called cirrhosis.