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    Extra Hepatic Biliary Apparatus

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    Dr santosh
    The extra hepatic biliary apparatus consists of hepatic ducts, the common hepatic duct, gallbladder, cystic duct, and bile duct. The hepatic ducts join to form the common hepatic duct, which then joins with the cystic duct from the gallbladder to form the bile duct. The bile duct transports bile from the liver, where it is produced and stored in the gallbladder, to the duodenum.

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    Extra Hepatic Biliary Apparatus

    Uploaded by

    Dr santosh
    8K views5 pages
    The extra hepatic biliary apparatus consists of hepatic ducts, the common hepatic duct, gallbladder, cystic duct, and bile duct. The hepatic ducts join to form the common hepatic duct, which then joins with the cystic duct from the gallbladder to form the bile duct. The bile duct transports bile from the liver, where it is produced and stored in the gallbladder, to the duodenum.

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    The extra hepatic biliary apparatus consists of hepatic ducts, the common hepatic duct, gallbladder, cystic duct, and bile duct. The hepatic ducts join to form the common hepatic duct, which then joins with the cystic duct from the gallbladder to form the bile duct. The bile duct transports bile from the liver, where it is produced and stored in the gallbladder, to the duodenum.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    8K views5 pages

    Extra Hepatic Biliary Apparatus

    Uploaded by

    Dr santosh
    The extra hepatic biliary apparatus consists of hepatic ducts, the common hepatic duct, gallbladder, cystic duct, and bile duct. The hepatic ducts join to form the common hepatic duct, which then joins with the cystic duct from the gallbladder to form the bile duct. The bile duct transports bile from the liver, where it is produced and stored in the gallbladder, to the duodenum.

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    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    Extra hepatic biliary apparatus

    It is an apparatus made up for collection of bile


    from liver stored in gall bladder & transmits to
    2nd part of duodenum
    It consists of
    1. Hepatic ducts
    2. Common hepatic ducts
    3. Gall bladder
    4. Cystic duct
    5. Bile duct
    Hepatic ducts - there are two hepatic ducts
    arising from Rt & Lt lobe of liver these hepatic
    ducts starts from porta hepatis of liver these two
    hepatic ducts joins to form common hepatic ducts
    Common hepatic duct - it is 3 cm long it receives
    cystic duct to form bile duct
    Gall bladder - it is situated in fossa for gall
    bladder on the inferior surface of liver
    Size - it is 7 cm long & 3 cm wide
    Parts of gall bladder - it has
    a) Fundus
    b) Body
    c) Neck
    Fundus - it is present at the level of 9th costal
    cartilage on the RT side it anteriorly related with
    anterior abdominal wall & posteriorly with
    beginning of transverse colon
    Body - is related superiorly to the liver & inferiorly
    to 1st part of duodenum, head of pancreas,
    transverse colon
    Neck - is narrow & shows a small dilatation i.e.
    pouch is known as Hartman’s pouch
    Inside the neck there is a spiral valve (valve of
    hister) which controls the release of bile from gall
    bladder
    Functions of gall bladder –
    1. It stores the bile
    2. It concentrates the bile
    3. It release bile whenever required
    4. Bile is secretion liver not the gall bladder it is
    only stored in gall bladder
    Blood supply – Cystic artery - it is branch of
    hepatic artery (branch of coeliac trunk)
    Venous drainage - portal vein
    Lympathetic drainage - in to cystic group
    Cystic duct - it is continuation of neck of gall
    bladder it is 1’’long & it joins the bile duct the
    spiral valve is continue in the cystic duct
    Function - transport of bile to bile duct
    Bile duct - it is formed by union of common
    hepatic duct & cystic duct
    Length - it is 8 cm long
    It goes downwards in the free margin of lesser
    Omentum & comes to 2nd part of duodenum
    Here it is joined by pancreatic duct to form hepato-
    pancreatic ampulla or duct
    This ampulla shows a dilatation known as ampulla
    of vater it opens in 2nd part of duodenum
    The ampulla of vater is guarded by a sphincter
    known as sphincter of oddi
    This is the junction of foregut & mid gut
    Blood supply -
    1. Mainly by branches of cystic artery
    2. Superior pancreatico-duodenal artery
    Venous drainage - portal vein
    Lympathetic drainage -
    1. Cystic group
    2. Hepatic group
    3. Pancreatico-splenic group & ultimately to
    coeliac group
    Nerve supply - cystic plexus of nerves
    Applied anatomy
    1. Inflammation to gall bladder is known as
    cholecystitis
    2. Formation of gall stones takes place in gall
    bladder this happens more commonly in fat
    fertile females of age group 40 – 50 yrs
    3. The pain in gall bladder is felt at the 9th
    costal cartilage Rt side & is known as
    Murphy’s sign
    4. Hartman’s pouch is common site for gall
    bladder stones
    5. Removal of gall bladder is called as
    cholecystoectomy
    6. Humeral contraction of gall bladder - gall
    bladder contracts when food is rich in fat
    enters duodenum
    7. Cholecystography

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