Extrahepatic Biliary Flashcards
right and left hepatic duct
-drains from the right and left (structural or functional?) lobe of the liver
Functional
right and left hepatic duct
-emerges at the _____
porta hepatis
common hepatic duct
- _______ and ______ combine to become common hepatic duct near (right or left?) end of porta hepatis
- approximately __cm
left and right hepatic duct
Right
3
gall bladder
- located at _____________ region
- ____peritoneal
- ____cmlong ;____cm wide ;vol= ____ml
right hypochondriac
intra
7-10; 3-4; 30-50
Gall bladder
- ____shaped sac
- lies in a fossa formed by the inferior aspects of the ______ and _____ lobes of the liver
- divided into 3 portions: ____,____,____
pear
right and quadrate
fundus, body, neck
Gall bladder
fundus is the ______ that faces the abdominal walls and the neck
- neck is continuous with _____
- body is (anterior or Posterior?) to 1st part of duodenum
rounded base
cystic duct
Anterior
Walls of the gall bladder
- anterior and superior:______ border of ____ and anterior abdominal wall
- posterior: ____ colon and _____
- inferior: _____ and remaining parts of _______
inferior; liver
transverse; proximal duodenum
biliary tree; duodenum
Cystic duct is supplied by ____ artery (branch of ______ artery)
And drained by _____ vein
cystic; hepatic
portal
LYMPHatic drainage of gall bladder
_____ group of nodes pass to the ____ lymph nodes
Cystic
coeliac
NERVES of gall bladder
- _____ plexus(sympa, pain afferent fibers)
- sensory, and para nerves
- _________ nerve(somatic afferent fibers) may carry pain caused by gallbladder inflammation
coeliac
right phrenic
CYSTIC DUCT
- _____cm
- from ____ of gall bladder to join _____ duct to become ______ duct
- its mucous lining has about _____ number of ______ folds
- these folds are called _______
3-4
neck
common hepatic
common bile
5-12; crescentic
valve of heister
Function of valves of heister
they help to keep the cystic duct open
common bile duct
- formed in the ______ of _____
- __cm long ,____ wide
free edge
lesser omentum
8; 6mm
Common bile duct
divided into 4 four parts based on its course -\_\_\_\_duodenal \_\_\_\_\_ duodenal \_\_\_\_ duodenal(aka \_\_\_ pancreatic) \_\_\_\_ duodenal (\_\_\_\_mural)
Supra
Retro
Infra; retro
Intra; intra
CHOLEDOCHUS
- a sphincter for _______
- thickened ____ muscle( sphincters boiden)
ODDI- a sphincter for __________
bile duct
circular
both bile and pancreatic juice
ARTERIES supplying common bile duct
_____ artery = proximal
______ artery = middle
_______ and ____= distal
Cystic
Right Hepatic
Posterior superior pancreaticoduodenal and gastroduodenal
VEINS draining bile duct
Proximal part of bile duct and hepatic duct drain into the _____
Distal part of bile duct is drained by the ____ vein into ____ vein or one of its tributaries
Lymph
_____; ____; omental foramen
liver directly
PSPD; portal
Cystic; hepatic
APPLIED ANATOMY
(1)hepatocystic triangle :
-aka _____ or ___ triangle
Located at ______
(Bigger or smaller?) than calot’s triangle
Covers where the hepatic ducts and other neurovascular structures enter and exit the liver
-superior border is formed by the ________
cystohepatic
biliary tree
porta hepatis
Bigger
inferior border of the liver
calot’s triangle
-superior border is formed by the ______
cystic artery
Hartman’s pouch:
When the ___ of the gall bladder is ____ due to its contents like ______
neck
distended
bile stones
Murphy’s sign: it’s positive if pain is felt when the gall bladder comes in contact with the examiner’s hand during palpating of the ________area during inflammation of the gall bladder (________)
right subcoastal
cholecystitis
BILIARY dyskinesia:
When the ________decides to misbehave
sphincter of oddi
Calot’s triangle
The borders are as follows:
Medial –________.
Inferior –_____
Superior –______
common hepatic duct
cystic duct.
inferior surface of the liver.
The contents of the Calot’s triangle include:
________ artery
_______ artery
Lymph node of ____
______
Right hepatic
Cystic
Lund
Lymphatics
