The Bile Ducts Flashcards
Bile first accumulates in the ______ that are located throughout the liver
small intrahepatic biliary radicles
The intrahepatic ducts are considered dilated if they exceed
2mm
An uncommon manifestation of chiledocholithiasis is
mirizzi syndrome
It is considered cholangitis when the bile duct walls thicken greater than
5mm
What are the types of cholangitis
acute bacterial, AIDS, oriental and sclerosing
______ are the most common manifestation of cholangiocarcinoma
Klatskin tumors
What is the triangular cord associated with
biliary atresia
What is the triangular cord
echogenic, triangular or tubular structure anterior to the portal vein, representing the replacement of the extrahepatic duct with fibrous tissue in the porta hepatis
Most common choledochal cyst is
dilation of the common bile duct
Fusiform cystic mass in the area of the porta hepatis and biliary dilatation
choledochal cyst
Central dot sign is associated with
caroli disease
What is the central dot sign
echogenic dots in the nondependent part of the dilated duct representing small fibrovascular bundles
the merging point of the pancreatic duct and common
bile duct just before the sphincter of Oddi; also referred to as the
hepatopancreatic ampulla
ampulla of vater
a green pigment found in the bile
biliverdin
coexisting dilation of the common bile duct and
pancreatic duct
double duct sign
the level of the biliary tree where the common
bile duct and the main pancreatic duct meet; may also be referred to as the
ampulla of Vater
hepatopancreatic ampulla
the muscle that controls the emptying of bile
and pancreatic juices into the duodenum; may also be referred to as the
sphincter of Odd
hepatopancreatic sphincter
the enlargement of the common duct to the size of the
adjacent portal vein within the porta hepatis
parallel tube sign
severe itchiness of the skin
pruritus
the muscle that controls the emptying of bile and pancreatic juices into the duodenum; also referred to as the hepatopancreatic
sphincter
sphincter of oddi
Bile flow=
liver, biliary radicles, right or left hepatic duct, common hepatic duct, cystic duct, gallbladder, common bile duct, ampulla of vater, sphincter of oddi, duodenum
When biliary tree obstruction is suspected, look for an elevation in
ALP, ALT, serum bilirubin, GGT and urobilirubin
The most common level for an obstruction to occur is the
distal common bile duct
What is the charcot triad
fever, right upper quadrant pain and jaundice
Klatskin tumors are located at the
junction of the right and left hepatic ducts and cause dilatation of the intrahepatic ducts
A congenital disease in which there is narrowing or obliteration of the
bile ducts is referred to as:
A. Caroli disease
B. Mirizzi disease
C. Choledochal cysts
D. Biliary atresia
D