Gallbladder And Biliary Tree

Question 1

What is the biliary system?

Answer 1

System that produces, concentrates, secretes, and transports bile from the liver to the duodenum

Question 2

Where is bile formed?

Answer 2

In liver cells and drains through ducts

Question 3

What is bile used for?

Answer 3

Digestion of fats in diets

Question 4

Where is the location of the gallbladder located in terms of the abdomen method?

Answer 4

Right hypochondrium and RUQ

Question 5

What is the gallbladder shaped like?

Answer 5

Oblong/ pear shaped sac

Question 6

What is the gallbladder?

Answer 6

Bile reservoir

Question 7

Where is the gallbladder located?

Answer 7

Depression on visceral surface of the liver.
It also lies lateral to the IVC and medial to right kidney

Question 8

What binds GB?

Answer 8

Peritoneum binds Gallbladder neck and a portion of the body of the liver

Question 9

What are the three parts of the gallbladder?

Answer 9

1. Neck
2. Body
3. Fundus

Question 10

What is the neck of the gallbladder?

Answer 10

Narrow superior portion, which is fixed. The MLF extends superiorly from neck to RPV

Question 11

What is the body of the Gallbladder?

Answer 11

Middle portion between neck and fundus

Question 12

What is the fundus of the gallbladder?

Answer 12

Inferior and anterior portion of the gallbladder, which may extend beyond the inferior margin of the RLL

Question 13

Which part of the gallbladder is mobile?

Answer 13

Fundus

Question 14

What are 3 variants of the gallbladder?

Answer 14

1. Phrygian cap
2. Hartman’s pouch
3. Junctional fold

Question 15

What is the Phrygian cap?

Answer 15

A variation of the gallbladder design with a fold between the fundus and the body

Question 16

What is the duct system?

Answer 16

A pathway of ducts collect and transports bile

Question 17

What is the duct system subdivided?

Answer 17

1. Intrahepatic
2. Extrahepatic

Question 18

What is the Intrahepatic ductules?

Answer 18

Small bile ducts within the liver that collect bile from the liver tissue. Which get larger as they move along the biliary tree eventually forming the right and left hepatic ducts.

Question 19

The Intrahepatic ductules follow what path?

Answer 19

Follow the course of the PV and HA branches

Question 20

Can the Intrahepatic ductules be seen on ultrasound?

Answer 20

Rarely

Question 21

What are the right and left hepatic ducts?

Answer 21

Drain bile from respective liver lobes, which join roughly at the level of the liver hilum.

Question 22

Where does the right and left hepatic ducts join?

Answer 22

Common hepatic duct

Question 23

How is the common hepatic duct formed?

Answer 23

Formed at junction of right and left hepatic ducts.

Question 24

How does the common hepatic duct course and move?

Answer 24

Distal segment corses anterior to the RPV and MPV, and terminates at the junction of the cystic duct

Question 25

What is the cystic duct?

Answer 25

Drains the gallbladder and contains the spiral valves of Hester.

Question 26

What is the common bile duct?

Answer 26

Where the cystic duct merges with the CHD

Question 27

Can you see the cystic duct on ultrasound?

Answer 27

Rarely

Question 28

How does the common bile duct travel?

Answer 28

Inferiorly towards the head of the pancrease to join the pancreatic duct

Question 29

What is the ampulla of vater?

Answer 29

Junction of pancreatic duct and CBD

Question 30

What does the sphincter of oddi do?

Answer 30

Control bile flow to duodenum

Question 31

How long is the common bile duct?

Answer 31

6-8 cms long

Question 32

Where is the common bile duct located in relation to the main portal vein?

Answer 32

Anterior

Question 33

Where is the common bile duct located in relation to the artery proper?

Answer 33

Lateral

Question 34

Where is the common bile duct located in relation to the aspect of pancreatic head?

Answer 34

Posterior