_a_, left lateral lobe; _b_, left median lobe; _c_, _c′_, right median
(or cystic) lobe; _d_, _d′_, cranial and caudal divisions of the right
lateral lobe; _e_, caudate lobe; _f_, gall-bladder; _g_, cystic duct;
_h_, hepatic ducts; _i_, common bile-duct; _j_, portal vein; _k_, part
of duodenum.]
The =Gall-bladder= (Fig. 101, _f_) is pear-shaped and lies in a cleft on
the caudal (or dorsal) surface of the right median lobe (_c_, _c′_) of
the liver. Its larger end is directed caudad (or ventrad) and is free.
By one surface it is in contact with the liver and not covered by
peritoneum, while the other surface is covered by peritoneum. The
peritoneum in passing from the larger free end to the liver forms one or
two ligament-like folds. By its smaller end the gall-bladder is
continuous with the =cystic duct= (_g_). This duct is about three
centimeters long and has a sinuous course. At its distal end it is
joined by two (or more) =hepatic ducts= (_h_), bringing the bile from
the lobes of the liver. The relation of these to the cystic duct varies.
They may open into it by a common trunk or separately. Of these hepatic
ducts one is made up by the junction of smaller hepatic ducts from the
left half of the liver and the left half of the cystic lobe, while the
other is similarly formed by smaller ducts from the right half of the
cystic lobe, from both divisions of the right lateral lobe and from the
caudate lobe. The duct formed by the junction of the hepatic and cystic
ducts is the =common bile-duct= (=ductus communis choledochus=) (_i_).
It passes in the free right border of the gastroduodenal omentum to the
duodenum (_k_) and opens into it by way of the ampulla of Vater, in
common with the pancreatic duct, at a point on the dorsal surface of the
duodenum and about three centimeters from the pylorus.
Public-domain text, read in full here on John Shaqi.
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