The hepatic duct is formed by the union of a right and left branch,
which issue from the bottom of the transverse fissure and unite at a
very obtuse angle; it descends to the right, within the gastro-hepatic
omentum. Its diameter is nearly two lines, and its length nearly two
inches. At its lower end it meets the cystic descending from the gall
bladder, and the ducts uniting together at an angle form the common
bile duct.
The cystic duct is about one and a half inches in length.
The gall bladder is a pear-shaped membranous sac, three or four inches
long, about an inch and a half across its widest part, and capable of
containing from 8 to 12 fluid drachms. The gall bladder is attached
to the liver. The neck, gradually narrowing, becoming constricted,
bends downward, and terminates in the cystic duct.
The common bile duct (ductus communis choledicus), the largest of
the ducts, being from two to three lines in width, and nearly three
inches long, conveys the bile from the liver and the gall bladder
into the duodenum by a common orifice, with the pancreatic duct on
its inner surface, about three to four inches below the pylorus.
The liver is an extremely vascular organ, and receives its blood
supply from two distinct vessels, the portal vein and the hepatic
artery, while the blood is returned from it into the inferior vena
cava by the hepatic vein. Its secretion, the bile, is conveyed from
it by the hepatic duct, either directly into the intestines, or, when
digestion is not going on, into the cystic duct, and thence into the
gall bladder, where it accumulates until required. The portal vein,
hepatic artery, and hepatic duct branch together throughout the liver,
while the hepatic vein and its tributaries run by themselves. At the
transverse fissure it is merged into the areolar investment called
Glisson's capsule, which surrounds the portal vein, hepatic artery,
and hepatic duct, as they enter at this part, and accompanies them
in their branches through the substance of the liver.
The liver is made up of small roundish or oval portions called lobules,
each of which is about 1/20 of an inch in diameter, and composed of
minute branches of the portal vein, hepatic artery, hepatic duct,
and hepatic vein; while the interstices of these vessels are filled
by liver cells. These cells, which make up a great portion of the
substance of the organ, are of rounded or polygonal form; about 1/800
to 1/1000 of an inch in diameter.
The function of the liver is the secretion of bile. The bile is
a somewhat viscid fluid of a yellow, or greenish-yellow, color, a
strongly bitter taste, and when fresh a scarcely perceptible odor. It
has a neutral or slightly alkaline reaction, and its specific gravity
is 1.020.
The composition of human bile is:
Water, 859.2
Solids, 140.8
-------
1,000
The solids are:
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