Document Detail

Aberrant bile ducts, 'remnant surface bile ducts,' and peribiliary glands: Descriptive anatomy, historical nomenclature, and surgical implications.
MedLine Citation:
PMID:  21218436     Owner:  NLM     Status:  Publisher    
The term "aberrant bile ducts" has been used to designate three heterogeneous groups of biliary structures: (1) bile ducts degenerating or disappearing (unknown etiology, diverse locations); (2) curious biliary structures in the transverse fissure; and (3) aberrant right bile ducts draining directly into the common hepatic duct. We report our observations on these three groups. Twenty-nine fresh human livers of stillborns and adults were injected differentially with colored latex and dissected. Adult livers showed portal venous and hepatic arterial branches, and bile ducts not associated with parenchyma, subjacent to and firmly adherent with the liver capsule: elements of ramifications of normal sheaths were present on the liver's surface. These ramifications, having lost parenchyma associated with them, then sequentially lost their portal branches, bile ducts and arterial branches. This process affected the ramifications of the sheaths in the left triangular ligament, adjacent to the inferior vena cava, in the gallbladder bed and anywhere else on the liver's surface and resulted in the presence of bile ducts accompanied by portal venous and/or hepatic arterial branches and not associated with parenchyma for a period of time. This first group represented normal bile ducts that do not meet the criteria of aberration and could be appropriately designated "remnant surface bile ducts." Such changes were not found in the transverse fissures and review of the literature revealed that the curious biliary structures are the microscopic peribiliary glands. The third group met the criteria of aberration and the anatomy of a representative duct is described. Clin. Anat., 2011. © 2011 Wiley-Liss, Inc.
Ramadan M El Gharbawy; Lee J Skandalakis; Thomas G Heffron; John E Skandalakis
Related Documents :
6947606 - Additional indications for a temporary balloon buckle.
11014546 - Microanatomy of the pericallosal arterial complex.
443336 - Preretinal arterial loops and retinal arterial occlusion.
19385476 - Branch retinal vein occlusion.
25171956 - The azygos vein pathway: an overview from anatomical variations to pathological changes.
6410716 - Evaluation of prototype equipment for digital subtraction angiography in diagnosing int...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-7
Journal Detail:
Title:  Clinical anatomy (New York, N.Y.)     Volume:  -     ISSN:  1098-2353     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8809128     Medline TA:  Clin Anat     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Centers for Surgical Anatomy and Technique, Emory University School of Medicine, Atlanta, Georgia.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Use of MRI images to measure tissue thickness over the ischial tuberosity at different hip flexion.
Next Document:  Morphometric analysis of the anterior region of the maxillary bone for immediate implant placement u...