Document Detail


Fetal intrahepatic gallbladder and topographical anatomy of the liver hilar region and hepatocystic triangle.
MedLine Citation:
PMID:  22025423     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The fetal gallbladder (GB) is embedded in a deep fossa surrounded by the liver parenchyma. Using 15 specimens with intrahepatic GB (crown-rump length 45-92 mm; approximately 9-13 weeks of gestation), we assessed the fetal topographical anatomy of the hepatocystic triangle and the porta hepatis. The cystic duct displayed a long upward course (0.9-4.5 mm along the supero-inferior axis) from the GB, along the duodenum, to the common bile duct in the hepatoduodenal ligament, via an independent mesentery separated from liver parenchyma by a recess of the peritoneal cavity. Notably, the course varied in length among specimens, not among stages. At the porta hepatis, we were able to distinguish the supraportal course of the posterior right hepatic duct overriding a portal vein branch to segment 8 (6/15) from the other, infraportal course (9/15). In the latter type, the portal vein bifurcation was superior to the cystic duct course. Two margins of the hepatocyctic triangle were very long in fetuses because of the inferiorly located intrahepatic GB. Thus, the triangle seems to be difficult to identify in prenatal ultrasound. During changes in location after 9 weeks, the GB fundus remains attached to the liver because the cystic artery was often embedded in the liver parenchyma. A failure in the embedding and re-exposure process of the GB may result in anomalous peritoneal folds around the GB. © 2011 Wiley Periodicals, Inc.
Authors:
Bao Jian Wang; Ji Hyun Kim; Hee Chul Yu; Jose Francisco Rodríguez-Vázquez; Gen Murakami; Baik Hwan Cho
Related Documents :
2570173 - Characterization of a novel alpha 1-adrenoceptor antagonist, sgb-1534, in contractile r...
219563 - Adenine compounds: cerebrovascular effects in vitro with reference to their possible in...
9111663 - Experimental arteriovenous fistulas: treatment with silicone-covered metallic stents.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-10-24
Journal Detail:
Title:  Clinical anatomy (New York, N.Y.)     Volume:  -     ISSN:  1098-2353     ISO Abbreviation:  -     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8809128     Medline TA:  Clin Anat     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Wiley-Liss, Inc.
Affiliation:
Department of Surgery, Chonbuk National University Medical School, Jeonju, Korea.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  Parental Literacy Predicts Children's Literacy: A Longitudinal Family-Risk Study.
Next Document:  Transumbilical Single-Access Laparoscopic Perforated Gastric Ulcer Repair.