The Morphological Aberrations of Cystic Duct and its Clinical Significance: A Gross Anatomical Study
Journal Title: International Journal of Anatomy Radiology and Surgery - Year 2018, Vol 7, Issue 2
Abstract
Introduction: The Cystic Duct (CD) serves as a thorough fare for transport of bile to and away from the gallbladder. It is about 2-4 cm in length and 1-5 mm in diameter, and joins the Common Hepatic Duct (CHD) at its right lateral aspect, in the middle third to form the Common Bile Duct (CBD). A large number of variations are seen in its anatomy which is either due to aberrations during its developmental process or a result of underlying pathology. Aim: To study the length, diameter, course, site and level of insertion of the CD. Presence of any other anomaly was also looked into. Materials and Methods: This study was undertaken on one hundred specimens of liver along with entire extra hepatic biliary apparatus, in the Department of Anatomy, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, and Subharti Medical College, between 2008 to 2013. Total 100 cadavers considered for the study. The morphology of CD was studied with respect to its length, mid length diameter, course, site and level of insertion and the presence of other anomalies Results: In 99 (99%) specimens the CD joined the CHD and in one (1%) it joined the Right Hepatic Duct (RHD). The length of the CD was found between 0.2 cm to 6.2 cm. The mid-length diameter of the CD ranged from 0.2 cm-0.8 cm. The course of CD was angular in 53 (53%), parallel in 23 (23%), spiral in 24 (24%) specimens. The site of insertion in 76 (76%) specimens, was right lateral, in 4 (4 %) it was anterior, in 15 (15%) it was posterior and in 5 (5%) was left medial. A tubular channel was seen arising from the wall of the gallbladder and draining into CHD above the opening of the usual one. Conclusion: Important variations were found which are significant from the surgical point of view, especially as there is a surge in laparoscopic cholecystectomies and other minimally invasive procedures in the recent era.
Authors and Affiliations
Jaba Rajguru, Mitesh Dave
Keywords
Related Articles
- EP ID EP529878
- DOI 10.7860/IJARS/2018/35596:2386
- Views 125
- Downloads 0
The Role of Magnetic Resonance Imaging in the Evaluation of Trigeminal Neuralgia
ABSTRACT Introducation: Trigeminal neuralgia is characterized by electric shock-like pain, abrupt in onset and brief, in the distribution of one or more divisions of the trigeminal nerve. Trigeminal neuralgia can occur d...
Evaluation of Genotoxicity Profile of Tamra Bhasma (A Copper Based Metallic Preparation) in Swiss Albino Mice
ABSTRACT Introduction: Since, thousands of years we have been using natural medication in Indian system of medicine. Till today lots of work has been done to study their toxicity, but very few studies have been undertake...
Evaluation of Imaging Abnormalities of Ureter using MDCT Urography
Introduction: Computed Tomography (CT) has become the primary imaging modality for assessment of excretory system. It has essentially replaced intravenous urography as the first line imaging modality. The major advantage...
Mammographic and Sonomammographic Evaluation of Breast Masses with Pathological Correlation: A Prospective Original Study
ABSTRACT Introduction: Breast lumps are common problem affecting females, which require proper workup, early diagnosis and treatment. Mammography is used as both screening modality and as an efficient technique to evalua...
Multislice Computed Tomography Imaging with Clinical Outcome in Inflammatory Appendiceal Masses
ABSTRACT Introduction: Appendicular lump is a serious complication of appendicitis presenting clinically with right iliac fossa mass which has a range of differential diagnosis. Diagnosis of complicated appendicitis and...