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Common hepatic duct

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Common hepatic duct
1: Right lobe of liver
2: Left lobe of liver
3: Quadrate lobe of liver
4: Round ligament of liver
5: Falciform ligament
6: Caudate lobe of liver
7: Inferior vena cava
8: Common bile duct
9: Hepatic artery
10: Portal vein
11: Cystic duct
12: Common hepatic duct
13: Gallbladder
Details
Identifiers
Latinductus hepaticus communis
MeSHD006500
TA98A05.8.01.061
TA23092
FMA14668
Anatomical terminology
1. Bile ducts:
      2. Intrahepatic bile ducts
      3. Left and right hepatic ducts
      4. Common hepatic duct
      5. Cystic duct
      6. Common bile duct
      7. Ampulla of Vater
      8. Major duodenal papilla
9. Gallbladder
10–11. Right and left lobes of liver
12. Spleen
13. Esophagus
14. Stomach
15. Pancreas:
      16. Accessory pancreatic duct
      17. Pancreatic duct
18. Small intestine:
      19. Duodenum
      20. Jejunum
21–22. Right and left kidneys
The front border of the liver has been lifted up (brown arrow).[1]

The common hepatic duct is the duct formed by the convergence of the right hepatic duct (which drains bile from the right functional lobe of the liver) and the left hepatic duct (which drains bile from the left functional lobe of the liver). The common hepatic duct then joins the cystic duct coming from the gallbladder to form the common bile duct. The duct is usually 6–8 cm length.[2]

Clinical significance

The hepatic duct is part of the biliary tract that transports secretions from the liver into the intestines. It carries more volume in people who have had their gallbladder removed.

It is an important anatomic landmark during surgeries such as gall bladder removal. It forms one edge of Calot's triangle, along with the cystic duct and the cystic artery. All constituents of this triangle must be identified to avoid cutting or clipping the wrong structure.

There is some normal anatomic variation of the diameter

The common hepatic duct is about 6mm in diameter in adults, with some variation.[2] A diameter of more than 8 mm is regarded as abnormal dilatation, and is a sign of cholestasis.[3]

Additional images

  • Common hepatic duct
    Common hepatic duct
  • The portal vein and its tributaries.
    The portal vein and its tributaries.
  • The gall-bladder and bile ducts laid open.
    The gall-bladder and bile ducts laid open.
  • Common hepatic duct
    Common hepatic duct

References

  1. ^ Standring S, Borley NR, eds. (2008). Gray's anatomy : the anatomical basis of clinical practice. Brown JL, Moore LA (40th ed.). London: Churchill Livingstone. pp. 1163, 1177, 1185–6. ISBN 978-0-8089-2371-8.
  2. ^ a b Gray's Anatomy, 39th ed, p. 1228
  3. ^ Hoeffel, Christine; Azizi, Louisa; Lewin, Maité; Laurent, Valérie; Aubé, Christophe; Arrivé, Lionel; Tubiana, Jean-Michel (2006). "Normal and Pathologic Features of the Postoperative Biliary Tract at 3D MR Cholangiopancreatography and MR Imaging". RadioGraphics. 26 (6): 1603–1620. doi:10.1148/rg.266055730. ISSN 0271-5333.
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