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Abdominal ultrasonography (with Doppler) of dilated intrahepatic bile ducts, in this case because of pancreatic cancer. The bile ducts are colorless (black) in contrast to blood vessels (portal vein near center, and hepatic artery to the right of it) which have Doppler signal.
The biliary tree (see below) is the whole network of various sized ducts branching through the liver.. The path is as follows: bile canaliculi → canals of Hering → interlobular bile ducts → intrahepatic bile ducts → left and right hepatic ducts merge to form → common hepatic duct exits liver and joins → cystic duct (from gall bladder) forming → common bile duct → joins with ...
The bile duct [1] [4] (formerly known as the common bile duct [4]) is a part of the biliary tract. [4] It is formed by the union of the common hepatic duct and cystic duct. It ends by uniting with the pancreatic duct to form the hepatopancreatic ampulla. It possesses its sphincter to enable the regulation of bile flow.
The name biliary tract is used to refer to all of the ducts, structures and organs involved in the production, storage and secretion of bile. [10] The tract is as follows: Bile canaliculi >> Canals of Hering >> intrahepatic bile ductule (in portal tracts / triads) >> interlobular bile ducts >> left and right hepatic ducts [4]
The canals of Hering, or intrahepatic bile ductules, are part of the outflow system of exocrine bile product from the liver. Liver stem cells are hypothesized to inhabit the canals. [ 1 ] [ 2 ]
It is formed by the union 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). [3] The duct is about 3 cm long. [4] The common hepatic duct is about 6 mm in diameter in adults, with some variation. [5]
The double duct sign is a radiological finding characterized by the simultaneous dilation of the common bile duct and the main pancreatic duct.This sign is significant because it often indicates an obstruction in the distal bile duct and pancreatic duct, frequently caused by serious underlying pathologies such as pancreatic carcinoma or periampullary tumors. [1]
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