A Brief Concept of Gallstones Diseases

Mohamed Hassabo

Department of Internal Medicine, Hail General Hospital, Saudi Arabia

Dr. Mohamed Hassabo, Department of Internal Medicine, Hail General Hospital, Saudi Arabia.

Keywords: Gallstones; Gallbladder; Lymphnode; Deconjugation

Abstract

The Anatomy
• The gallbladder lies on the under surface of the liver
• It is a pea shaped structure
• That has a capacity of up to 50 ml
• Its divided into a fundus, a body, a neck and infundibulum
• It`s muscles are in a criss cross manner
• It is connected to the common hepatic duct by the cystic duct which is usually about 3 cm long with a luminal diameter of about 2mm to form the common bile duct
• The wall of the cystic duct is surrounded by the sphincter of lutken`s
• The common hepatic duct is formed by the union of the left and right hepatic duct
• The common bile duct is about 7.5 cm long and is formed by the junction of the cystic duct and the common hepatic duct
• The common bile duct is divided into four parts according to its relationship to the duodenum
1. Supraduodenal part running in the lesser omentum
2. Retroduodenal part
3. Infraduodenal part running on the posterior surface of the pancreas
4. Intraduodenal part which enters the second part of the duodenum and is surrounded by thesphincter of Oddi

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