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The two ducts join outside the liver to become the common hepatic duct.
An endoscopic cholangiogram showed obstruction within the common hepatic duct.
Laparotomy showed that the common hepatic duct had been resected erroneously.
Bile is then secreted by the liver into small ducts that join to form the common hepatic duct.
Type II: atresia of the common hepatic duct.
Bile flows into the right and left hepatic ducts which join together to form the common hepatic duct.
The part of the common hepatic duct that is outside the liver is called the extrahepatic bile duct.
It is formed by the union of the common hepatic duct and the cystic duct (from the gall bladder).
Common hepatic duct (leaving)
The cystohepatic triangle is the area bound by the cystic duct, common hepatic duct, and the liver margin.
The bile canaliculi merge and form bile ductules, which eventually become common hepatic duct.
Bile is formed in the liver by hepatocytes (liver cells) and excreted into the common hepatic duct.
The common hepatic duct then joins the cystic duct coming from the gallbladder to form the common bile duct.
When the total common hepatic duct was resected, the left hepatic duct approach was used for the hepaticojejunal anastomosis.
An uncommon but potentially serious complication is injury to the common bile duct, which connects the cystic and common hepatic ducts to the duodenum.
Bile can flow in both directions between the gallbladder and the common hepatic duct and the (common) bile duct.
This form of the cystic artery does not pass through the hepatobiliary triangle and has been found located both anteriorly and posteriorly to the common hepatic duct.
The treatment of choice is laparotomic surgical excision of the gallbladder, and reconstruction of the common hepatic duct and common bile duct.
The two ducts join to form the common hepatic duct, which in turn joins the cystic duct from the gall bladder, to give the common bile duct.
The neck tapers and connects to the biliary tree via the cystic duct, which then joins the common hepatic duct to become the common bile duct.
Liver function tests are within normal limits since the obstruction does not necessarily cause blockage in the common hepatic duct, thereby allowing normal bile excretion from the liver.
In all three patients, subsequent laparotomy showed a distal CBD occluded by clips and a partially resected common hepatic duct, with free bile leakage into the abdominal cavity.
The hepatobiliary triangle (or cystohepatic triangle) is an anatomic space bordered by the common hepatic duct medially, the cystic duct laterally and the cystic artery superiorly.
During laparotomy, 2 cm of more proximal bile duct was missing and bile leaked from the common hepatic duct into the abdominal cavity, explaining the absence of obstructive jaundice.
Multiple and large gallstones can reside chronically in the Hartmann's pouch of the gallbladder, causing inflammation, necrosis, scarring and ultimately fistula formation into the adjacent common hepatic duct (CHD).