ANATOMY OF BILIARY

SYSTEM
NAME: MOHAMMAD SYA’RANI BIN NAJMUDDIN
ID no.: 101
DEPARTMENT: HEPATO-BILIARY UNIT
BILIARY SYSTEM CONSISTS OF:

GALL BILIARY
BLADDER DUCTS
COMPOSED OF:
• Shape
• Site
• GALL
Peritoneal covering
• Parts BLADDER
• Relations of parts of the gall bladder
• Cystic duct
Shape:
-It is a pear-shaped sac.

Site:
-It lies in the gall bladder fossa on the inferior surface of the liver.

Peritoneal covering:
-It is covered inferiorly and on both sides by peritoneum.
-Superiorly it lies in a direct contact with the liver
 PARTS OF THE
GALL BLADDER
neck

Hepatic
body duct
Cystic
duct

Common bile
duct
fundus

Pancreatic
duct
FUNDUS:
It projects from the lower margin
of the liver.
•Anteriorly: related to anterior
abdominal wall close to the tip of
the right 9th costal cartilage.

•Posteriorly: related to the

transverse colon

BODY:
Part that lies in the fossa on
the inferior surface NECK:
of the liver. •It is the narrowest part of the
•Superiorly: is related to the
gall bladder.
liver. •It is continuous with the cystic
duct.
•Inferiorly: is related to the •It contains a valve.
transverse colon
 CYSTIC DUCT
-It is the duct of the gall bladder.

-It passes from the neck of the gall bladder

to the porta hepatis where it joins the
common hepatic duct to form the
common bile duct.

-it has an S-shaped course (1.5 inches)

Blood supply:
1.Cystic artery – Calot’s triangle?
2.Cystic vein

Lymphatic drainage:
-into the hepatic and cystic
lymph nodes
 SURFACE ANATOMY

Fundus:
lies opposite to tip of the
right 9th costal cartilage.
@
Opposite the angle formed by
the right costal margin and the
right linea semilunaris
@
Lies in the angle between the
tip of the right 9th costal
cartilage with the right lateral
vertical plane or with the trans-
pyloric plane
 BILIARY DUCTS

Lt hepatic duct Rt hepatic duct

Cystic duct Common hepatic duct

Common bile duct

COMMON BILE DUCT
-Formation.

-Courses (3 parts):

1) In the free border of lesser omentum:

-Anterior and to the right : common bile duct

-Anterior and to the left : hepatic artery
-Posterior : portal vein

2) Behind the first part of the duodenum:

-Anterior and to the right – common bile duct

-Anterior and to the left – gastroduodenal ar.
-Posterior – portal vein

3) Behind the head of pancreas:

-Bile duct lies behind head of the pancreas

and in front of the IVC