blog counter
 

 

         Pathology-India.com

       Arterial and Lymphatic 

       supply of  Gall-bladder

Custom Search
 

             

Visit: Anatomy of Gall Bladder ; Physiology of Gall Bladder.

Arterial supply of the Gall-bladder

The cystic artery, a branch of the right hepatic artery is usually given off behind the common hepatic duct.

Thus it makes the base of Calot’s triangle, the other sides being the right hepatic artery above, and the cystic duct below.

Occasionally an accessory cystic artery arises from the gastro-duodenal artery.

In 15% of cases the right hepatic artery and/or the cystic artery cross in front of the common bile duct and the cystic duct.

The most dangerous anomaly of all is when the hepatic artery takes a tortuous course in front of the origin of the cystic duct or the right  hepatic artery is tortuous, and the cystic artery is short.

The tortuosity is known as the ‘caterpillar turn’ or Moynihan’s hump.

There is a possibility of liver infartion in accidental ligation of  the common hepatic artery, but chances of recovery in this and right  hepatic ligation are improved by giving neomycin or ampicillin by mouth, and ensuring a high intake of glucose.

Hyperbaric oxygen would be useful, if available.

Infarction in a jaundiced patient is probably lethal.

              

Lymphatic supply of the Gall Bladder

The lymph vessels of the gall-bladder (subserosal and submucous), drain into the cystic lymph nodes of Lund (the sentinel lymph node), which lies in the fork created by the junction of the cystic and common bile ducts.

Efferent vessels from this lymph node go to the hilum of the liver, and to the celiac lymph nodes.

The subserosal lymphatic vessels of the gall-bladder also connect with the subcapsular lymph channels of the liver, and this accounts for the frequent spread of carcinoma of the gall-bladder to the right lobe of the liver.

                

             Your Ad Here

Custom Search

June 2009

Histopathology-India.net

diagnostichistopathology. blogspot.com

Pathopedia-India.com

Surgical-Pathology.com

Pathology-India.com

Pancreatic Pathology Online

Gall Bladder Pathology Online

Paediatric Pathology Online

Paraganglioma-Online

Endocrine Pathology Online

Eye Pathology Online

Ear Pathology Online

Cardiac Path Online

Lung Tumour-Online

Mesothelioma-Online

Pulmonary Pathology Online

Nutritional Pathology Online

Environmental Pathology Online

Pathology Quiz Online

Dermpath-India

GI Path Online

Soft Tissue Pathology

Case Index

Infectious Disease Online; INDEX: A-D ; INDEX: E-L ; INDEX: M-P INDEX: Q-Z ; FUNGAL DISEASE ; VIRAL DISEASE.

E-book - History of  Medicine with special reference to India

Basic Pathology Blog


 Disclaimer  ;  Privacy Policy  ; Advertising Policy  ;  E-mail 

Copyright © 2009 pathology-india.com
   All rights reserved