SlideShare a Scribd company logo
1 of 40
Download to read offline
1
BRISSO ARACKAL
BRISSO ARACKAL
THE GALLBLADDER
2
BRISSO ARACKAL
3
BRISSO ARACKAL
Introduction
• In vertebrates the gallbladder (cholecyst, gall
bladder or biliary vesicle) is a small organ
where bile is stored, before it is released into
the small intestine. Humans can live without a
gallbladder. The gallbladder is a hollow organ
that sits just beneath the right lobe of the liver.
4
BRISSO ARACKAL
GALL BLADDER- definition
• Gall bladder is a pear shaped reservoir of bile
situated in a fossa on the inferior surface of the
right lobe of the liver.
• The fossa for the gall bladder extends from the
right end of the porta hepatis to the inferior
border of the liver
5
BRISSO ARACKAL
6
BRISSO ARACKAL
LOCATION:
– 1. Epigastric region
– 2. Right hypochondriac region
– 3. On inferior surface of liver
– 4. Between quadrate and right
lobes
7
BRISSO ARACKAL
DIMENSIONS AND CAPACITY
 The gall bladder is 7 to 10 cm long, 3 cm
broad at its widest part, and about 30 to 50 ml
in capacity.
8
BRISSO ARACKAL
9
BRISSO ARACKAL
10
BRISSO ARACKAL
11
BRISSO ARACKAL
12
BRISSO ARACKAL
BILIARY APPARATUS
• The biliary apparatus collects bile from the liver,
stores it in the gall bladder, and transmits it to the
second part of duodenum.
• The apparatus consists of
• 1. the right and left hepatic ducts,
• 2.the common hepatic duct,
• 3. the gall bladder
• 4. the cystic duct
• 5.the bile duct.
13
BRISSO ARACKAL
1. Hepatic ducts
• The right and left hepatic
ducts emerge at the porta
hepatis from the right
and left lobes of the liver.
• The arrangement of
structures at the porta
hepatis from behind
forwards is
• -the branches of the
portal vein
• -hepatic artery
• -hepatic ducts.
14
BRISSO ARACKAL
2.Common hepatic duct
• It is formed by the
union of the right and
left hepatic ducts near
the right end of the
porta hepatis.
• It runs downwards for
about 3 cm and is joined
on its right side at an
acute angle by the
cystic duct to form the
bile duct.
15
BRISSO ARACKAL
4..CYSTIC DUCT
16
BRISSO ARACKAL
CYSTIC DUCT
Cystic duct is about 3
to 4 cm long.
It begins at the neck
of the gall bladder,
runs downwards,
backwards and to the
left, and ends by
joining the common
hepatic duct at an
acute angle to form
the bile duct
17
BRISSO ARACKAL
CYSTIC DUCT
• The mucous membrane
of the cystic duct forms
a series of 5 to 12
crescentic folds,
arranged spirally to
form the so-called
“spiral valve”of heister.
This is not a true valve.
18
BRISSO ARACKAL
19
BRISSO ARACKAL
5.BILE DUCT
• Bile duct is formed by the union of the cystic and
common hepatic ducts near the porta hepatis.
• It is 8cm long and has a diameter of about 6mm.
• The bile duct runs downwards and backwards,
first in the free margin of the lesser omentum,
supra duodenal part , then behind the first part of
the duodenum the retroduodenal part, and lastly
behind, or embedded in , the head of the pancreas
infraduodenal part.
20
BRISSO ARACKAL
21
BRISSO ARACKAL
BILE DUCT
• Near the middle of the left side of the second part
of the duodenum it comes in contact with the
pancreatic duct and accompanies it through the
wall of the duodenum,the intraduodenal part.
• The course of the duct through the duodenal wall
is very oblique.
• Within the wall the two ducts usually unite to
form the hepatopancreatic ampulla, or ampulla
of vater.
22
BRISSO ARACKAL
Sphincters related to the bile and
pancreatic ducts
• Sphincter choledochus
• Sphincter pancreaticus
• Sphincter ampullae
23
BRISSO ARACKAL
24
BRISSO ARACKAL
Sphincter choledochus
• The terminal part of the bile duct is surrounded
just above its junction with the pancreatic duct by
a ring of smooth muscle that forms the sphincter
choledochus( choledochus= bile duct).
• This sphincter is always present.
• As a result , bile formed in the liver keeps
accumulating in the gall bladder and also
undergoes considerable concentration.
• When food enters the duodenum, specially a fatty
meal, the sphincter opens and bile stored in the
gall bladder is poured into the duodenum.
25
BRISSO ARACKAL
Sphincter pancreaticus and
Sphincter ampullae
• Another less developed sphincter ,which is
usually but not always present around the
terminal part of the pancreatic duct is the
sphincter pancreaticus.
• A third sphincter surrounds the
hepatopancreatic ampulla and is called the
sphincter ampullae.or sphincter of Oddi.
26
BRISSO ARACKAL
27
BRISSO ARACKAL
28
BRISSO ARACKAL
29
BRISSO ARACKAL
Cystic artery
Right hepatic artery
Proper hepatic artery
Common hepatic artery
30
BRISSO ARACKAL
31
BRISSO ARACKAL
32
BRISSO ARACKAL
33
BRISSO ARACKAL
34
BRISSO ARACKAL
35
BRISSO ARACKAL
36
BRISSO ARACKAL
37
BRISSO ARACKAL
38
BRISSO ARACKAL
FUNCTIONS OF THE GALL BLADDER
• 1.Storage of bile, and its release into the
duodenum when required.
• 2. Absorption of water, and concentration of bile.
Bile may be concentrated as much as ten times.
• 3. The normal gall bladder also absorbes small
amounts of a loose bile salt cholesterol
compound.
• 4. It regulates pressure in the biliary system by
appropriate dilatation or contraction. Thus the
normal choledochoduodenal mechanism is
maintained.
39
BRISSO ARACKAL
40
BRISSO ARACKAL

More Related Content

What's hot

Embryology of heart and fetal circulation
Embryology of heart and fetal circulationEmbryology of heart and fetal circulation
Embryology of heart and fetal circulationArchana Koshy
 
Development of foregut
Development of foregutDevelopment of foregut
Development of foregutNeeta Chhabra
 
Development of Stomach (Special Embryology)
Development of Stomach (Special Embryology)Development of Stomach (Special Embryology)
Development of Stomach (Special Embryology)Dr. Sherif Fahmy
 
anatomy of male urethra
anatomy of male urethraanatomy of male urethra
anatomy of male urethramadhu sunkara
 
small intestine (Jujenum ,ileum)
small intestine (Jujenum ,ileum)small intestine (Jujenum ,ileum)
small intestine (Jujenum ,ileum)Dr. sana yaseen
 
Embryology liver,pancreas,spleen & respiratory system
Embryology   liver,pancreas,spleen & respiratory systemEmbryology   liver,pancreas,spleen & respiratory system
Embryology liver,pancreas,spleen & respiratory systemMBBS IMS MSU
 
Development of liver , extrahepatic biliary apparatus , pancreas and spleen.
Development of liver , extrahepatic biliary apparatus , pancreas and spleen.Development of liver , extrahepatic biliary apparatus , pancreas and spleen.
Development of liver , extrahepatic biliary apparatus , pancreas and spleen.SaachiGupta4
 
Histology of the liver and gall bladder [compatibility mode]
Histology of the liver and gall bladder [compatibility mode]Histology of the liver and gall bladder [compatibility mode]
Histology of the liver and gall bladder [compatibility mode]Hanaa Said
 
Anatomy of the stomach
Anatomy of the stomachAnatomy of the stomach
Anatomy of the stomachSaika Lashari
 
The Function of the pancreas
The Function of the pancreasThe Function of the pancreas
The Function of the pancreasLudwina Maxwell
 
Large intestine
Large intestineLarge intestine
Large intestinesoonRRT
 

What's hot (20)

Embryology of heart and fetal circulation
Embryology of heart and fetal circulationEmbryology of heart and fetal circulation
Embryology of heart and fetal circulation
 
Development of foregut
Development of foregutDevelopment of foregut
Development of foregut
 
Development of Stomach (Special Embryology)
Development of Stomach (Special Embryology)Development of Stomach (Special Embryology)
Development of Stomach (Special Embryology)
 
Abdominal aorta
Abdominal aortaAbdominal aorta
Abdominal aorta
 
Anatomy of liver
Anatomy of liver Anatomy of liver
Anatomy of liver
 
Kidney
KidneyKidney
Kidney
 
The gallbladder and bile ducts
The gallbladder and bile ductsThe gallbladder and bile ducts
The gallbladder and bile ducts
 
Gall bladder
Gall bladderGall bladder
Gall bladder
 
anatomy of male urethra
anatomy of male urethraanatomy of male urethra
anatomy of male urethra
 
small intestine (Jujenum ,ileum)
small intestine (Jujenum ,ileum)small intestine (Jujenum ,ileum)
small intestine (Jujenum ,ileum)
 
Embryology liver,pancreas,spleen & respiratory system
Embryology   liver,pancreas,spleen & respiratory systemEmbryology   liver,pancreas,spleen & respiratory system
Embryology liver,pancreas,spleen & respiratory system
 
Male and female urethra
Male and female urethraMale and female urethra
Male and female urethra
 
Portal vein
Portal vein Portal vein
Portal vein
 
Development of liver , extrahepatic biliary apparatus , pancreas and spleen.
Development of liver , extrahepatic biliary apparatus , pancreas and spleen.Development of liver , extrahepatic biliary apparatus , pancreas and spleen.
Development of liver , extrahepatic biliary apparatus , pancreas and spleen.
 
Gross anatomy and histology of liver
Gross anatomy and histology of liverGross anatomy and histology of liver
Gross anatomy and histology of liver
 
KIDNEY
KIDNEYKIDNEY
KIDNEY
 
Histology of the liver and gall bladder [compatibility mode]
Histology of the liver and gall bladder [compatibility mode]Histology of the liver and gall bladder [compatibility mode]
Histology of the liver and gall bladder [compatibility mode]
 
Anatomy of the stomach
Anatomy of the stomachAnatomy of the stomach
Anatomy of the stomach
 
The Function of the pancreas
The Function of the pancreasThe Function of the pancreas
The Function of the pancreas
 
Large intestine
Large intestineLarge intestine
Large intestine
 

Similar to Gall bladder .pdf

Similar to Gall bladder .pdf (20)

Small intestine .pdf
Small intestine .pdfSmall intestine .pdf
Small intestine .pdf
 
Small intestine .pdf
Small intestine .pdfSmall intestine .pdf
Small intestine .pdf
 
Small intestine
Small intestine Small intestine
Small intestine
 
smallintestine1-161001071142.pptx
smallintestine1-161001071142.pptxsmallintestine1-161001071142.pptx
smallintestine1-161001071142.pptx
 
thepancreas-161001060405.pdf
thepancreas-161001060405.pdfthepancreas-161001060405.pdf
thepancreas-161001060405.pdf
 
The pancreas
The pancreasThe pancreas
The pancreas
 
A.CAVITY 5.pptx
A.CAVITY 5.pptxA.CAVITY 5.pptx
A.CAVITY 5.pptx
 
Anatomy of gall bladder
Anatomy of gall bladderAnatomy of gall bladder
Anatomy of gall bladder
 
Anatomy of gall bladder
Anatomy of gall bladderAnatomy of gall bladder
Anatomy of gall bladder
 
pan.pptx
pan.pptxpan.pptx
pan.pptx
 
Anatomy and physiology of gall bladder
Anatomy and physiology of gall bladderAnatomy and physiology of gall bladder
Anatomy and physiology of gall bladder
 
Anatomy of kidneys
Anatomy of  kidneysAnatomy of  kidneys
Anatomy of kidneys
 
Liver ANATOMY,LFT,LIVER IMAGING
Liver ANATOMY,LFT,LIVER IMAGINGLiver ANATOMY,LFT,LIVER IMAGING
Liver ANATOMY,LFT,LIVER IMAGING
 
Pancreas
PancreasPancreas
Pancreas
 
Washing machine of body
Washing machine of bodyWashing machine of body
Washing machine of body
 
Applied Anatomy and Physiology of spleen
Applied Anatomy and Physiology of spleenApplied Anatomy and Physiology of spleen
Applied Anatomy and Physiology of spleen
 
Biliary apparatus
Biliary apparatusBiliary apparatus
Biliary apparatus
 
SURGICAL ANATOMY OF STOMACH [Autosaved].pptx
SURGICAL ANATOMY OF STOMACH [Autosaved].pptxSURGICAL ANATOMY OF STOMACH [Autosaved].pptx
SURGICAL ANATOMY OF STOMACH [Autosaved].pptx
 
Extrahepatic Biliary Apparatus
Extrahepatic Biliary ApparatusExtrahepatic Biliary Apparatus
Extrahepatic Biliary Apparatus
 
Radiological anatomy of_abdomen[1]
Radiological anatomy of_abdomen[1]Radiological anatomy of_abdomen[1]
Radiological anatomy of_abdomen[1]
 

More from ssuserbf4af22

Jsjskcjcj j jjzjjszi iDisks izjzkzj 6.ppt
Jsjskcjcj j jjzjjszi iDisks izjzkzj 6.pptJsjskcjcj j jjzjjszi iDisks izjzkzj 6.ppt
Jsjskcjcj j jjzjjszi iDisks izjzkzj 6.pptssuserbf4af22
 
Hdhdhjdjdjdjfjfj hdhjdhdjdj jcjjfjxhx5.ppt
Hdhdhjdjdjdjfjfj hdhjdhdjdj jcjjfjxhx5.pptHdhdhjdjdjdjfjfj hdhjdhdjdj jcjjfjxhx5.ppt
Hdhdhjdjdjdjfjfj hdhjdhdjdj jcjjfjxhx5.pptssuserbf4af22
 
Ролл ролл об. Ль. Ллл. Оль около толи 4.ppt
Ролл ролл об. Ль. Ллл. Оль около толи 4.pptРолл ролл об. Ль. Ллл. Оль около толи 4.ppt
Ролл ролл об. Ль. Ллл. Оль около толи 4.pptssuserbf4af22
 
Ола рот Олоп Олд оллл рот лппп Олд д для 3.ppt
Ола рот Олоп Олд оллл рот лппп Олд д для 3.pptОла рот Олоп Олд оллл рот лппп Олд д для 3.ppt
Ола рот Олоп Олд оллл рот лппп Олд д для 3.pptssuserbf4af22
 
Gghh hhh hhh hhh yes u. Jjj jjj jjj 7.ppt
Gghh hhh hhh hhh yes u.  Jjj jjj jjj 7.pptGghh hhh hhh hhh yes u.  Jjj jjj jjj 7.ppt
Gghh hhh hhh hhh yes u. Jjj jjj jjj 7.pptssuserbf4af22
 
Dddd cccff fffd dress dddd dddd ddd6.pptx
Dddd cccff fffd dress dddd dddd ddd6.pptxDddd cccff fffd dress dddd dddd ddd6.pptx
Dddd cccff fffd dress dddd dddd ddd6.pptxssuserbf4af22
 
9ооо тол Оли Оли рот. Лота лоль рака .pptx
9ооо тол Оли Оли рот. Лота лоль рака .pptx9ооо тол Оли Оли рот. Лота лоль рака .pptx
9ооо тол Оли Оли рот. Лота лоль рака .pptxssuserbf4af22
 
Порол Олимп торг. Лора ооо. Оооло. Лото 5.ppt
Порол Олимп торг. Лора ооо. Оооло. Лото 5.pptПорол Олимп торг. Лора ооо. Оооло. Лото 5.ppt
Порол Олимп торг. Лора ооо. Оооло. Лото 5.pptssuserbf4af22
 
Прокол тори. Олоиии. Ооррр. Торопить. 4.ppt
Прокол тори. Олоиии. Ооррр. Торопить. 4.pptПрокол тори. Олоиии. Ооррр. Торопить. 4.ppt
Прокол тори. Олоиии. Ооррр. Торопить. 4.pptssuserbf4af22
 
Gfgjbvcfddjkddffddghbffffjm hgfdv bhfd1.ppt
Gfgjbvcfddjkddffddghbffffjm hgfdv bhfd1.pptGfgjbvcfddjkddffddghbffffjm hgfdv bhfd1.ppt
Gfgjbvcfddjkddffddghbffffjm hgfdv bhfd1.pptssuserbf4af22
 
Рррдь Мими. Оми. От. Ильбаев. Оттит. О5.ppt
Рррдь Мими. Оми. От. Ильбаев. Оттит. О5.pptРррдь Мими. Оми. От. Ильбаев. Оттит. О5.ppt
Рррдь Мими. Оми. От. Ильбаев. Оттит. О5.pptssuserbf4af22
 
Лорак тимол тореро лопарю оорааа Лора 4.pptx
Лорак тимол тореро лопарю оорааа Лора 4.pptxЛорак тимол тореро лопарю оорааа Лора 4.pptx
Лорак тимол тореро лопарю оорааа Лора 4.pptxssuserbf4af22
 
Полиса томполь лопает одьпаплд отвари. Лопат 3.ppt
Полиса томполь лопает одьпаплд отвари. Лопат 3.pptПолиса томполь лопает одьпаплд отвари. Лопат 3.ppt
Полиса томполь лопает одьпаплд отвари. Лопат 3.pptssuserbf4af22
 
Рапольпппдборпарььрпвенрпроллопамтьд топор ООН 2.ppt
Рапольпппдборпарььрпвенрпроллопамтьд топор ООН 2.pptРапольпппдборпарььрпвенрпроллопамтьд топор ООН 2.ppt
Рапольпппдборпарььрпвенрпроллопамтьд топор ООН 2.pptssuserbf4af22
 
Проблема сознания иимрлдрпррааллорпп отпало 1.ppt
Проблема сознания иимрлдрпррааллорпп отпало 1.pptПроблема сознания иимрлдрпррааллорпп отпало 1.ppt
Проблема сознания иимрлдрпррааллорпп отпало 1.pptssuserbf4af22
 
Проблемы сознания тттоддипррлдвввпо4.ppt
Проблемы сознания тттоддипррлдвввпо4.pptПроблемы сознания тттоддипррлдвввпо4.ppt
Проблемы сознания тттоддипррлдвввпо4.pptssuserbf4af22
 
Круг проблемы философии лалаллвыббы3.pptx
Круг проблемы философии лалаллвыббы3.pptxКруг проблемы философии лалаллвыббы3.pptx
Круг проблемы философии лалаллвыббы3.pptxssuserbf4af22
 
Естествознаниеояляляллядйдцовтвдыцдао2.pptx
Естествознаниеояляляллядйдцовтвдыцдао2.pptxЕстествознаниеояляляллядйдцовтвдыцдао2.pptx
Естествознаниеояляляллядйдцовтвдыцдао2.pptxssuserbf4af22
 
hdhdhdhdhdhdhhddhhdhdhskakajqhbbbjwiw1.pptx
hdhdhdhdhdhdhhddhhdhdhskakajqhbbbjwiw1.pptxhdhdhdhdhdhdhhddhhdhdhskakajqhbbbjwiw1.pptx
hdhdhdhdhdhdhhddhhdhdhskakajqhbbbjwiw1.pptxssuserbf4af22
 
1лллишмпшпмнвнагмллтдтлмыкыегищдтдтдтд0.ppt
1лллишмпшпмнвнагмллтдтлмыкыегищдтдтдтд0.ppt1лллишмпшпмнвнагмллтдтлмыкыегищдтдтдтд0.ppt
1лллишмпшпмнвнагмллтдтлмыкыегищдтдтдтд0.pptssuserbf4af22
 

More from ssuserbf4af22 (20)

Jsjskcjcj j jjzjjszi iDisks izjzkzj 6.ppt
Jsjskcjcj j jjzjjszi iDisks izjzkzj 6.pptJsjskcjcj j jjzjjszi iDisks izjzkzj 6.ppt
Jsjskcjcj j jjzjjszi iDisks izjzkzj 6.ppt
 
Hdhdhjdjdjdjfjfj hdhjdhdjdj jcjjfjxhx5.ppt
Hdhdhjdjdjdjfjfj hdhjdhdjdj jcjjfjxhx5.pptHdhdhjdjdjdjfjfj hdhjdhdjdj jcjjfjxhx5.ppt
Hdhdhjdjdjdjfjfj hdhjdhdjdj jcjjfjxhx5.ppt
 
Ролл ролл об. Ль. Ллл. Оль около толи 4.ppt
Ролл ролл об. Ль. Ллл. Оль около толи 4.pptРолл ролл об. Ль. Ллл. Оль около толи 4.ppt
Ролл ролл об. Ль. Ллл. Оль около толи 4.ppt
 
Ола рот Олоп Олд оллл рот лппп Олд д для 3.ppt
Ола рот Олоп Олд оллл рот лппп Олд д для 3.pptОла рот Олоп Олд оллл рот лппп Олд д для 3.ppt
Ола рот Олоп Олд оллл рот лппп Олд д для 3.ppt
 
Gghh hhh hhh hhh yes u. Jjj jjj jjj 7.ppt
Gghh hhh hhh hhh yes u.  Jjj jjj jjj 7.pptGghh hhh hhh hhh yes u.  Jjj jjj jjj 7.ppt
Gghh hhh hhh hhh yes u. Jjj jjj jjj 7.ppt
 
Dddd cccff fffd dress dddd dddd ddd6.pptx
Dddd cccff fffd dress dddd dddd ddd6.pptxDddd cccff fffd dress dddd dddd ddd6.pptx
Dddd cccff fffd dress dddd dddd ddd6.pptx
 
9ооо тол Оли Оли рот. Лота лоль рака .pptx
9ооо тол Оли Оли рот. Лота лоль рака .pptx9ооо тол Оли Оли рот. Лота лоль рака .pptx
9ооо тол Оли Оли рот. Лота лоль рака .pptx
 
Порол Олимп торг. Лора ооо. Оооло. Лото 5.ppt
Порол Олимп торг. Лора ооо. Оооло. Лото 5.pptПорол Олимп торг. Лора ооо. Оооло. Лото 5.ppt
Порол Олимп торг. Лора ооо. Оооло. Лото 5.ppt
 
Прокол тори. Олоиии. Ооррр. Торопить. 4.ppt
Прокол тори. Олоиии. Ооррр. Торопить. 4.pptПрокол тори. Олоиии. Ооррр. Торопить. 4.ppt
Прокол тори. Олоиии. Ооррр. Торопить. 4.ppt
 
Gfgjbvcfddjkddffddghbffffjm hgfdv bhfd1.ppt
Gfgjbvcfddjkddffddghbffffjm hgfdv bhfd1.pptGfgjbvcfddjkddffddghbffffjm hgfdv bhfd1.ppt
Gfgjbvcfddjkddffddghbffffjm hgfdv bhfd1.ppt
 
Рррдь Мими. Оми. От. Ильбаев. Оттит. О5.ppt
Рррдь Мими. Оми. От. Ильбаев. Оттит. О5.pptРррдь Мими. Оми. От. Ильбаев. Оттит. О5.ppt
Рррдь Мими. Оми. От. Ильбаев. Оттит. О5.ppt
 
Лорак тимол тореро лопарю оорааа Лора 4.pptx
Лорак тимол тореро лопарю оорааа Лора 4.pptxЛорак тимол тореро лопарю оорааа Лора 4.pptx
Лорак тимол тореро лопарю оорааа Лора 4.pptx
 
Полиса томполь лопает одьпаплд отвари. Лопат 3.ppt
Полиса томполь лопает одьпаплд отвари. Лопат 3.pptПолиса томполь лопает одьпаплд отвари. Лопат 3.ppt
Полиса томполь лопает одьпаплд отвари. Лопат 3.ppt
 
Рапольпппдборпарььрпвенрпроллопамтьд топор ООН 2.ppt
Рапольпппдборпарььрпвенрпроллопамтьд топор ООН 2.pptРапольпппдборпарььрпвенрпроллопамтьд топор ООН 2.ppt
Рапольпппдборпарььрпвенрпроллопамтьд топор ООН 2.ppt
 
Проблема сознания иимрлдрпррааллорпп отпало 1.ppt
Проблема сознания иимрлдрпррааллорпп отпало 1.pptПроблема сознания иимрлдрпррааллорпп отпало 1.ppt
Проблема сознания иимрлдрпррааллорпп отпало 1.ppt
 
Проблемы сознания тттоддипррлдвввпо4.ppt
Проблемы сознания тттоддипррлдвввпо4.pptПроблемы сознания тттоддипррлдвввпо4.ppt
Проблемы сознания тттоддипррлдвввпо4.ppt
 
Круг проблемы философии лалаллвыббы3.pptx
Круг проблемы философии лалаллвыббы3.pptxКруг проблемы философии лалаллвыббы3.pptx
Круг проблемы философии лалаллвыббы3.pptx
 
Естествознаниеояляляллядйдцовтвдыцдао2.pptx
Естествознаниеояляляллядйдцовтвдыцдао2.pptxЕстествознаниеояляляллядйдцовтвдыцдао2.pptx
Естествознаниеояляляллядйдцовтвдыцдао2.pptx
 
hdhdhdhdhdhdhhddhhdhdhskakajqhbbbjwiw1.pptx
hdhdhdhdhdhdhhddhhdhdhskakajqhbbbjwiw1.pptxhdhdhdhdhdhdhhddhhdhdhskakajqhbbbjwiw1.pptx
hdhdhdhdhdhdhhddhhdhdhskakajqhbbbjwiw1.pptx
 
1лллишмпшпмнвнагмллтдтлмыкыегищдтдтдтд0.ppt
1лллишмпшпмнвнагмллтдтлмыкыегищдтдтдтд0.ppt1лллишмпшпмнвнагмллтдтлмыкыегищдтдтдтд0.ppt
1лллишмпшпмнвнагмллтдтлмыкыегищдтдтдтд0.ppt
 

Recently uploaded

1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 -  Danh muc Sach Giao Khoa 10 . pdf1029 -  Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdfQucHHunhnh
 
A Critique of the Proposed National Education Policy Reform
A Critique of the Proposed National Education Policy ReformA Critique of the Proposed National Education Policy Reform
A Critique of the Proposed National Education Policy ReformChameera Dedduwage
 
The basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptxThe basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptxheathfieldcps1
 
CARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptxCARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptxGaneshChakor2
 
Ecosystem Interactions Class Discussion Presentation in Blue Green Lined Styl...
Ecosystem Interactions Class Discussion Presentation in Blue Green Lined Styl...Ecosystem Interactions Class Discussion Presentation in Blue Green Lined Styl...
Ecosystem Interactions Class Discussion Presentation in Blue Green Lined Styl...fonyou31
 
Measures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and ModeMeasures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and ModeThiyagu K
 
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...Krashi Coaching
 
mini mental status format.docx
mini    mental       status     format.docxmini    mental       status     format.docx
mini mental status format.docxPoojaSen20
 
Mastering the Unannounced Regulatory Inspection
Mastering the Unannounced Regulatory InspectionMastering the Unannounced Regulatory Inspection
Mastering the Unannounced Regulatory InspectionSafetyChain Software
 
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...Sapna Thakur
 
Arihant handbook biology for class 11 .pdf
Arihant handbook biology for class 11 .pdfArihant handbook biology for class 11 .pdf
Arihant handbook biology for class 11 .pdfchloefrazer622
 
1029-Danh muc Sach Giao Khoa khoi 6.pdf
1029-Danh muc Sach Giao Khoa khoi  6.pdf1029-Danh muc Sach Giao Khoa khoi  6.pdf
1029-Danh muc Sach Giao Khoa khoi 6.pdfQucHHunhnh
 
The Most Excellent Way | 1 Corinthians 13
The Most Excellent Way | 1 Corinthians 13The Most Excellent Way | 1 Corinthians 13
The Most Excellent Way | 1 Corinthians 13Steve Thomason
 
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...EduSkills OECD
 
social pharmacy d-pharm 1st year by Pragati K. Mahajan
social pharmacy d-pharm 1st year by Pragati K. Mahajansocial pharmacy d-pharm 1st year by Pragati K. Mahajan
social pharmacy d-pharm 1st year by Pragati K. Mahajanpragatimahajan3
 
Q4-W6-Restating Informational Text Grade 3
Q4-W6-Restating Informational Text Grade 3Q4-W6-Restating Informational Text Grade 3
Q4-W6-Restating Informational Text Grade 3JemimahLaneBuaron
 
Separation of Lanthanides/ Lanthanides and Actinides
Separation of Lanthanides/ Lanthanides and ActinidesSeparation of Lanthanides/ Lanthanides and Actinides
Separation of Lanthanides/ Lanthanides and ActinidesFatimaKhan178732
 
9548086042 for call girls in Indira Nagar with room service
9548086042  for call girls in Indira Nagar  with room service9548086042  for call girls in Indira Nagar  with room service
9548086042 for call girls in Indira Nagar with room servicediscovermytutordmt
 
Beyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactBeyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactPECB
 
Z Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot GraphZ Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot GraphThiyagu K
 

Recently uploaded (20)

1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 -  Danh muc Sach Giao Khoa 10 . pdf1029 -  Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdf
 
A Critique of the Proposed National Education Policy Reform
A Critique of the Proposed National Education Policy ReformA Critique of the Proposed National Education Policy Reform
A Critique of the Proposed National Education Policy Reform
 
The basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptxThe basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptx
 
CARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptxCARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptx
 
Ecosystem Interactions Class Discussion Presentation in Blue Green Lined Styl...
Ecosystem Interactions Class Discussion Presentation in Blue Green Lined Styl...Ecosystem Interactions Class Discussion Presentation in Blue Green Lined Styl...
Ecosystem Interactions Class Discussion Presentation in Blue Green Lined Styl...
 
Measures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and ModeMeasures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and Mode
 
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
 
mini mental status format.docx
mini    mental       status     format.docxmini    mental       status     format.docx
mini mental status format.docx
 
Mastering the Unannounced Regulatory Inspection
Mastering the Unannounced Regulatory InspectionMastering the Unannounced Regulatory Inspection
Mastering the Unannounced Regulatory Inspection
 
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
 
Arihant handbook biology for class 11 .pdf
Arihant handbook biology for class 11 .pdfArihant handbook biology for class 11 .pdf
Arihant handbook biology for class 11 .pdf
 
1029-Danh muc Sach Giao Khoa khoi 6.pdf
1029-Danh muc Sach Giao Khoa khoi  6.pdf1029-Danh muc Sach Giao Khoa khoi  6.pdf
1029-Danh muc Sach Giao Khoa khoi 6.pdf
 
The Most Excellent Way | 1 Corinthians 13
The Most Excellent Way | 1 Corinthians 13The Most Excellent Way | 1 Corinthians 13
The Most Excellent Way | 1 Corinthians 13
 
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
 
social pharmacy d-pharm 1st year by Pragati K. Mahajan
social pharmacy d-pharm 1st year by Pragati K. Mahajansocial pharmacy d-pharm 1st year by Pragati K. Mahajan
social pharmacy d-pharm 1st year by Pragati K. Mahajan
 
Q4-W6-Restating Informational Text Grade 3
Q4-W6-Restating Informational Text Grade 3Q4-W6-Restating Informational Text Grade 3
Q4-W6-Restating Informational Text Grade 3
 
Separation of Lanthanides/ Lanthanides and Actinides
Separation of Lanthanides/ Lanthanides and ActinidesSeparation of Lanthanides/ Lanthanides and Actinides
Separation of Lanthanides/ Lanthanides and Actinides
 
9548086042 for call girls in Indira Nagar with room service
9548086042  for call girls in Indira Nagar  with room service9548086042  for call girls in Indira Nagar  with room service
9548086042 for call girls in Indira Nagar with room service
 
Beyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactBeyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global Impact
 
Z Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot GraphZ Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot Graph
 

Gall bladder .pdf

  • 4. Introduction • In vertebrates the gallbladder (cholecyst, gall bladder or biliary vesicle) is a small organ where bile is stored, before it is released into the small intestine. Humans can live without a gallbladder. The gallbladder is a hollow organ that sits just beneath the right lobe of the liver. 4 BRISSO ARACKAL
  • 5. GALL BLADDER- definition • Gall bladder is a pear shaped reservoir of bile situated in a fossa on the inferior surface of the right lobe of the liver. • The fossa for the gall bladder extends from the right end of the porta hepatis to the inferior border of the liver 5 BRISSO ARACKAL
  • 7. LOCATION: – 1. Epigastric region – 2. Right hypochondriac region – 3. On inferior surface of liver – 4. Between quadrate and right lobes 7 BRISSO ARACKAL
  • 8. DIMENSIONS AND CAPACITY  The gall bladder is 7 to 10 cm long, 3 cm broad at its widest part, and about 30 to 50 ml in capacity. 8 BRISSO ARACKAL
  • 13. BILIARY APPARATUS • The biliary apparatus collects bile from the liver, stores it in the gall bladder, and transmits it to the second part of duodenum. • The apparatus consists of • 1. the right and left hepatic ducts, • 2.the common hepatic duct, • 3. the gall bladder • 4. the cystic duct • 5.the bile duct. 13 BRISSO ARACKAL
  • 14. 1. Hepatic ducts • The right and left hepatic ducts emerge at the porta hepatis from the right and left lobes of the liver. • The arrangement of structures at the porta hepatis from behind forwards is • -the branches of the portal vein • -hepatic artery • -hepatic ducts. 14 BRISSO ARACKAL
  • 15. 2.Common hepatic duct • It is formed by the union of the right and left hepatic ducts near the right end of the porta hepatis. • It runs downwards for about 3 cm and is joined on its right side at an acute angle by the cystic duct to form the bile duct. 15 BRISSO ARACKAL
  • 17. CYSTIC DUCT Cystic duct is about 3 to 4 cm long. It begins at the neck of the gall bladder, runs downwards, backwards and to the left, and ends by joining the common hepatic duct at an acute angle to form the bile duct 17 BRISSO ARACKAL
  • 18. CYSTIC DUCT • The mucous membrane of the cystic duct forms a series of 5 to 12 crescentic folds, arranged spirally to form the so-called “spiral valve”of heister. This is not a true valve. 18 BRISSO ARACKAL
  • 20. 5.BILE DUCT • Bile duct is formed by the union of the cystic and common hepatic ducts near the porta hepatis. • It is 8cm long and has a diameter of about 6mm. • The bile duct runs downwards and backwards, first in the free margin of the lesser omentum, supra duodenal part , then behind the first part of the duodenum the retroduodenal part, and lastly behind, or embedded in , the head of the pancreas infraduodenal part. 20 BRISSO ARACKAL
  • 22. BILE DUCT • Near the middle of the left side of the second part of the duodenum it comes in contact with the pancreatic duct and accompanies it through the wall of the duodenum,the intraduodenal part. • The course of the duct through the duodenal wall is very oblique. • Within the wall the two ducts usually unite to form the hepatopancreatic ampulla, or ampulla of vater. 22 BRISSO ARACKAL
  • 23. Sphincters related to the bile and pancreatic ducts • Sphincter choledochus • Sphincter pancreaticus • Sphincter ampullae 23 BRISSO ARACKAL
  • 25. Sphincter choledochus • The terminal part of the bile duct is surrounded just above its junction with the pancreatic duct by a ring of smooth muscle that forms the sphincter choledochus( choledochus= bile duct). • This sphincter is always present. • As a result , bile formed in the liver keeps accumulating in the gall bladder and also undergoes considerable concentration. • When food enters the duodenum, specially a fatty meal, the sphincter opens and bile stored in the gall bladder is poured into the duodenum. 25 BRISSO ARACKAL
  • 26. Sphincter pancreaticus and Sphincter ampullae • Another less developed sphincter ,which is usually but not always present around the terminal part of the pancreatic duct is the sphincter pancreaticus. • A third sphincter surrounds the hepatopancreatic ampulla and is called the sphincter ampullae.or sphincter of Oddi. 26 BRISSO ARACKAL
  • 30. Cystic artery Right hepatic artery Proper hepatic artery Common hepatic artery 30 BRISSO ARACKAL
  • 39. FUNCTIONS OF THE GALL BLADDER • 1.Storage of bile, and its release into the duodenum when required. • 2. Absorption of water, and concentration of bile. Bile may be concentrated as much as ten times. • 3. The normal gall bladder also absorbes small amounts of a loose bile salt cholesterol compound. • 4. It regulates pressure in the biliary system by appropriate dilatation or contraction. Thus the normal choledochoduodenal mechanism is maintained. 39 BRISSO ARACKAL