Gall-stones and diseases of the bile-ducts . L. hepatic ductR. hepatic duct Hepatic ductCystic duct S upraduodenalportion ofcommon duct Pancreaticportion Duodenalportion Ampulla Duodenum Fig. 2.—A diagram representing the relationship of the ductswhich constitute the excretory apparatus of the liver. lies in front of the portal vein between the folds ofthe gastro-hepatic omentum. The gall-Madder.—The gall-bladder is a pyriformsac lodged in a fossa on the under surface of the THE BILE-DUCTS. Mucous mem -brane of thegall-bladder Cystic duct Commonbile-duct Fig. 3.—The gall-bladder opened to show
Gall-stones and diseases of the bile-ducts . L. hepatic ductR. hepatic duct Hepatic ductCystic duct S upraduodenalportion ofcommon duct Pancreaticportion Duodenalportion Ampulla Duodenum Fig. 2.—A diagram representing the relationship of the ductswhich constitute the excretory apparatus of the liver. lies in front of the portal vein between the folds ofthe gastro-hepatic omentum. The gall-Madder.—The gall-bladder is a pyriformsac lodged in a fossa on the under surface of the THE BILE-DUCTS. Mucous mem -brane of thegall-bladder Cystic duct Commonbile-duct Fig. 3.—The gall-bladder opened to show the depressions in itsmucous membrane and the valvular folds in the cystic duct(after Kehr). 6 DISEASES OF THE BILE-DUCTS rio-ht lobe of the liver, and holds under normal con-ditions about an ounce and a half (40 ) of distended its fundus projects beyond theanterior border of the liver, whilst its narrow end orneck is directed towards the transverse fissure. Theunder surface of the gall-bladder is covered by theperitoneum which invests the under surface of theliver, and its fundus is covered completely with peri-toneum. The extent to which the gall-bladder isinvested by peritoneum varies, and in some instancesthe greater part of it is covered and the organ isslung to the under surface of the liver by a gall-bladder is supplied by the cystic artery,a branch of the right division of the hepatic artery :the cystic veins open into the portal vein. Itsnerv
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Keywords: ., bookcentury1900, bookdecade1900, bookpublishernewyorkwilliamwood
