
What is a common hepatic duct?
What causes extrahepatic bile duct cancer?
- Liver diseases, including primary sclerosing cholangitis, hepatitis and cirrhosis.
- Chronic ulcerative colitis.
- Choledochal cyst, a congenital condition that may cause bile to back up into the liver.
- Clonorchiasis, a disease caused by being infected by clonorchis sinensis, a parasite found in waters in Asia.
- Obesity.
What is the function of the common hepatic duct?
Symptoms of a blocked bile duct include:
- Yellowing of the skin (jaundice) or eyes (icterus), from the buildup of a waste product called bilirubin.
- Itching (not limited to one area; may be worse at night or in warm weather)
- Light brown urine.
- Fatigue.
- Weight loss.
- Fever or night sweats.
What is the normal size of the common hepatic duct?
There are four main relationships of the CBD with the pancreatic head 2:
- partially covered posteriorly (most common: ~50%)
- completely covered
- completely uncovered
- CBD may pass laterally to the pancreatic head (least common)
Where is the common hepatic duct located?
the opening that allows bile and pancreatic juices to flow into the duodenum. *the fluid is then mixed with chyme from the bowel & digestion continues on. Common duct location. at the porta hepatis. posterior to the head of the pancreas. inferior to the neck of the GB. normal CBD measurement. 1-7mm.

What is hepatic duct system?
When the liver cells secrete bile, it is collected by a system of ducts that flow from the liver through the right and left hepatic ducts. These ducts ultimately drain into the common hepatic duct. The common hepatic duct then joins with the cystic duct from the gallbladder to form the common bile duct.
Where do hepatic ducts come from?
Many very tiny tubes in the liver collect bile from the liver cells. These tiny tubes join to form small ducts. These small ducts then join to form larger ducts called the right and left hepatic ducts. The right and left hepatic ducts exit the liver and then join together to form the common hepatic duct.
What is the function of left and right hepatic duct?
The common hepatic duct is the first part of the biliary tract. It is formed by the convergence of the right hepatic duct (which drains bile from the right functional lobe of the liver) and the left hepatic duct (which drains bile from the left functional lobe of the liver).
What happens if the hepatic duct is blocked?
When the bile ducts become blocked, bile builds up in the liver, and jaundice (yellow color of the skin) develops due to the increasing level of bilirubin in the blood. The possible causes of a blocked bile duct include: Cysts of the common bile duct. Enlarged lymph nodes in the porta hepatis.
How many hepatic ducts do we have?
There are two main bile ducts in the liver: right hepatic duct. left hepatic duct.
What is normal size of hepatic duct?
The common hepatic duct (CHD) is formed by the right and left hepatic ducts junction. It joins the cystic duct to form the common bile duct (CBD). It is approximately 4 cm long and 4 mm in diameter, typically.
Does hepatic duct contain blood?
Leaving the liver are the hepatic veins carrying blood to the inferior vena cava, and the right and left hepatic ducts carrying bile to the gall bladder (Figure 8.4).
What travels in the common hepatic duct?
Bile Flow Through the Biliary System Once collected, the bile travels to the right and left hepatic ducts. From the right and left hepatic ducts, bile then flows into the common hepatic duct. The common hepatic duct joins the cystic duct, where the bile then flows.
Which duct carries bile from liver to gallbladder?
A tube that carries bile from the liver and the gallbladder through the pancreas and into the duodenum (the upper part of the small intestine). It is formed where the ducts from the liver and gallbladder are joined.
Is a blocked bile duct an emergency?
If something is blocking the bile duct, bile can back up into the liver. This can cause jaundice, a condition in which the skin and white of the eyes become yellow. The bile duct might become infected and require emergency surgery if the stone or blockage is not removed.
What is good food for the bile duct?
Include lean meats such as beef or pork tenderloin, flank steak or pork chops, poultry without the skin, fish, eggs and 95 percent fat-free deli meat. Beans, including chickpeas and kidney beans, are also good sources of protein and low in fat.
How long can you survive with a blocked bile duct?
After a period varying from four to six months, however, patients suffering from occlusion of the common bile duct usually deteriorate rapidly and die.
What percentage of the time does the left hepatic duct unites with the right hepatic
Sixty percent of the time, the left hepatic duct unites with the right hepatic duct outside of the liver. The other forty percent of the time, the right posterior and anterior ducts enter the left hepatic duct separately. Last medically reviewed on December 15, 2014.
Which ducts transfer bile from the liver?
The left hepatic duct and the right hepatic duct transfer bile from the liver. These ducts are formed by the intrahepatic ducts and are a part of a ductal system that leads to the gallbladder.
What is the common hepatic duct?
The common hepatic ducts carries a higher volume of bile in people who have had their gallbladder removed. The common hepatic duct is an important anatomic landmark during surgeries such as cholecystectomy. It forms one edge of Calot's triangle, along with the cystic duct and the cystic artery.
How big is the hepatic duct?
It then joins the cystic duct coming from the gallbladder to form the common bile duct . The duct is usually 6–8 cm long. The common hepatic duct is about 6 mm in diameter in adults, with some variation. The inner surface is covered in a simple columnar epithelium.
How many people have accessory hepatic ducts?
Around 1.7% of people have additional accessory hepatic ducts that join onto the common hepatic duct. Rarely, the common hepatic duct joins onto the gallbladder directly, leading to illness.
Which duct drains bile from the right lobe of the liver?
The common hepatic duct is the first part of the biliary tract. It is formed by the convergence of the right hepatic duct (which drains bile from the right functional lobe of the liver) and the left hepatic duct (which drains bile from the left functional lobe of the liver). It then joins the cystic duct coming from the gallbladder to form ...
What is the name of the duct that joins the cystic duct coming from the gallbladder?
Jejunum. 21–22. Right and left kidneys. The front border of the liver has been lifted up (brown arrow). The common hepatic duct is the first part of the biliary tract. It joins the cystic duct coming from the gallbladder to form the common bile duct .
What Is the Function of the Common Hepatic Duct and the Common Bile Duct?
As part of the biliary system, the function of the common hepatic duct and the common bile duct involves:
What Are Symptoms of Bile Duct Disorders?
Common symptoms of bile duct disorders can vary depending on the condition and may include:
What Is the Treatment for Bile Duct Disorders?
The treatment of bile duct disorders depends on the disorder and may include:
Adult Primary Liver Cancer
Adult primary liver cancer is cancer that forms in the liver. Signs and symptoms of adult primary liver cancer include pain or a lump on the right side. Treatment may include radiation therapy, targeted therapy, ablation therapy, embolization therapy, surgery, and liver transplantation.
Anatomy of the Digestive System
Digestion is the process in which food is broken into smaller pieces so the body can use them to build and nourish cells and provide energy. The digestive system is comprised of the mouth and salivary glands, esophagus, stomach, small intestine, and large intestine.
Bile Duct Cancer (Cholangiocarcinoma)
Cholangiocarcinoma (bile duct cancer) is a rare form of cancer that causes symptoms and signs such as jaundice and abdominal pain. There are two types of bile duct cancer: intrahepatic bile duct cancer and extrahepatic bile duct cancer. Treatment options include surgery, chemotherapy, liver transplant, and radiation therapy.
Can Gallbladder Problems Cause Back Pain?
Gallstones or gallbladder inflammation may cause pain in the upper abdomen, usually on the right side, just under the ribs, or pain in the shoulder or back on the right side. The gallbladder is a pear-shaped organ that secretes bile to digest fatty food.
Childhood Liver Cancer
Hepatoblastoma and hepatocellular carcinoma are the two main types of childhood liver cancer. Signs and symptoms include vomiting, nausea, loss of appetite, weight loss, abdominal swelling, and an abdominal lump that may be painful. Treatments may include chemotherapy, radiation therapy, watchful waiting, ablation therapy, and antiviral treatment.
cholecystitis
Cholecystitis is inflammation of the gallbladder often caused by gallstones that obstruct the cystic duct. The obstruction produces upper abdominal pain, but cholecystitis inflammation also causes pain. Learn causes, symptoms, treatments, home remedies, and the diet for cholecystitis, and the differences between chronic and acute cholecystitis.
Cirrhosis
Cirrhosis of the liver is progressive and chronic scarring of the liver, caused by hepatitis infection, alcoholism, or other factors. Learn about symptoms and life expectancy.
What is the duct that separates the liver and gallbladder?
The left and right hepatic ducts exit the liver and join to form the common hepatic duct in an area called the hilum. Lower down, the gallbladder (a small organ that stores bile) is joined to the common hepatic duct by a small duct called the cystic duct. This combined duct is called the common bile duct.
What is the duct that empties into the small intestine called?
This combined duct is called the common bile duct. The common bile duct passes through part of the pancreas before it joins with the pancreatic duct and empties into the first part of the small intestine (the duodenum) at the ampulla of Vater.
What are the tubes in the liver called?
In the liver it begins as many tiny tubes (called ductules ). The ductules come together to form small tubes called ducts. These merge into larger ducts and then into the left and right hepatic ducts. All of these ducts within the liver are called intrahepatic bile ducts. The left and right hepatic ducts exit the liver and join to form ...
What are the different types of bile duct cancer?
Based on where the cancers start (see the picture below), they're grouped into 3 types: Intrahepatic bile duct cancers. Perihilar (also called hilar) bile duct cancers. Distal bile duct cancers.
Where does bile duct cancer start?
Intrahepatic bile duct cancers. These cancers start in the smaller bile duct branches inside the liver. Sometimes they're confused with cancers that start in the liver cells ( hepatocellular carcinomas ), and they are often treated the same way.
Where do bile ducts go?
About the bile ducts. The bile ducts are a series of thin tubes that go from the liver to the small intestine. Their main job is to allow a fluid called bile to go from the liver and gallbladder into the small intestine, where it helps digest the fats in food.
Is liver cancer metastatic?
This type of cancer starts in the main cells that make up the liver. Cancers that start in other organs, such as the colon or rectum, can sometimes spread (metastasize) to the liver. These metastatic cancers are not true liver cancers. For example, colorectal cancer that has spread to the liver is still colorectal cancer, not liver cancer.

Overview
The common hepatic duct is the first part of the biliary tract. It joins the cystic duct coming from the gallbladder to form the common bile duct.
Structure
The common hepatic duct is the first part of the biliary tract. It is formed by the convergence of the right hepatic duct (which drains bile from the right functional lobe of the liver) and the left hepatic duct (which drains bile from the left functional lobe of the liver). It then joins the cystic duct coming from the gallbladder to form the common bile duct.
The duct is usually 6–8 cm long. The common hepatic duct is about 6 mm in diameter in adults, w…
Function
The hepatic duct is part of the biliary tract that transports secretions from the liver into the intestines.
Clinical significance
The common hepatic ducts carries a higher volume of bile in people who have had their gallbladder removed.
The common hepatic duct is an important anatomic landmark during surgeries such as cholecystectomy. It forms one edge of Calot's triangle, along with the cystic duct and the cystic artery. All constituents of this triangle must be identified to avoid cutting or clipping the wrong s…
Additional images
• Common hepatic duct
• The portal vein and its tributaries.
• The gall-bladder and bile ducts laid open.
• Common hepatic duct
External links
• Anatomy photo:38:03-0302 at the SUNY Downstate Medical Center - "Stomach, Spleen and Liver: Contents of the Hepatoduodenal Ligament"
• Illustration