common bile duct

総胆管

WordNet

1. to be expected; standard; "common decency"
2. common to or shared by two or more parties; "a common friend"; "the mutual interests of management and labor" (同)mutual
3. of or associated with the great masses of people; "the common people in those days suffered greatly"; "behavior that branded him as common"; "his square plebeian nose"; "a vulgar and objectionable person"; "the unwashed masses" (同)plebeian, vulgar, unwashed
4. commonly encountered; "a common (or familiar) complaint"; "the usual greeting" (同)usual
5. being or characteristic of or appropriate to everyday language; "common parlance"; "a vernacular term"; "vernacular speakers"; "the vulgar tongue of the masses"; "the technical and vulgar names for an animal species" (同)vernacular, vulgar
6. belonging to or participated in by a community as a whole; public; "for the common good"; "common lands are set aside for use by all members of a community"
7. having no special distinction or quality; widely known or commonly encountered; average or ordinary or usual; "the common man"; "a common sailor"; "the common cold"; "a common nuisance"; "followed common procedure"; "it is common knowledge that she lives alone"; "the common housefly"; "a common brand of soap"
8. a continuous tube formed by a row of elongated cells lacking intervening end walls
9. an enclosed conduit for a fluid
10. a bodily passage or tube lined with epithelial cells and conveying a secretion or other substance; "the tear duct was obstructed"; "the alimentary canal"; "poison is released through a channel in the snakes fangs" (同)epithelial duct, canal, channel
11. a pasture subject to common use (同)common_land
12. a digestive juice secreted by the liver and stored in the gallbladder; aids in the digestion of fats (同)gall

PrepTutorEJDIC

1. (二つ以上のものに)『共通の』,共同の,共有の / 『一般の』,公共の,公衆の / 『普通の』,ありふれた / 慢凡な,並みの / 品のない,粗野な,野卑な(vulgar) / (数式で)共通の,公約の通約の・ (文法で)通性の,通格の(男性・女性どちらの格も用いることができる) ・〈C〉《時に複数形で》共有地,公有地,共有牧草;(市町村の)公園・〈U〉共有権
2. 送水管;(建物・船などの)通気管;(地下ケーブルなどの)ダクト / (体液を運ぶ)導管,(植物が水・空気を運ぶ)導管
3. 《古》平民,庶民 / 《the C-》《英》下院(the House of Commons);《集合的に》下院議員 / (大学の大食堂での)共同食事 / 《単数扱い》(特に大学の)大食堂
4. 胆汁(たんじゅう) / かんしゃく;不きげん

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/08/27 15:39:27」(JST)

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[Wiki en表示]

Common bile duct
Digestive system diagram showing the common bile duct
Latin	ductus choledochus
Gray's	subject #250 1198

1. Bile ducts: 2. Intrahepatic bile ducts, 3. Left and right hepatic ducts, 4. Common hepatic duct, 5. Cystic duct, 6. Common bile duct, 7. Ampulla of Vater, 8. Major duodenal papilla
9. Gallbladder, 10–11. Right and left lobes of liver. 12. Spleen.
13. Esophagus. 14. Stomach. Small intestine: 15. Duodenum, 16. Jejunum
17. Pancreas: 18: Accessory pancreatic duct, 19: Pancreatic duct.
20–21: Right and left kidneys (silhouette).

The anterior border of the liver is lifted upwards (brown arrow). Gallbladder with Longitudinal section, pancreas and duodenum with frontal one. Intrahepatic ducts and stomach in transparency.

The common bile duct (ductus choledochus) is a tube-like anatomic structure in the human gastrointestinal tract. It is formed by the union of the common hepatic duct and the cystic duct (from the gall bladder). It is later joined by the pancreatic duct to form the ampulla of Vater. There, the two ducts are surrounded by the muscular sphincter of Oddi.

When the sphincter of Oddi is closed, newly synthesized bile from the liver is forced into storage in the gall bladder. When open, the stored and concentrated bile exits into the duodenum. This conduction of bile is the main function of the common bile duct. The hormone cholecystokinin, when stimulated by a fatty meal, promotes bile secretion by increased production of hepatic bile, contraction of the gall bladder, and relaxation of the Sphincter of Oddi.

Several problems can arise within the common bile duct. If clogged by a gallstone, a condition called choledocholithiasis can result. In this clogged state, the duct is especially vulnerable to an infection called ascending cholangitis. Very rare deformities of the common bile duct are cystic dilations (4 cm), choledochoceles (cystic dilation of the ampula of Vater (3–8 cm), and biliary atresia.

Additional images

• Dilatation of CBD due to Ampullary tumor.

• The gall-bladder and bile ducts laid open.

• Region of pancreas

• The celiac ganglia with the sympathetic plexuses of the head viscera radiating from the ganglia.

• Horizontal disposition of the peritoneum in the upper part of the abdomen.

• Interior of the descending portion of the duodenum, showing bile papilla.

• Inferior surface of the liver.

• The pancreas and duodenum from behind.

• The pancreatic duct.

• The portal vein and its tributaries.

• Liver and gallbladder

• S.E.Miederer et al.:Endoscopic transpapillary splitting of a choledochocele. Dtsch Med. Wochenschr. 1978 Feb.3:103(5):216,219. PMID 631041

External links

• SUNY Figs 38:06-08 - "The gallbladder and extrahepatic bile ducts."
• SUNY Anatomy Image 8336
• SUNY Anatomy Image 7957
• liver at The Anatomy Lesson by Wesley Norman (Georgetown University) (biliarysystem)

UpToDate Contents

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• 1. 総胆管診査 common bile duct exploration
• 2. 総胆管結石症が疑われる患者に対するアプローチ approach to the patient with suspected choledocholithiasis
• 3. 総胆管損傷の修復 repair of common bile duct injuries
• 4. 肝胆道の超音波検査 ultrasonography of the hepatobiliary tract
• 5. 急性胆管炎 acute cholangitis

English Journal

• Stepwise approach to curative surgery using percutaneous transhepatic cholangiodrainage and portal vein embolization for severe bile duct injury during laparoscopic cholecystectomy: a case report.

• Honmyo N1, Kuroda S2, Kobayashi T1, Ishiyama K1, Ide K1, Tahara H1, Ohira M1, Ohdan H1.
• Surgical case reports.Surg Case Rep.2016 Dec;2(1):27. doi: 10.1186/s40792-016-0154-5. Epub 2016 Mar 17.
• Laparoscopic cholecystectomy (LC) has been recently adapted to acute cholecystitis. Major bile duct injury during LC, especially Strasberg-Bismuth classification type E, can be a critical problem sometimes requiring hepatectomy. Safety and definitive treatment without further morbidities, such as po
• PMID 26989053

• Long-term survival of a recurrent gallbladder carcinoma patient with lymph node and peritoneal metastases after multidisciplinary treatments: a case report.

• Tomita K1, Takano K2, Shimazu M3, Okihara M4, Sano T5, Chiba N6, Kawachi S7.
• Surgical case reports.Surg Case Rep.2016 Dec;2(1):12. doi: 10.1186/s40792-016-0135-8. Epub 2016 Feb 11.
• BACKGROUND: Gallbladder carcinoma with peritoneal metastasis has a poor prognosis, with a median survival time of 4.8 months. We report the survival of a patient with gallbladder carcinoma with peritoneal metastasis for 7.6 months owing to treatment with tumor resection after chemoradiotherapy.CASE
• PMID 26943688

• Bile duct carcinoma associated with congenital biliary dilatation in a 16-year-old female: a case report and literature review.

• Izumi H1, Yazawa N2, Furukawa D3, Masuoka Y4, Yamada M5, Mashiko T6, Kawashima Y7, Ogawa M8, Kawaguchi Y9, Mine T10, Hirabayashi K11, Nakagohri T12.
• Surgical case reports.Surg Case Rep.2016 Dec;2(1):5. doi: 10.1186/s40792-016-0132-y. Epub 2016 Jan 21.
• We encountered a very rare case of bile duct carcinoma associated with congenital biliary dilatation (CBD) in a 16-year-old female who was admitted to our hospital because of right upper abdominal pain and vomiting. Abdominal computed tomography demonstrated a cystic dilatation of the common bile du
• PMID 26943681

Japanese Journal

• 臨床研究 当院における胆囊・総胆管結石に対する一期的腹腔鏡下総胆管切開切石術

• 臨床外科 = Journal of clinical surgery 70(9), 1141-1144, 2015-09
• NAID 40020566035

• 症例報告 胆管内に浸潤し腫瘍栓状に発育した膵IPMN由来浸潤癌の1例

• 京都府立医科大学雑誌 124(4), 291-295, 2015-04
• NAID 40020466699

• 十二指腸粘膜下腫瘍との鑑別が困難であったGroove Pancreatitisの1例

• 東京女子医科大学雑誌 85(E1), E43-E48, 2015-03-31
• NAID 110009888980

Related Links

• Common bile duct - Wikipedia, the free encyclopedia

The common bile duct (ductus choledochus) is a tube-like anatomic structure in the human gastrointestinal tract. It is formed by the union of the common hepatic duct and the cystic duct (from the gall bladder). It is later joined by the pancreatic ...

• Definition of Common bile duct - MedTerms

Common bile duct: The duct that carries bile from the gallbladder and liver into the duodenum (upper part of the small intestine). The common bile duct is formed by the junction of the cystic duct, from the gallbladder, and the common hepatic ...

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★リンクテーブル★

リンク元	「総胆管」「CBD」「choledochal」「choledochus」
拡張検索	「common bile duct calculi」「sphincter of common bile duct」「common bile duct cyst」「common bile duct neoplasm」
関連記事	「common」「duct」

「総胆管」

　　[★]

英

common bile duct (Z), CBD

ラ

ductus choledochus, ductus biliaris

関

胆管系、胆嚢、肝臓、オッディ括約筋

解剖

• 総胆管括約筋
• 胆膵管膨大部
• 膨大部括約筋
• 大十二指腸乳頭

胆管

• 胆嚢管 + 総肝管 → 総胆管

「CBD」

　　[★]

• 先天性胆道拡張症 congenital biliary dilatation
• 総胆管 common bile duct
• 大脳皮質基底核変性症 corticobasal degeneration

「choledochal」

　　[★]

• adj.

• 総胆管の

関

choledochus、common bile duct

「choledochus」

　　[★]

総胆管

関

choledochal、common bile duct

「common bile duct calculi」

　　[★]

総胆管結石

関

biliary calculi、choledocholith、choledocholithiasis、gall stone、gallstone

「sphincter of common bile duct」

　　[★]

ラ

musculus sphincter ductus choledochi

関

オッディ括約筋

「common bile duct cyst」

　　[★]

総胆管嚢胞

関

choledochal cyst、choledochocele

「common bile duct neoplasm」

　　[★]

総胆管腫瘍、総胆管新生物

「common」

　　[★]

• adj.

• 共通の、通常の、総、普通の、共通性の

関

commonly、conventional、general、generally、in general、normal、normally、ordinarily、ordinary、total、usual、usually

　 　 　 　 　 　 　 　

「duct」

　　[★]

• n.

• 管、(植物)導管

関

canal、conduit、ductal、ductus、meatus、pipe、tubal、tube、vas、vessel