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Bile duct

A bile duct is any of a number of long tube-like structures that carry bile, and is present in most vertebrates. The bile duct is separated into three main parts: the fundus (superior), the body (middle), and the neck (inferior).

This article uses anatomical terminology.

Bile is required for the digestion of food and is secreted by the liver into passages that carry bile toward the hepatic duct. It joins the cystic duct (carrying bile to and from the gallbladder) to form the common bile duct which then opens into the intestine.

Structure[edit]

The top half of the common bile duct is associated with the liver, while the bottom half of the common bile duct is associated with the pancreas, through which it passes on its way to the intestine. It opens into the part of the intestine called the duodenum via the ampulla of Vater.

Clinical significance[edit]

Blockage[edit]

Blockage or obstruction of the bile duct by gallstones, scarring from injury, or cancer prevents the bile from being transported to the intestine and the active ingredient in the bile (bilirubin) instead accumulates in the blood. This condition results in jaundice, where the skin and eyes become yellow from the bilirubin in the blood. This condition also causes severe itchiness from the bilirubin deposited in the tissues. In certain types of jaundice, the urine will be noticeably darker, and the stools will be much paler than usual. This is caused by the bilirubin all going to the bloodstream and being filtered into the urine by the kidneys, instead of some being lost in the stools through the ampulla of Vater.

3D-printed biliary system

3D-printed biliary system

Section across the portal canal of a pig (× 250)

Section across the portal canal of a pig (× 250)

An intraoperative cholangiogram, which is an X-ray of bile ducts during a laparoscopic cholecystectomy

An intraoperative cholangiogram, which is an X-ray of bile ducts during a laparoscopic cholecystectomy

Deep dissection of a bile duct, anterior view

Deep dissection of a bile duct, anterior view

Self-expanding endoprosthesis

Self-expanding endoprosthesis

The Cholangiocarcinoma Foundation

at the U.S. National Library of Medicine Medical Subject Headings (MeSH)

Bile+Ducts