Intrahepatic bile duct

Intrahepatic bile ducts are the ducts located within the liver that form a network of smaller tubes to transport bile. Bile is a fluid produced by the liver that helps in the digestion of fats. The intrahepatic bile ducts converge to form the left and right hepatic ducts, which exit the liver and join to form the common hepatic duct. This duct then joins with the cystic duct from the gallbladder to form the common bile duct, which empties into the duodenum at the ampulla of Vater.

Structure

The intrahepatic bile ducts are part of the biliary tree and are classified into three main types based on their size and function: the bile canaliculi, interlobular bile ducts, and the left and right hepatic ducts. The bile canaliculi are the smallest ducts and are channels within the liver cells (hepatocytes) that collect bile. The interlobular bile ducts are slightly larger and are located in the liver's portal triads, collecting bile from the canaliculi and transporting it to the hepatic ducts.

Function

The primary function of the intrahepatic bile ducts is to transport bile from the liver, where it is produced, to the gallbladder and duodenum, where it aids in digestion. Bile contains bile acids, which are critical for the digestion and absorption of fats and fat-soluble vitamins in the small intestine. Additionally, bile helps in the elimination of waste products from the liver, such as bilirubin, which is a byproduct of red blood cell breakdown.

Clinical Significance

1. 1. 1. Cholangitis

Cholangitis is an infection of the bile ducts, often caused by bacteria ascending from its junction with the duodenum. This condition can lead to severe complications if not treated promptly.

1. 1. 1. Primary Sclerosing Cholangitis (PSC)

PSC is a chronic liver disease characterized by progressive inflammation and scarring of the bile ducts, leading to their obstruction. The cause of PSC is not well understood, but it is associated with an increased risk of liver cancer.

1. 1. 1. Biliary Atresia

Biliary Atresia is a congenital condition in which the bile ducts are abnormally narrow, blocked, or absent. It leads to bile accumulation in the liver, causing liver damage and scarring.

1. 1. 1. Cholangiocarcinoma

Cholangiocarcinoma is a type of cancer that forms in the bile ducts. It is a rare but aggressive form of cancer that can be difficult to diagnose and treat.

Diagnosis

Diagnosis of diseases affecting the intrahepatic bile ducts often involves imaging techniques such as ultrasound, MRI, and ERCP (Endoscopic Retrograde Cholangiopancreatography). Blood tests, including liver function tests, can also provide information about bile duct health.

Treatment

Treatment for conditions affecting the intrahepatic bile ducts varies depending on the underlying cause. It may include medication to relieve symptoms, procedures to remove blockages, or surgery. In severe cases, such as advanced cholangiocarcinoma or liver failure from PSC, a liver transplant may be considered.

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