Digestive system diagram showing the bile duct
An intraoperative cholangiogram, which is an X-Ray of the bile ducts during a laprascopic cholecystectomy
Dorlands/Elsevier	d_29/12313926

A bile duct is any of a number of long tube-like structures that carry bile.

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

The biliary tree (see below) is the whole network of various sized ducts branching through the liver.

The path is as follows: Bile canaliculi → canals of Hering → bile ductules (in portal tracts) → intrahepatic bile ducts → left and right hepatic ducts merge to form → common hepatic duct exits liver and joins → cystic duct (from gall bladder) forming → common bile duct → joins with pancreatic duct → forming ampulla of Vater → enters duodenum

Common bile duct

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 in the part of the intestine called the duodenum into a structure called the ampulla of Vater.

Pathology

Blockage of the bile duct by a cancer, gallstones, or scarring from injury prevents the bile from being transported to the intestine and the active ingredient in the bile (bilirubin) instead accumulates in the blood. This condition is called jaundice and 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.

Jaundice is commonly caused by conditions such as pancreatic cancer, which causes blockage of the bile duct passing through the cancerous portion of the pancreas; cholangiocarcinoma, cancer of the bile ducts; blockage by a stone in patients with gallstones; and from scarring after injury to the bile duct during gallbladder removal.

Additional images

Section across portal canal of pig. X 250.

External links

• The Johns Hopkins Gall Bladder & Bile Duct Cancer Web page
• bile+duct at eMedicine Dictionary
• MeSH Bile+Ducts

•  • [ e] Anatomy of torso, digestive system: Digestive glands
Organs	Pancreas (Tail, Body, Head, Islets of Langerhans) • Gallbladder • Liver (Hepatocyte, Space of Disse, Kupffer cell, Liver sinusoid, Hepatic stellate cell, Hepatic lobule)
Ducts	Bile ducts: (Bile canaliculus, Common hepatic duct, Cystic duct, Common bile duct) • Pancreatic duct • Hepatopancreatic ampulla