The mucous glands of the bile ducts and gall bladder / by Bayard Holmes.

  • Holmes, Bayard, 1852-1924.
Date:
[between 1910 and 1919]
Catalogue details

Licence: In copyright

Credit: The mucous glands of the bile ducts and gall bladder / by Bayard Holmes. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    fig. 825). This drawing (Fig. 2) shows how the gen- eral dichotomous arrangement of the bile ducts is modified by a system of communication, somewhat like the bayous of the delta of the Mississippi. This arrangement, we shall later try to show, is of great pathological and clinical significance. THE GALL-BLADDER AND CYSTIC DUCT. Near the termination of the hepatic duct there is an accessory biliary tract known as the gall-bladder and cystic duct. The gross anatomy of the gall-bladder Fig. 1.—A drawing from a section of a child’s liver, the bile ductules of which had been iniected. The irregular circles are blood-vessels. This is friom Ratzius' Plate 22, Fig. 9. It shows that the ductules do not anastomose. has been well presented by all anatomists, from Keis- ter and Bianchi to Sudler and Hendrickson. (The Ar- chitecture of the Gall-Bladder. Johns Hopkins Hospi- tal Bulletin, vol. xii, pp. 126-129, 2 plates; and “A Study of the Musculature of the Entire Extra-Hepatic Biliary System,” etc., Johns Hopkins Hospital Bulletin, 1898, vol. ix, p. 221 et seq. [Bibliography.]) I shall refer readers to these articles, or to their memory of them, except in relation to the mucosa and the micro- scopic anatomy of the mucous glands, the function of which forms the basis of this essay. THE VASA ABERRANTLY. Connected with the bile ducts proper, there is a sys- tem of accessory ducts which have received scant an-