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ISRN Surgery
Volume 2012 (2012), Article ID 283527, 3 pages
http://dx.doi.org/10.5402/2012/283527
Research Article

Intrahepatic Transposition of Bile Ducts

1Department of Anatomy, Medical Faculty, University Tuzla, 75000 Tuzla, Bosnia and Herzegovina
2Department of Histology and Embriology, Medical Faculty, University Tuzla, 75000 Tuzla, Bosnia and Herzegovina
3Department of Anatomy, Helth Faculty University Zenica, 75000 Tuzla, Bosnia and Herzegovina

Received 5 January 2012; Accepted 6 February 2012

Academic Editor: B. Ali-El-Dein

Copyright © 2012 Jasmin Delić et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To describe the intrahepatic bile duct transposition (anatomical variation occurring in intrahepatic ducts) and to determine the frequency of this variation. Material and Methods. The researches were performed randomly on 100 livers of adults, both sexes. Main research methods were anatomical macrodissection. As a criterion for determination of variations in some parts of bile tree, we used the classification of Segmentatio hepatis according to Couinaud (1957) according to Terminologia Anatomica, Thieme Stuugart: Federative Committee on Anatomical Terminology, 1988. Results. Intrahepatic transposition of bile ducts was found in two cases (2%), out of total examined cases (100): right-left transposition (right segmental bile duct, originating from the segment VIII, joins the left liver duct-ductus hepaticus sinister) and left-right intrahepatic transposition (left segmental bile duct originating from the segment IV ends in right liver duct-ductus hepaticus dexter). Conclusion. Safety and success in liver transplantation to great extent depends on knowledge of anatomy and some common embryological anomalies in bile tree. Variations in bile tree were found in 24–43% of cases, out of which 1–22% are the variations of intrahepatic bile ducts. Therefore, good knowledge on ductal anatomy enables good planning, safe performance of therapeutic and operative procedures, and decreases the risk of intraoperative and postoperative complications.