A Contribution to the Surgical Significance of Aberrant Hepatic Ducts*

Rapant, V; Hromada, J

doi:10.1097/00000658-195008000-00010

Cited by 17 publications

(10 citation statements)

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“…In fact, irregular islands of hepatic tissue, fewer in number with increasing distance from the liver, are scattered in the right and part of the left triangular ligament between the vasa aberrantia. This observation, clear in our own studies, was noted by Toldt and Zuckerkandl [33], Rapant and Hromada [28] and Foster and Wayson [6]. These ectopically situated islands of hepatic tissue are almost certainly comparable to those found in the proximity of the ducts of Luschka.…”

Section: Embryological Studysupporting

confidence: 83%

“…The structure of the vasa aberrantia is comparable to that of the intrahepatic biliary ducts [24,26,28]. Like them, the vasa aberrantia possess a connective tissue fibrous envelope containing a few elastic fibres, sparsely distributed muscular fibres and cylindrical epithelium.…”

Section: Microscopical Studymentioning

confidence: 90%

“…The lumen of the vasa aberrantia is generally less than 3 mm in diameter [24]. In the wall of the vasa aberrantia one of the major elements [28], is the mucus producing tubulo-acinar glands, either atrophied and deformed, hypertrophied [26].…”

Section: Microscopical Studymentioning

confidence: 99%

“…According to a more popular hypothesis, but one which does not correspond particularly well with our current knowledge of liver development [19], the vasa aberrantia correspond to the persistence of biliary ducts in certain zones where, for an unknown cause, the hepatic parenchyma shouM regress secondarily [14,28,33]. This would also explain, according to one or other hypothesis, why the vasa aberrentia retain their connections with the rest of the biliary tree but lose their relationships to the hepatic parenchyma and lie outside it.…”

Section: Embryological Studymentioning

confidence: 99%

“…Section of the left triangular ligament of the liver during surgery to the abdominal oesophagus may lead to damage to vasa aberrantia and subsequently to choleperitonitis whose presence might be as little expected as that of bile ducts in the field of surgery. Rapant and Hromada [28] drew attention to this eventual risk in reporting two of their own cases. Vasa aberrantia, present in the left triangular ligament and of sufficient size to be seen by the naked eye, should be tief off.…”

Section: Surgical Implicationsmentioning

confidence: 99%

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Aberrant biliary ducts (vasa aberrantia): Surgical implications

et al. 1982

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Summary. Aberrant biliary ducts (vasa aberrantia) represent a morphological anomaly rather than an anatomical variation of the biliary tree. They have been recognised by anatomists for many years. They are inconstant but fairly frequent and are situated on the surface of the liver in a fibrous envelope or are to be found suspended, in particular in the left triangular ligament. One of them is the subvesicular duct (ductus subvesicalis), situated in the gallbladder fossa and accounts for more than a third of cases. The vasa aberrantia are in continuity with the intrahepatic bile ducts but they appear to have lost their relationship with the hepatic parenchyma, draining no particular region of the liver. They are not accompanied by arteries and veins which together with the bile ducts normally constitute the portal triad. The vasa aberrantia should be known by surgeons because their existence can sometimes explain the origin of certain cases of biliary peritonitis or on occasions a choleperitonitis following the section of the left hepatic triangular ligament. The frequency of a subvesicular duct is such as to justify routine drainage of the gallbladder bed following cholecystectomy. Les conduits biliaires aberrants (vasa aberrantia): incidences chirurgicalesR6sum6. Les conduits biliaires aberrants (vasa aberrantia) sont une anomalie morphologique et non une variation de l'arbre biliaire. Ils sont connus des anatomistes depuis longtemps. Ils sont inconstants mais assez fr6quents. Ils sont situ6s /t la surface du foie dans son enveloppe fibreuse ou dans son appareil suspenseur, en particulier dans le ligament triangulaire gauche. L'un d'eux est le Offprint requests to: J Champetier conduit sous-vbsiculaire (ductus subvesicalis), situ6 dans la fosse de la v6sicule biliaire off on le trouve dans plus du tiers des cas. Les vasa aberrantia sont en continuit6 avec les conduits biliaires intrah6pa-tiques mails ils semblent avoir perdu leurs relations avec le parenchyme h6patique, ne drainant pas de territoire h6patique syst6matis6. Ils ne sont pas accompagn6s par les art6res et les veines qui forment normalement avec les conduits beliaires la triade portale. Les vasa aberrantia m6ritent d'Stre connus des chirurgiens car leur existence permet d'expliquer l'origine de certaines p6ritonites biliaires et plus accessoirement celle d'un chol6p6ritoine cons6cutif fi la section du ligament triangulaire gauche du foie. La fr6quence du conduit sous-v6siculaire justifie fi elle seule le drainage syst6matique du lit v6siculaire aprSs chot6cystectomie.

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Section: Embryological Studysupporting

confidence: 83%

Section: Microscopical Studymentioning

confidence: 90%