Study of Ha Rtmann’s Pouch in South Keralit Es

Abstract

CONTEXT: Hartmann's pouch is an out-pouching of the wall of the gallbladder, at the junction of neck of gallbladder and cystic duct. It may be a site where gall stone impacts, which leads to mucocele of gallbladder. So its identification is useful in delineating biliary anatomy while performing cholecystectomy. AIM: was to identify the presence of Hartmann's pouch in human gallbladder and other anomalies in people of south Kerala. SETTINGS AND DESIGN: department of anatomy, department of forensic medicine, department of pathology in government medical college Trivandrum. Study design was cross sectional type. METHODS AND MATERIALS: The study was done in cadavers and autopsies in government medical college Trivandrum. Fetal specimens were also included. Formalin fixed gallbladder was washed with plain tap water to remove excess formalin and was kept on metallic tray. On observation Hartmann's pouch in gallbladder was detected and noted. In present study 230 cadaver's gallbladder were observed carefully in the neck region for Hartmann's pouch. RESULTS: The Hartmann's pouch was detected in ten cases out of 230 (4.3%).One of the pouches had a calculi also. CONCLUSIONS: Further studies to find out the gross anatomy and histological study of Hartmann's pouch is recommended.