Gallenblase (Vesica billiaris)/en: Unterschied zwischen den Versionen

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Die Gallenblase (lat. Vesica billiaris) ist für die Verdickung und Speicherung der Galle verantwortliches Hohlorgan, die in der Leber produziert wird. Diese wird bei der verdauung benötigt.
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The gallbladder (lat. Vesica billiaris) is a hollow organ responsible for the thickening and storage of bile produced in the liver. This is needed during digestion.
  
 
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==Projektion der Gallenblase und der extrahepatischen Gallenwege auf den Rumpf==
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==Projection of the gallbladder and extrahepatic bile ducts onto the trunk==
 
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<lightbox-embedding src="file:gallenblaseLage.png" group="image-group-1" caption="Gallenblase: Projektion der Gallenblase auf den Rumpf" width="400" height="300" style="width:300px; height:300px;float:left;margin:1px;background-color:#fff;border:1px solid #c8ccd1;display: flex;justify-content: center;"/>
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<lightbox-embedding src="file:gallenblaseLage.png" group="image-group-1" caption="Gallbladder: projection of the gallbladder onto the trunk" width="400" height="300" style="width:300px; height:300px;float:left;margin:1px;background-color:#fff;border:1px solid #c8ccd1;display: flex;justify-content: center;"/>
 
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Gallenblase: Projektion der Gallenblase auf den Rumpf</div>
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Gallbladder: projection of the gallbladder onto the trunk</div>
 
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In Höhe des 2. Lendenwirbelkörpers liegt die Mündung des Ductus pancreaticus. Hingegen wird in der rechten Medioklavikularlinie die Gallenblase am Unterrand der 9. Rippe sichtbar. Unter dem Rippenbogen befindet sich die Gallenblase in Höhe des 1. bzw. 2. Lendenwirbelkörpers.  
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The mouth of the ductus pancreaticus lies at the level of the 2nd lumbar vertebral body. In the right medioclavicular line, however, the gallbladder is visible at the lower edge of the 9th rib. Below the costal arch is the gallbladder at the level of the 1st or 2nd lumbar vertebra.  
  
  
  
==Projektion der intra- und extrahepatischen Gallenwege auf die Oberfläche der Leber==  
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==Projection of intra- and extrahepatic bile ducts onto the surface of the liver==  
  
  
===Intrahepatische Gallenwege===
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===Intrahepatic bile ducts===  
 
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<lightbox-embedding src="file:Gallenwege.png" group="image-group-1" caption="Gallbladder: bile ducts" width="400" height="300" style="width:300px; height:300px;float:left;margin:1px;background-color:#fff;border:1px solid #c8ccd1;display: flex;justify-content: center;"/>
 
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Gallenblase: Gallenwege</div>
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Gallbladder: bile ducts</div>
 
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Alle Gallenwege bis zur Leberpforte (Porta hepatis) bezeichnet man als intrahepatische Gallenwege.
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All bile ducts up to the hepatic orifice (porta hepatis) are called intrahepatic bile ducts.
Als kleine Gallenkanälchen (Canaliculi biliferi) beginnen die Gallengänge zwischen den Leberzellen (Hepatozyten). Die Gallenkanälchen ziehen vom Zentrum eines Leberläppchen zur Läppchenoberfläche. Hier gehen sie in die kurzen Hering-Kanälchen (Ductuli biliferi) über. Diese münden abermals in die innerhalb der Leberläppchen gelegenen Gallengänge (Ductus biliferi interlobulares). Sie fließen zu immer größeren Einheiten zusammen und münden letztendlich in die großen intrahepatischen Lebergänge, den Ductus hepaticus dexter und den Ductus hepaticus sinister.
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Small bile ducts (canaliculi biliferi) are the bile ducts between the liver cells (hepatocyte). The bile ducts move from the center of a liver lobule to the lobule surface. Here they pass into the short herring ducts (ductuli biliferi). These again flow into the bile ducts inside the liver lobules (ductus biliferi interlobulares). They merge into ever larger units and eventually lead to the large intrahepatic liver ducts, the ductus hepaticus dexter and the ductus hepaticus sinister.
  
  
===Extrahepatische Gallenwege===  
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===Extrahepatic bile ducts===  
  
  
Als extrahepatische Gallenwege bezeichnet man jene, die sich außerhalb der Leber befinden.
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Extrahepatic bile ducts are those that are located outside the liver.
Der Ductus hepaticus, welcher in den meisten Fällen außerhalb der Leber, geht aus dem linken und rechten Lebergang nahe der Porta hepatis vor. Einen Weg zur Speicherung von Galle in der Gallenblase stellt der Ductus cysticus dar. Der Ductus choledochus verläuft im Ligamentum hepatoduodenale zum Duodenum. Der letzte Abschnitt des Ductus choledochus vereinigt sich mit dem Ductus pancreaticus des Pankreas zur Ampulla hepatopancreatica. Diese mündet wiederum durch die Papilla duodeni major in das Duodenum.   
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The ductus hepaticus, which in most cases is outside the liver, proceeds from the left and right hepatic duct near the porta hepatis. The ductus cysticus is one way to store bile in the gall bladder. The ductus choledochus runs in the ligamentum hepatoduodenale to the duodenum. The last section of the ductus choledochus merges with the ductus pancreaticus of the pancreas to form the ampulla hepatopancreatica. This in turn flows through the papilla duodeni major into the duodenum.   
  
  
  
==Lage der Gallenblase zu den Nachbarorgane==  
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==Position of the gall bladder in relation to the neighbouring organs==  
  
  
Im <segmenter-snapshot wsemb_id="galle" snapshot_index="1" style="">"WebViewer"</segmenter-snapshot> sind Magen, Dünndarm, Colon transversum, Peritoneum im Bereich des Lig. hepatoduodenale entfernt und die Leber ist transparent dargestellt. Die Gallenblase ist fest verbunden durch die Bindegewebszüge der Fossa vesicae biliaris. Der Ductus choledochus verläuft hinter dem Duodenum in Richtung Pankreaskopf und durch diesen hindurch (im <!--[segmenter_snapshot galle 0]-->"WebViewer"<!--[/]--> nicht zu sehen). Je nachdem mündet der Ductus choledochus entweder zusammen oder getrennt mit dem Ductus pancreaticus auf der Papilla duodeni major in der Pars descendens duodeni.
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In the <segmenter-snapshot wsemb_id="galle" snapshot_index="1" style="">"WebViewer"</segmenter-snapshot> stomach, small intestine, colon transversum, peritoneum in the area of lig. hepatoduodenale are removed and the liver is shown transparent. The gallbladder is firmly connected by the connective tissue of the fossa vesicae biliaris. The ductus choledochus runs behind the duodenum towards the pancreatic head and through it (not visible in <!--[segmenter_snapshot galle 0]-->"WebViewer"<!--[/]-->). Depending on this, the ductus choledochus either flows together or separately with the ductus pancreaticus on the papilla duodeni major in the pars descendens duodeni.
 
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==Aufbau Gallenblase und extrahepatische Gallenwege==  
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==Structure of the gall bladder and extrahepatic bile ducts==  
  
Die Gallenblase besteht aus einem Hals (Collum), einem Körper (Corpus) und einem Blasengrund (Fundus). Das Corpus vesicae biliaris geht über den Gallenblasentrichter in den Hals. Der Ducuts cysticus (Gallenblasengang) knüpft am Hals an, welcher im Ductus hepaticus communis mündet. Als Ductus choledochus wird der große Gallengang bezeichnet. Dort mündet der Ductus pancreaticus, beide Gänge leiten ihre Verdauungssekrete über die Papila duodeni major in das Duodenum. <br>
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The gallbladder consists of a neck (collum), a body (corpus) and a bladder base (fundus). The corpus vesicae biliaris enters the neck via the gallbladder funnel. The ducuts cysticus (gallbladder duct) attaches to the neck, which leads to the ductus hepaticus communis. The large bile duct is called ductus choledochus. There the ductus pancreaticus flows, both ducts lead their digestive secretions via the papila duodeni major into the duodenum. </br>
Es gibt weitere Varianten der Mündungen von Ductus choledochus und Ductus pancreaticus. Seltener sind Gallenblase und Ductus cysticus doppelt angelegt. Eine weitere Variante ist eine fast vollständig septierte gemeinsame Ampulle. Möglich sind ebenfalls eine Mündung ohne echte Ampulle und eine Doppelmündung beider Gänge.
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There are further variants of the mouths of ductus choledochus and ductus pancreaticus. Gallbladder and ductus cysticus are more rarely doubled. Another variant is an almost completely seperated common ampoule. Also possible is an orifice without a real ampoule and a double orifice of both veins.  
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==Erkrankungen==  
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==Diseases==  
  
  
*[[Special:MyLanguage/Gallensteine|Gallensteine]]
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*[[Special:MyLanguage/Gallensteine|Gallstones]]
 
*[[Special:MyLanguage/Cholezystitis|Cholezystitis]]
 
*[[Special:MyLanguage/Cholezystitis|Cholezystitis]]
  
==Freies Explorieren==
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==Free exploration==  
 
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<div style="float:left;width:50%">Schauen Sie sich die Struktur der Gallenblase in 3D an und explorieren Sie sie frei. Danach können Sie Ihr erlerntes Wissen durch die Übungsaufgaben überprüfen.</div></div>
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<div style="float:left;width:50%">Look at the structure of the gallbladder in 3D and explore it freely. Afterwards you can test your acquired knowledge by the exercises.</div>
 
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[[Category:Organe Abdomen]]
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[[Category:Organs abdomen]]
[[Category:Innere Organe]]
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Aktuelle Version vom 18. Dezember 2020, 11:09 Uhr

The gallbladder (lat. Vesica billiaris) is a hollow organ responsible for the thickening and storage of bile produced in the liver. This is needed during digestion.


Projection of the gallbladder and extrahepatic bile ducts onto the trunk

Gallbladder: projection of the gallbladder onto the trunk

The mouth of the ductus pancreaticus lies at the level of the 2nd lumbar vertebral body. In the right medioclavicular line, however, the gallbladder is visible at the lower edge of the 9th rib. Below the costal arch is the gallbladder at the level of the 1st or 2nd lumbar vertebra.


Projection of intra- and extrahepatic bile ducts onto the surface of the liver

Intrahepatic bile ducts

Gallbladder: bile ducts

All bile ducts up to the hepatic orifice (porta hepatis) are called intrahepatic bile ducts. Small bile ducts (canaliculi biliferi) are the bile ducts between the liver cells (hepatocyte). The bile ducts move from the center of a liver lobule to the lobule surface. Here they pass into the short herring ducts (ductuli biliferi). These again flow into the bile ducts inside the liver lobules (ductus biliferi interlobulares). They merge into ever larger units and eventually lead to the large intrahepatic liver ducts, the ductus hepaticus dexter and the ductus hepaticus sinister.


Extrahepatic bile ducts

Extrahepatic bile ducts are those that are located outside the liver. The ductus hepaticus, which in most cases is outside the liver, proceeds from the left and right hepatic duct near the porta hepatis. The ductus cysticus is one way to store bile in the gall bladder. The ductus choledochus runs in the ligamentum hepatoduodenale to the duodenum. The last section of the ductus choledochus merges with the ductus pancreaticus of the pancreas to form the ampulla hepatopancreatica. This in turn flows through the papilla duodeni major into the duodenum.


Position of the gall bladder in relation to the neighbouring organs

In the "WebViewer" stomach, small intestine, colon transversum, peritoneum in the area of lig. hepatoduodenale are removed and the liver is shown transparent. The gallbladder is firmly connected by the connective tissue of the fossa vesicae biliaris. The ductus choledochus runs behind the duodenum towards the pancreatic head and through it (not visible in "WebViewer"). Depending on this, the ductus choledochus either flows together or separately with the ductus pancreaticus on the papilla duodeni major in the pars descendens duodeni.

Structure of the gall bladder and extrahepatic bile ducts

The gallbladder consists of a neck (collum), a body (corpus) and a bladder base (fundus). The corpus vesicae biliaris enters the neck via the gallbladder funnel. The ducuts cysticus (gallbladder duct) attaches to the neck, which leads to the ductus hepaticus communis. The large bile duct is called ductus choledochus. There the ductus pancreaticus flows, both ducts lead their digestive secretions via the papila duodeni major into the duodenum.
There are further variants of the mouths of ductus choledochus and ductus pancreaticus. Gallbladder and ductus cysticus are more rarely doubled. Another variant is an almost completely seperated common ampoule. Also possible is an orifice without a real ampoule and a double orifice of both veins.

Diseases

Free exploration


Look at the structure of the gallbladder in 3D and explore it freely. Afterwards you can test your acquired knowledge by the exercises.


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