Presence of Hartmann’s Pouch in Human Gallbladder

N. Nahar, S. Ara, Mushfika Rahman, S. Shahriah, H. Afroz
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引用次数: 3

Abstract

Context: Hartmann’s pouch is an out-pouching of the wall of the gallbladder, at the junction of the neck of the gallbladder and the 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 a cholecystectomy. Objective: To identify the presence of Hartmann’s pouch in human gallbladder. Study Desig n: A cross-sectional type of study. Place and period of study: The study was carried out in the Department of Anatomy, Dhaka Medical College, Dhaka from July 2008 to June 2009. Materials: 70 postmortem gallbladder were collected from unclaimed dead bodies that were under examination in the morgue of the Department of Forensic Medicine, Dhaka Medical College, Dhaka. Methods: 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. Results: In the present study 70 cadaver’s gallbladder were observed carefully in the neck region for Hartmann’s pouch. The Hartmann’s pouch was detected in 4 cases out of 70 (5.7%). Conclusion: Further studies to find out the gross anatomy and histological study of Hartmann’s pouch is recommended. DOI: http://dx.doi.org/10.3329/bja.v10i2.17283 Bangladesh Journal of Anatomy, July 2012, Vol. 10 No. 2 pp 57-58
哈特曼囊在人类胆囊中的存在
背景:哈特曼囊是胆囊壁的外囊,位于胆囊颈和胆囊管交界处。它可能是胆囊结石侵袭的部位,导致胆囊粘液囊肿。因此,在进行胆囊切除术时,它的识别对描绘胆道解剖是有用的。目的:探讨人胆囊中是否存在哈特曼囊。研究设计:横断面研究。研究地点和时间:研究于2008年7月至2009年6月在达卡医学院解剖学系进行。材料:从无人认领的尸体上收集了70个死后胆囊,这些尸体正在达卡医学院法医学系的停尸间进行检查。方法:用普通自来水冲洗福尔马林固定胆囊,去除多余的福尔马林,置于金属托盘上保存。观察发现并记录了胆囊内的哈特曼囊。结果:本研究对70具尸体的胆囊颈部进行了哈特曼囊的仔细观察。70例中检出哈特曼眼袋4例(5.7%)。结论:对哈特曼眼袋的大体解剖和组织学研究值得进一步深入研究。DOI: http://dx.doi.org/10.3329/bja.v10i2.17283孟加拉解剖学杂志,2012年7月,Vol. 10 No. 2 pp . 57-58
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