Role of cystic duct in gall stone disease clinico pathological correlation

ABSTRACT

Fifty cases with gall stone were included in this study 35 females and 15 males with mean age 46 years. The presence of gall stones was proved by ultrasonography and or cholecystography. All patients were investigated for liver functions, blood picture, blood sugar and serum creatinine before the operation. Exploration of common bile duct was done in 4 cases, cholesterol stone was found in 6 cases, pigment stones in 14 and remaining [30] with mixed [infected] stones. The cystic duct and gall bladder were examined grossly and histologically. The cystic duct was narrowed in 68% of cases and shared more or less the same inflammatory changes and its sequele as in the gall bladder associated with gall stones. Also, it is recommended to examine the cystic duct in any gall bladder specimen. The cystic duct plays an active role in the flow of bile into and out of the gall bladder.So its pathological changes may share in the pathogenosis of gall stones even in absence of inflammatory process in the gall bladder