412 



CLINICAL APPLIED ANATOMY. 



the respiratory excursions of the liver. When inflamed, even 

 though its outline cannot be distinctly felt, its position may often 

 be discovered by the local tenderness elicited by its descent 



neck 



cystic duct 



gall bladder 



right hep. dud 

 left hep. duct 



hep. duct 



for. Winslow 



omental stage 

 com bile duct 



com. bile duct 



inner wall duod 



sphincter 

 ampulla 



upper border 

 of pancreas 



ancreatic duct 



FIG. 51 THE GALL BLADDER AND BILE DUCTS VIEWED FEOM THE 

 EIGHT. (Hughes and Keith.} 



against the fingers if a full inspiration be taken. A greatly 

 distended gall bladder forms a pyriform tumour which can be 

 moved laterally and also antero-posteriorly, but cannot be 

 separated from the liver above, or restrained from following its up 



