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ANATOMI RADIOLOGI

SISTEM BILIARIS

Saifudin

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Definisi

 Sistem Biliaris  Suatu Saluran yg


mengalirkan empedu dari hepar ke dalam
Duodenum
 Berdasakan Lokasi terbagi menjadi :
1. Kelenjar dalam Hepar (Ductus Intrahepatic)
2. Kelenjar luar Hepar (Ductus Extrahepatic)

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 Saluran Biliaris Intrahepatik terdiri dari :
1. kanalikuli biliaris dan
2. duktus biliaris
 Saluran Biliaris Ekstrahepatik terdiri dari :
1. Ductus hepaticus kanan & kiri,
2. Ductus hepaticus komunis,
3. Ductus Cysticus
4. Ductus Biliaris Komunis (CBD) / Ductus
Choledocus
5. Gallbladder / Vesica Fellea

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Imaging Pada Sistem Biliary

1. FPA
2. Kolesistografi Oral dan IV
3. Kholangiografi T-Tube
4. ERCP
5. PTC
6. USG
7. Kedokteran Nuklir
8. CT Scan
9. MRI
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1. Fundus Gallbladder
4
5
2. Body Gallbladder
3. Infundibulum
3
Gallbladder
4. Neck Gallbladder
5. Ductus Cysticus
2

Kholesistografi Oral
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1. Ductus Hepaticus
Kanan
2. Ductus Hepaticus
2
Kiri
1
3. Ductus Hepaticus
3
4
Komunis
5 4. Ductus Cysticus
6
5. Ductus Biliaris
Komunis (CBD)
6. Ampula Vatter

Kholangiografi T-Tube 9 October 2019 8


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ERCP

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1. Ductus Hepaticus
Kanan
2. Ductus Hepaticus
2 Kiri
1
3
3. Ductus Hepaticus
Komunis
4
5
6
4. Ductus Cysticus
7
5. Gallbladder / VF
6. Ductus Biliaris
8
Komunis (CBD)
7. Ductus
Pancreaticus
8. Endoscopy
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Percutaneus Transhepatic
Cholangiography (PTC)

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1. Ductus Hepaticus
Komunis
2. Gallbladder / VF
3. Ductus Biliaris
1
Komunis (CBD)
4. Duodenum
2

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CT Scan dan MRI

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1 2

7
8
6

1. Ductus Hepaticus Kanan 5. Fundus Gallbladder


2. Ductus Hepaticus Kiri 6. Corpus / Body Gallbladder
3. Ductus Hepaticus Komunis 7. Neck Gallbladder
4. Ductus Cysticus 8. Ductus Biliaris Komunis
(CBD)
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1. Ductus Hepaticus
Kanan
2. Ductus Hepaticus
Kiri
3. Ductus Hepaticus
2 Komunis
1
4. Ductus Cysticus
3
5. Fundus Gallbladder
4
8 6. Corpus / Body
7
Gallbladder
6 7. Neck Gallbladder
8. Ductus Biliaris
5
Komunis (CBD)

3D 9 October 2019 16
1. Gallbladder
3 7 2. Ductus Hepaticus
4
8 Kanan
2 3. Ductus Hepaticus Kiri
6 4. Ductus Hepaticus
1
Komunis
5 9
10 5. Ductus Biliaris
Komunis (CBD)
11
6. Vena Porta
7. IVC
8. Aorta Descenden
12 9. Vena Spleen
10. Vena Renal
11. Aorta Abdominalis
12. Aorta Bifurcatio
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1. Ductus Hepaticus
Kanan
9 2. Ductus Hepaticus
5
1
2 Kiri
3 4 3. Ductus Hepaticus
7 Komunis
6
4. Ductus Cysticus

8
5. Gallbladder
6. Bulbus Duodenum
7. Ductus Biliaris
Komunis (CBD)
8. Ductus
Pancreaticus
9. Fundus Gaster
MRCP 9 October 2019 18
Matur
Nuwun

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