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Hartmann's Pouch is a part of the gallbladder that is seen in some individuals. It is a small outpouching or "sac" near the neck of the gallbladder, where gallstones may become lodged.

Anatomy

The gallbladder is a small organ located under the liver, which stores bile produced by the liver. The gallbladder has three parts: the fundus, the body, and the neck. Hartmann's Pouch is located at the neck of the gallbladder. It is not present in all individuals and is not considered a pathological condition.

Clinical Significance

Hartmann's Pouch can have clinical significance in the context of gallstones. Gallstones can become lodged in this pouch, leading to inflammation and pain, a condition known as cholecystitis. This can require surgical intervention, often in the form of a cholecystectomy, or removal of the gallbladder.

Diagnosis

The presence of Hartmann's Pouch and any associated gallstones can be diagnosed through imaging studies such as ultrasound, computed tomography (CT) scan, or magnetic resonance imaging (MRI). These imaging studies can visualize the gallbladder and any abnormalities, including the presence of a pouch or gallstones.

Treatment

Treatment for gallstones lodged in Hartmann's Pouch typically involves surgical removal of the gallbladder, a procedure known as a cholecystectomy. This can be performed through open surgery or laparoscopically, which is less invasive. Following surgery, most individuals can live normally without a gallbladder, as the liver continues to produce bile for digestion.

See Also

• Gallbladder
• Gallstones
• Cholecystitis
• Cholecystectomy