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Multiple Choice
Which of the following best explains why a gallstone lodged in the cystic duct may also cause blockage of the pancreas?
A
The pancreas secretes bile that passes through the cystic duct.
B
The cystic duct directly drains pancreatic enzymes into the gallbladder.
C
A gallstone in the cystic duct can block the common bile duct, which is joined by the pancreatic duct before entering the duodenum.
D
The cystic duct merges with the pancreatic duct before entering the duodenum.
Verified step by step guidance
1
Step 1: Understand the anatomy of the biliary system and pancreas. The cystic duct connects the gallbladder to the common bile duct, which carries bile to the duodenum. The pancreatic duct carries digestive enzymes from the pancreas to the duodenum, and these two ducts merge at the hepatopancreatic ampulla (also known as the ampulla of Vater).
Step 2: Recognize the role of the cystic duct in bile flow. A gallstone lodged in the cystic duct can obstruct the flow of bile from the gallbladder into the common bile duct, leading to a backup of bile.
Step 3: Understand the shared pathway of the common bile duct and pancreatic duct. Since the common bile duct and pancreatic duct merge before entering the duodenum, a blockage in the common bile duct can also obstruct the flow of pancreatic enzymes.
Step 4: Analyze the consequences of the blockage. If bile and pancreatic enzymes cannot flow into the duodenum, it can lead to inflammation or damage to the pancreas (e.g., pancreatitis) due to the buildup of pressure and digestive enzymes.
Step 5: Conclude that the correct explanation is based on the anatomical connection between the common bile duct and pancreatic duct. A gallstone in the cystic duct indirectly causes blockage of the pancreas by obstructing the common bile duct, which is joined by the pancreatic duct before entering the duodenum.