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Gall Bladder anatomy

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https://www.readbyqxmd.com/read/28855220/duplex-gall-bladder-bystander-or-culprit
#1
Jogender Kumar, Arushi Yadav
Gall bladder (GB) duplication is a rare anatomical malformation, which can be detected by preoperative imaging study. We present a case of duplex gall bladder in a 14-year-old boy who presented with abdominal pain. On ultrasound, he had right nephrolithiasis and duplex gall bladder. Duplex gall bladder was confirmed on MR cholangiopancreatography. There was a dilemma for surgical management of duplex gall bladder; however, he became asymptomatic after conservative treatment. Prophylactic surgery is not recommended for asymptomatic incidentally detected duplex gall bladder...
August 30, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28764144/variant-anatomy-of-the-hepatic-vasculature-importance-in-hepatobiliary-resections
#2
Sarika Rachel Tigga, Sandeep Saluja, Virendra Budhiraja, Rakhi Rastogi
A variant anatomy of the hepatic vasculature has a clinically significant role in hepatobiliary transplantation, resection, tumour embolisation as well as in extrahepatic abdominal surgeries involving the stomach, pancreas or gall bladder. During routine cadaveric dissection, we observed a case of unusually small calibre hepatic artery proper. An accessory hepatic artery was seen emerging from the superior mesenteric artery to the right hepatic lobe along with an accessory hepatic vein from the right hepatic lobe that drained directly into the inferior vena cava...
June 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28365715/gall-bladder-agenesis-a-rare-embryonic-cause-of-recurrent-biliary-colic
#3
Aarthi Rajkumar, Albina Piya
BACKGROUND Gallbladder agenesis (GA) is an extremely rare anatomic anomaly with a reported incidence of less than 0.5%. It is usually asymptomatic, but can present with features of biliary colic and cholecystitis. We present here a case of GA in a patient with recurrent biliary colic.  CASE REPORT A 24-year-old African American woman presented with recurrent episodes of right upper-quadrant abdominal pain. During her first episode, she was found to have elevated transaminases and clinical features of cholecystitis, but ultrasound did not visualize a gallbladder and she was discharged with a diagnosis of biliary colic...
April 2, 2017: American Journal of Case Reports
https://www.readbyqxmd.com/read/28340928/the-difficult-gall-bladder-outcomes-following-laparoscopic-cholecystectomy-and-the-need-for-open-conversion
#4
A Ashfaq, K Ahmadieh, A A Shah, A B Chapital, K L Harold, D J Johnson
INTRODUCTION: Surgery for the difficult gallbladder (DGB) is associated with increased risk compared to more routine laparoscopic cholecystectomies (LC). Laparoscopic "damage control" methods including cholecystostomy, fundus-down approach and subtotal cholecystectomy (SC) have been proposed to avoid conversion to open. We hypothesized that a Total LC (TLC) for DBG can be completed safely with an acceptably low conversion rate. MATERIAL AND METHODS: All patients that underwent LC from January 2005-June 2015 were retrospectively reviewed...
December 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27630832/anatomic-variant-of-liver-gall-bladder-and-inferior-vena-cava
#5
Yogesh Ashok Sontakke, V Gladwin, Parkash Chand
The morphology and relations of liver, gall bladder and inferior vena cava are cardinal. Their anatomical variations may be a reason for the adverse surgical outcome. During routine anatomy dissection of an abdomen, we noticed a variant liver, gall bladder and inferior vena cava in a 63-year-old male cadaver. In the specimen, a retrohepatic segment of inferior vena cava was found to be intrahepatic. On dissection, it was observed that inferior vena cava was covered entirely by a liver tissue on its dorsal aspect...
July 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27186047/culinary-medicine-jalebi-adhesions
#6
Vinay K Kapoor
Culinary terms have been used to describe anatomy (bean-shaped kidneys), pathology (strawberry gall bladder), clinical signs (café-au-lait spots), radiological images (sausage-shaped pancreas), etc. While Indian cuisine is popular all over the world, no Indian dish finds mention in medical terminology. In intra-abdominal adhesions, sometimes, the intestinal loops are so densely adherent that it is difficult to make out proximal from distal and it is impossible to separate them without injuring the bowel resulting in spill of contents-resection is the only option (Fig...
February 2016: Indian Journal of Surgery
https://www.readbyqxmd.com/read/26819602/surgical-anatomy-of-the-gastrointestinal-tract-and-its-vasculature-in-the-laboratory-rat
#7
Katarína Vdoviaková, Eva Petrovová, Marcela Maloveská, Lenka Krešáková, Jana Teleky, Mario Zefanias Joao Elias, Darina Petrášová
The aim of this study was to describe and illustrate the morphology of the stomach, liver, intestine, and their vasculature to support the planning of surgical therapeutic methods in abdominal cavity. On adult Wistar rats corrosion casts were prepared from the arterial system and Duracryl Dental and PUR SP were used as a casting medium and was performed macroscopic anatomical dissection of the stomach, liver, and intestine was performed. The rat stomach was a large, semilunar shaped sac with composite lining...
2016: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/26768945/education-and-imaging-hepatobiliary-and-pancreatic-gall-bladder-duplication-presenting-with-gall-stone-pancreatitis-use-of-hepatobiliary-specific-mrcp-in-preoperative-evaluation-of-ductal-anatomy
#8
P Nepal, D Kumar, S Ramanathan, A Faki
No abstract text is available yet for this article.
December 2015: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/26730287/laparoscopic-management-of-a-two-staged-gall-bladder-torsion
#9
Yadav Kamal Sunder, Sali Priyanka Akhilesh, Garg Raman, Sharma Deborshi, Mehta Hitesh Shantilal
Gall bladder torsion (GBT) is a relatively uncommon entity and rarely diagnosed preoperatively. A constant factor in all occurrences of GBT is a freely mobile gall bladder due to congenital or acquired anomalies. GBT is commonly observed in elderly white females. We report a 77-year-old, Caucasian lady who was originally diagnosed as gall bladder perforation but was eventually found with a two staged torsion of the gall bladder with twisting of the Riedel's lobe (part of tongue like projection of liver segment 4A)...
December 27, 2015: World Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/26620650/ultrasonographic-anatomy-of-the-healthy-southern-tigrina-leopardus-guttulus-abdomen-comparison-with-domestic-cat-references
#10
COMPARATIVE STUDY
Thiago R Müller, Raquel S Marcelino, Livia P de Souza, Carlos R Teixeira, Maria J Mamprim
Objectives The aim of the study was to describe the normal abdominal echoanatomy of the tigrina and to compare it with the abdominal echoanatomy of the domestic cat. Reference intervals for the normal abdominal ultrasonographic anatomy of individual species are important for accurate diagnoses and interpretation of routine health examinations. The hypothesis was that the echoanatomy of the tigrina was similar to that of the domestic cat. Methods Eighteen clinically healthy tigrina were selected for abdominal ultrasound examination, in order to obtain normal parameters of the bladder, spleen, adrenal gland, kidney, gastrointestinal tract, liver and gall bladder, and Doppler parameters of liver and kidney vessels...
February 2017: Journal of Feline Medicine and Surgery
https://www.readbyqxmd.com/read/26182750/comparison-of-operative-time-and-length-of-hospital-stay-in-laparoscopic-cholecystectomy-in-acute-verses-chronic-cholecystitis
#11
COMPARATIVE STUDY
A A Ramzanali Damani, Sadiqa Haider, Hazrat Bilal, Sughra Perveen
BACKGROUND: The laparoscopic surgery has opened a new era in the field of surgery. Currently, it is accepted as the "gold standard" in the treatment of symptomatic cholelithiasis. However, laparoscopic cholecystectomy (LC) performed for acute cholecystitis is technically difficult because of severe inflammatory adhesions and distortion of the biliary anatomy. The objective of this study was to compare the frequency, mean operative time and length of hospital stay in patients of acute and chronic cholecystitis undergoing laparoscopic cholecystectomy...
January 2015: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/26146110/management-of-giant-hepatic-hemangioma-in-atypical-localization-report-of-a-case-and-literature-review
#12
REVIEW
Rafał Stankiewicz, Konrad Kobryń, Waldemar Patkowski, Marek Krawczyk
Hemangiomas are the most common benign primary hepatic neoplasms, often being incidentally discovered. In most of the cases they are small and asymptomatic. It is widely accepted that clinical intervention is indicated only for symptomatic hemangiomas. We present a case of an asymptomatic giant hemangioma managed by enucleation due to its atypical localization. The hemangioma, originally located in segment 5, was now described in Computer Tomography (CT) Imaging as separating the gallbladder from the liver parenchyma...
March 2015: Polski Przeglad Chirurgiczny
https://www.readbyqxmd.com/read/26078831/endoscopic-ultrasound-guided-interventional-procedures
#13
REVIEW
Vishal Sharma, Surinder S Rana, Deepak K Bhasin
Endoscopic ultrasound (EUS) has emerged as an important diagnostic and therapeutic modality in the field of gastrointestinal endoscopy. EUS provides access to many organs and lesions which are in proximity to the gastrointestinal tract and thus giving an opportunity to target them for therapeutic and diagnostic purposes. This modality also provides a real time opportunity to target the required area while avoiding adjacent vascular and other structures. Therapeutic EUS has found role in management of pancreatic fluid collections, biliary and pancreatic duct drainage in cases of failed endoscopic retrograde cholangiopancreatography, drainage of gallbladder, celiac plexus neurolysis/blockage, drainage of mediastinal and intra-abdominal abscesses and collections and in targeted cancer chemotherapy and radiotherapy...
June 10, 2015: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/25437680/a-critical-view-on-a-classical-pitfall-in-laparoscopic-cholecystectomy
#14
Tomasz Dziodzio, Sascha Weiss, Robert Sucher, Johann Pratschke, Matthias Biebl
INTRODUCTION: Laparoscopic cholecystectomy is the most common laparoscopic surgery performed by general surgeons. Although being a routine procedure, classical pitfalls shall be regarded, as misperception of intraoperative anatomy is one of the leading causes of bile duct injuries. The "critical view of safety" in laparoscopic cholecystectomy serves the unequivocal identification of the cystic duct before transection. The aim of this manuscript is to discuss classical pitfalls and bile duct injury avoiding strategies in laparoscopic cholecystectomy, by presenting an interesting case report...
2014: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/25184016/acupuncture-related-pneumothorax
#15
David A Hampton, Robert T Kaneko, Erika Simeon, Alexis Moren, Susan Rowell, Jennifer M Watters
Background: Acupuncture-related pneumothorax (PTX) is a poorly reported complication of thoracic needling. Recent Chinese literature reviews cited PTXs as the most common adverse outcome. Because of delayed presentation, this complication is thought to be underrecognized by acupuncturists and is largely addressed by hospital and emergency room personnel. The goal of this case study was to demonstrate common risk factors for a PTX, the mechanisms for its development, and protocols to use if one is suspected...
August 1, 2014: Medical Acupuncture
https://www.readbyqxmd.com/read/24590431/cost-effectiveness-of-routine-laparoscopic-ultrasound-for-assessment-of-resectability-of-gallbladder-cancer
#16
Hasan Nadeem, Thejus T Jayakrishnan, Ryan T Groeschl, Anthony Zacharias, T Clark Gamblin, Kiran K Turaga
BACKGROUND: In addition to a diagnostic laparoscopy (DL), a routine laparoscopic ultrasound (LUS) has been proposed to identify undetected hepatic metastases and/or anatomically advanced disease in patients with T2 or higher gall bladder cancer (GBC) patients planned for surgical resection. It was hypothesized that a routine LUS is not a cost-effective strategy for these patients. METHODS: Decision tree modeling was undertaken to compare DL-LUS vs. DL at the time of definitive resection of GBC (with no prior cholecystectomy)...
July 2014: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/24298450/embryological-basis-and-clinical-correlation-of-the-rare-congenital-anomaly-of-the-human-gall-bladder-the-diverticulum-a-morphological-study
#17
Jaba Rajguru, Shilpi Jain, Satyam Khare, Ratna R Fulzele, Rashmi Ghai
BACKGROUND: Diverticulum of the human gall bladder is an important but distinct anatomical entity with significant clinical implications. It is one of the rarest congenital anomalies of the gall bladder being rarely discussed in literature. This article details the morphology of the diverticula found, along with the embryological basis and clinical significance of this important anatomical and clinical entity. AIM: To study the diverticula found, with respect to their morphology, and ascertain whether they were of congenital or acquired variety...
October 2013: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/24124340/laparoscopic-cholecystectomy-for-a-left-sided-gallbladder
#18
REVIEW
Mazen E Iskandar, Agnes Radzio, Merab Krikhely, I Michael Leitman
Cholecystectomy is a common procedure. Abnormalities in the anatomy of the biliary system are common but an abnormal location of the gallbladder is much rarer. Despite frequent pre-operative imaging, the aberrant location of the gallbladder is commonly discovered at surgery. This article presents a case of a patient with the gallbladder located to the left of the falciform ligament in the absence of situs inversus totalis that presented with right upper quadrant pain. A laparoscopic cholecystectomy was performed and it was noted that the cystic duct originated from the right side...
September 21, 2013: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/24097599/predicting-difficulties-during-laparoscopic-cholecystectomy-by-preoperative-ultrasound
#19
S K Sharma, P B Thapa, A Pandey, B Kayastha, S Poudyal, K R Uprety, S Ranjit
Background: The aim of this study was to determine whether the preoperative USG finding can predict the risk of conversion or difficulty during the laparoscopic cholecystectomy. Materials and methods: 200 patients undergoing Laparoscopic cholecystectomy at Kathmandu Medical College Teaching Hospital were included. Sonographic parameters like size of gall bladder, wall thickness, distance between hepaticoduodenal ligament and Hartmann's pouch and the size of stone were taken into consideration and difficulties in terms of adhesions around gall bladder, anatomy of calot's triangle and difficulty in peeling off gall bladder from the bed and retrieval were analyzed...
2007: Kathmandu University Medical Journal (KUMJ)
https://www.readbyqxmd.com/read/23416809/problems-leading-to-conversion-in-laparoscopic-cholecystectomy
#20
S Ahmed, A A Ali, M Hasan, A Awal
In prospective study, the various reasons for conversion in laparoscopic cholecystectomy were shown and recommended various measures to decrease the incidence of conversion and associated complications with this procedure. Fifty cases of conversion in laparoscopic cholecystectomy were studied in Dhaka Medical College Hospital & Bangabandhu Sheikh Mujib Medical University from July 2002 to July 2004. The commonest cause of conversion was dense pericholecystic adhesion or unclear anatomy (24%). Next common cause was accidental injury to surrounding structures (18%) and uncontrolled bleeding (14%) and thick fibrosed gall bladder (14%)...
January 2013: Mymensingh Medical Journal: MMJ
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