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Diagnostic Imaging

Abdominal Ultrasound: How, Why and When by Bates J.

By Bates J.

A accomplished advisor to belly ultrasound, together with easy anatomy, method and ultrasound appearances including the most typical pathological procedures. might be hugely illustrated with prime quality scans, many in color.

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Extra resources for Abdominal Ultrasound: How, Why and When

Example text

As the transducer is moved inferiorly, the portal vein appears, and below this segments V and VI are located. 17 The surgical segments of the liver (after Couinaud2). qxd 6/30/04 5:37 PM Page 25 THE NORMAL HEPATOBILIARY SYSTEM Hepatic vasculature The portal veins radiate from the porta hepatis, where the main portal vein (MPV) enters the liver (Fig. 18). They are encased by the hyperechoic, fibrous walls of the portal tracts, which make them stand out from the rest of the parenchyma. Also contained in the portal tracts are a branch of the hepatic artery and a biliary duct radical.

8). Mirizzi syndrome Mirizzi syndrome is a rare cause of biliary obstruction in which the cystic duct is obstructed by a stone, which in combination with a surrounding inflammatory process compresses and obstructs the common hepatic duct, causing distal biliary duct dilatation. This is associated with a low insertion of the cystic duct into the common hepatic duct. Occasionally a fistula forms between the hepatic duct and the gallbladder due to erosion of the duct wall by the stone. 12 (A) Anomalous insertion of the cystic duct (arrow) into the lower end of the CBD.

8). Mirizzi syndrome Mirizzi syndrome is a rare cause of biliary obstruction in which the cystic duct is obstructed by a stone, which in combination with a surrounding inflammatory process compresses and obstructs the common hepatic duct, causing distal biliary duct dilatation. This is associated with a low insertion of the cystic duct into the common hepatic duct. Occasionally a fistula forms between the hepatic duct and the gallbladder due to erosion of the duct wall by the stone. 12 (A) Anomalous insertion of the cystic duct (arrow) into the lower end of the CBD.

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