Articles

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720 results found
Article

Acute cholecystitis

Acute cholecystitis refers to the acute inflammation of the gallbladder. It is the primary complication of cholelithiasis and the most common cause of acute pain in the right upper quadrant (RUQ). Epidemiology Acute cholecystitis is a common cause of hospital admission and is responsible for a...
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Regenerative liver nodule

Regenerative liver nodules are a form of non-neoplastic nodules that arise in a cirrhotic liver. Terminology This may be slightly different from the term nodular regenerative hyperplasia, which are described histopathologically as regenerative nodules with little or no hepatic fibrosis and lar...
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Choledochal cyst

Choledochal cysts represent congenital cystic dilatations of the biliary tree. Diagnosis relies on excluding other conditions as a cause of biliary duct dilatation, e.g. tumor, gallstone, inflammation. Epidemiology Choledochal cysts are rare, with an incidence of 1:100,000-150,000. Although th...
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Hypervascular liver lesions

Hypervascular liver lesions are findings that enhance more or similarly to the background hepatic parenchyma in the late arterial phase, on contrast-enhanced CT or MRI. Differential diagnosis Non-neoplastic focal nodular hyperplasia (FNH) bright arterial phase enhancement except central scar...
Article

Sinusoidal obstruction syndrome

Sinusoidal obstruction syndrome (SOS), previously known as hepatic veno-occlusive disease (VOD), is a condition arising from occlusion of hepatic venules. Clinical presentation right upper quadrant pain painful hepatomegaly ascites abnormal liver function tests Pathology Toxic injury to l...
Article

Hepatic leiomyosarcoma

Hepatic leiomyosarcomas are rare primary malignant tumors derived from smooth muscle cells in the liver. Epidemiology Hepatic leiomyosarcoma is rare 1. An equal sex distribution and a broad age range (5 months-66Y) has been reported. Some have suggested an associated with AIDS 2. Pathology T...
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Pancreas transplant

A pancreas transplant is a major surgical procedure in which a donor pancreas is transplanted into a recipient. The donor pancreas is typically cadaveric, but may rarely be a segment from a living donor 1. The transplant is meant to establish normoglycemia in patients with diabetes mellitus, typ...
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Hepatic hemangioma

Hepatic hemangiomas or hepatic venous malformations are the most common benign vascular liver lesions. They are frequently diagnosed as an incidental finding on imaging, and most patients are asymptomatic. From a radiologic perspective, it is important to differentiate hemangiomas from hepatic m...
Article

Beaver tail liver

Beaver tail liver, also known as a sliver of liver, is a variant of hepatic morphology where an elongated left liver lobe extends laterally to contact and often surround the anterior aspect of the spleen 2. Beaver tail liver is more common in females. The parenchyma is normal and therefore has ...
Article

Whole-body CT (protocol)

CT polytrauma/multitrauma, also called trauma CT, whole body CT (WBCT) or panscan, is an increasingly used investigation in patients with multiple injuries sustained after significant trauma. The majority of the evidence regarding whole-body CT is, understandably, retrospective. There is some e...
Article

Liver trauma

The liver is one of the most frequently damaged organs in blunt trauma, and liver trauma is associated with a significant mortality rate. Epidemiology In blunt abdominal trauma, the liver is injured ~5% (range 1-10%) of the time 1,3. Clinical presentation Patients can present with right uppe...
Article

Leishmaniasis

Leishmaniasis refers to zoonoses caused by parasites of the genus Leishmania. There are three main forms of leishmaniasis: visceral (also known as kala-azar or dum-dum fever) cutaneous mucocutaneous leishmaniasis Epidemiology Leishmaniasis is a truly global disease with a higher burden in t...
Article

Pancreatic trauma

The pancreas is uncommonly injured in blunt trauma. However, pancreatic trauma has a high morbidity and mortality rate. Epidemiology The pancreas is injured in ~7.5% (range 2-13%) of blunt trauma cases 1,3,7. Motor vehicle accidents account for the vast majority of cases. Penetrating trauma co...
Article

Posterior parahepatic cyst

Posterior parahepatic cysts are an incidental finding of a small, isolated, nodular structure adjacent to the posterior segment of the right hepatic lobe.  Pathology Due to the benign imaging characteristics and stability on long-term imaging, no pathologic diagnosis of these lesions has been ...
Article

Pulsatile portal venous flow

A pulsatile portal venous flow pattern is an abnormal form of portal venous flow and can result from both physiological and pathological causes. In well subjects, mild to marked pulsatility has been described. This is especially so in thin subjects, with a venous pulsatility index of >0.5, inve...
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Posterior right subhepatic space

The posterior right subhepatic space (also known as the hepatorenal fossa or Morison pouch) separates the liver from the right kidney. It is a potential space that is not filled with any fluid in normal conditions. Gross anatomy The posterior right subhepatic space is a subcompartment of the s...
Article

Klebsiella

Klebsiella is a genus of Gram-negative, oxidase-negative, rod-shaped bacteria, which is relatively commonly encountered in the healthcare environment. It has numerous species, including K. pneumoniae, K. aerogenes, and K. rhinoscleromatis 1. Klebsiella may cause a range of infections, most commo...
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Peritoneal hydatidosis

Peritoneal hydatidosis occurs secondary to the seeding of echinococcosis into the peritoneum, usually secondary to the rupture of hydatid disease of the liver. Pathology Seeding involves the entire peritoneum and gives appearance of a multiloculated mass.  Classification Peritoneal hydatidos...
Article

Limy bile

Limy bile stands for the presence of a viscous substance in the dependent parts of the gallbladder and/or bile ducts, almost entirely composed of calcium carbonate, and therefore highly radiopaque. Terminology The terms limy bile and calcium milk gallbladder can be used interchangeably for inc...
Article

Choledocholithiasis

Choledocholithiasis denotes the presence of gallstones within the bile ducts (including the common hepatic duct/common bile duct). Epidemiology Choledocholithiasis is relatively common, seen in up to 20% of patients undergoing cholecystectomy for gallstone-related complaints 2. Clinical prese...

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