Articles

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More than 200 results
Article

Hepatic veins

Three large intrahepatic veins drain the liver parenchyma, into the inferior vena cava (IVC), and are named the right hepatic vein, middle hepatic vein and left hepatic vein. The veins are important landmarks, running in between and defining the segments of the liver. There are separate smaller ...
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Interstitial lung disease associated with primary biliary cholangitis

Interstitial lung disease associated with primary biliary cholangitis can occur in a variable pattern that can include 1: pulmonary fibrosis lymphoid interstitial pneumonia non-specific interstitial pneumonia bronchiolitis obliterans with organizing pneumonia Epidemiology It may occur in a...
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Portal vein thrombosis

Portal vein thrombosis may be seen in a variety of clinical contexts, and when acute can be a life-threatening condition. It is a major cause of non-cirrhotic presinusoidal portal hypertension. Portal vein thrombus may be either bland and/or malignant (i.e. tumor thrombus), and it is a critical ...
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Meandering main pancreatic duct

Meandering main pancreatic duct (MMPD) denotes a main pancreatic duct that drains normally into the major papilla but performs a hairpin turn (reverse Z-type) or loop (loop-type) in the pancreatic head, in contradistinction to the smooth curvature seen in most cases. These ductal variants are f...
Article

Bismuth-Corlette classification

The Bismuth-Corlette classification is a classification system for extrahepatic bile duct obstruction. Usage The Bismuth-Corlette classification is commonly used in cases of perihilar cholangiocarcinomas, reflects the extent of ductal infiltration and impacts resection and reconstruction optio...
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Gallbladder cancer (staging - AJCC 8th edition)

The AJCC (American Joint Committee on Cancer) 8th edition gallbladder cancer staging system was introduced in 2018. TNM system T: primary tumor Tis: carcinoma in situ - tumor only within the epithelium (the inner layer of the gallbladder) T1: tumor invades the lamina propria or muscularis T...
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Multiple biliary hamartomas

Multiple biliary hamartomas (MBH) are a rare cause of multiple benign hepatic lesions. The condition is also known as von Meyenburg complexes, multiple bile duct hamartomas, or biliary microhamartomas. Multiple biliary hamartomas are asymptomatic and usually found incidentally. It is important t...
Article

Intravenous drug user

Intravenous drug users (IVDU) are people who inject non-medical and controlled medical drugs (and may have substance use disorder) for non-medical purposes. Frequently injected drugs include heroin, cocaine, prescription opioids and methamphetamine 6.  Terminology More neutral terms such as pe...
Article

Porcelain gallbladder

Porcelain gallbladder is a rare condition characterized by complete or scattered encrustation of the gallbladder wall. The term has been used to emphasize the blue discolouration and brittle consistency of the gallbladder wall at surgery, but it is often an incidental finding on multiple differe...
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CT chest abdomen-pelvis (protocol)

The CT chest-abdomen-pelvis protocol serves as an outline for an examination of the trunk covering the chest,  abdomen and pelvis. It is one of the most common CT examinations conducted in routine and emergencies. It can be combined with a CT angiogram. Note: This article aims to frame a genera...
Article

Functional gallbladder disorder

Functional gallbladder dysfunction refers to biliary pain due to motility disturbance of the gallbladder without gallstones, biliary sludge, microlithiasis or microcrystals. Terminology The disorder has been or is known by several other names, including gallbladder dysfunction, gallbladder dys...
Article

Anastomosing hemangioma

Anastomosing hemangiomas are benign vascular neoplasms consisting of thin-walled anastomosing vessels. These lesions have been just added to the WHO classification of soft tissue tumors in 2020 as a separate entity 1-3 Epidemiology Anastomosing hemangiomas are rare lesions with a wide range of...
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Sarcoidosis (abdominal manifestations)

Sarcoidosis is a systemic inflammatory disease of unknown origin characterized by the formation of non-caseating granulomas. Virtually any organ system may be involved. Although less common than pulmonary and mediastinal disease, abdominal sarcoidosis can mimic more common infectious or neoplast...
Article

CA 19-9

CA 19-9 (carbohydrate antigen 19-9 or cancer antigen 19-9) is a serum antigen (monosialoganglioside) that has increased diagnostic use in the management of several malignancies, mainly of hepatopancreaticobiliary origin. It is non-specific, however, and can rise in both malignant and non-maligna...
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Hepatocystic triangle

The hepatocystic triangle, also known as hepatobiliary triangle or Calot triangle, is a small triangular space at the porta hepatis of surgical importance as it is dissected during cholecystectomy. Its contents, the cystic artery and cystic duct, must be identified before ligation and division t...
Article

Liver biopsy (transjugular)

Transjugular liver biopsy (TJLB) is an alternative to a percutaneous liver biopsy in patients with diffuse liver disease, coagulopathy and ascites. It is sometimes done in combination with a transjugular intrahepatic portosystemic shunt (TIPSS) or venography. Indications massive ascites coag...
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Normal hepatobiliary imaging examples

This article lists examples of normal imaging of the liver and biliary tree and surrounding structures, divided by region and modality. Liver Plain radiographs liver silhouette: example Ultrasound liver ultrasound example 1 with shear wave elastography liver Doppler ultrasound: example ne...
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Fibrolamellar hepatocellular carcinoma

Fibrolamellar hepatocellular carcinoma is a distinct histological variant of hepatocellular carcinoma characterized on microscopy by laminated fibrous layers between the tumor cells. It is important as it has different demographics and risk factors compared to "standard" hepatocellular carcinoma...
Article

Pancreatic pseudocyst

Pancreatic pseudocysts are common sequelae of acute pancreatitis or chronic pancreatitis, and the most common cystic lesion of the pancreas. They are important both in terms of management and differentiation from other cystic processes or masses in this region. Terminology The following are th...
Article

Sickle cell disease (abdominal manifestations)

Abdominal manifestations of sickle cell disease (SCD) are wide and can involve many organs. For a general discussion, please refer to sickle cell disease. Splenic splenomegaly may occur transiently with the sequestration syndrome, where rapid pooling of blood occurs in the spleen, resulting ...

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