Common hepatic duct

INTRODUCTION Gallbladder disease is a common surgical pathology and may present in an elective or an acute setting. Laparoscopic cholecystectomy has become the gold standard management for symptomatic gallbladder disease. However, there are many concerns with regards to the implementation of this versatile technique for acute cholecystitis. Concerns centered on the anticipation of conversion to an open procedure and the increase in complications such as bile duct injury. The following case involves

cardiovascular impairment (hypotension necessitating dopamine 5 µg/kg/m, or any dose of dobutamine); renal impairment (creatinine > 2.0 mg/dl, oliguria); respiratory failure (PaO2/FiO2 ratio < 300); bone marrow dysfunction (platelet count < 100 x109/L)and hepatic function deterioration (INR > 1.5). Preoperative assessment and preparation On admission, all patients received intravenous broad spectrum antibiotic as soon as the diagnosis of ACC was established. When

was performed on 124 patients with large common bile duct stones (> 1 cm) between August 2014 and August 2016. Our exclusion criteria included: age less than 18 years, patients with contraindication to ERCP (history of contrast dye anaphylaxis, severe cardiopulmonary disease, and recent myocardial infarction), acute pancreatitis or cholangitis at the time of the procedure, previous history of ES, concomitant cholangiocarcinona or stricture, or intrahepatic duct stone. Patients were randomly assigned

Please summarize the reasons that you are applying for the SIMR Program, how your participation in the program fits into your future educational and career objectives, and why you feel you are a good candidate for the program. You may also discuss your institute/area of research preferences and personal goals. 3500 characters Recess had just ended when my stomach began to hurt. Soon, the pain was unbearable, and my teachers had to drag me into the atrium so my screams would not disrupt the other

Introduction: Intraductal papillary mucinous duct neoplasms of the pancreas (IPMN-p) are one of the subtypes of cystic neoplasms of the pancreas. They are neoplasms that arise in the pancreatic ducts and can be visualized as they are usually greater than 0.5 inch in length. They are comprised of tall mucin-producing columnar cells, that have the capability of transforming into pancreatic cancer if left untreated. Their ability to develop into pancreatic cancer is one of the main reasons behind their

Conventional Imaging Upon presenting symptoms of abdominal pain or back pain, a common symptom of pancreatic adenocarcinoma, an abdominal x-ray or lumbar x-ray to may be performed. This exam would be performed as a preliminary image to rule out what is causing the pain; but it is not a preferred modality for diagnostic purposes. The radiographic appearance of the pancreas may show calcifications, which can be a symptom of chronic pancreatitis but not necessarily adenocarcinoma (T. Williams, personal

was performed on 124 patients with large common bile duct stones (> 1 cm) between August 2014 and August 2016. Our exclusion criteria included: age less than 18 years, patients with contraindication to ERCP (history of contrast dye anaphylaxis, severe cardiopulmonary disease, and recent myocardial infarction), acute pancreatitis or cholangitis at the time of the procedure, previous history of ES, concomitant cholangiocarcinona or stricture, or intrahepatic duct stone. Patients were randomly assigned

divided into several lobes and each is made up of multisided units called hepatic lobules. Each lobule is composed of a rounded pane of cells that give it a spongy texture and enables it to hold large amounts of blood. There are two major blood vessels that enter the liver. Firstly, the portal vein, which carries most of the blood to the liver and contains nutrients from the gastrointestinal tract. The second is the hepatic artery, which carries oxygen rich blood to the liver from the heart and lungs

pancreatic duct of the pancreas A. Joins the common hepatic duct B. Begins in the tail of the pancreas C. Empties to the duodenum at minor duodenal papilla D. Can be closed by sphincter of Oddi E. After entering the pancreatic head turns superiorly 42. The common hepatic duct: A. Drains the bile and pancreatic secretion B. Is formed by fusion of hepatic and cystic duct ( =common bile duct) C. Runs with the portal vein the lesser omentum D. Is formed by fusion of right and left bile duct E. None of

associated with this. The liver; as represented in figure 1 receives blood from two sources:  Arterial blood from the right and left hepatic arteries, which are branches of the coeliac axis2.  Venous blood from the hepatic portal vein, which drains much of the alimentary tract, from the stomach to the rectum, and the spleen2. Blood leaves the liver through the hepatic veins which drain in the inferior vena cava2.Bile is formed in the liver and drains from it into the right and left