By P. Rabischong, A. Pissas (auth.), Plinio Rossi MD, Mario Bezzi MD (eds.)
This publication, written through specialists from a variety of nations, offers complete assurance of the function of radiology in admire of the biliary tract. Following heritage chapters on anatomy, all of the diagnostic imaging concepts is thoroughly mentioned and appraised. The healing methods to many of the biliary issues, either benign and malignant, are then defined intensive. complete attention is given to more recent strategies similar to magnetic resonance cholangiography and percutaneous cholangioscopy. This up to date and good illustrated quantity will turn out an quintessential resource of knowledge on biliary pathology.
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Extra resources for Biliary Tract Radiology
Combined tube cholangiography and PTC demonstrate that bilaterally segmental branches are separated into multiple units. Numerals refer to CouINAUD'S segments. 1r, Right branch; 4a, inferior branch; 4b, superior branch; 4 dar, dorsal branch; Sb, dorsal branch; 6a, ventral branch; 6b, dorsal branch; 6*, lateral branch; 7b, dorsal branch; 8e, dorsal branch; 8d, paracaval branch Surgical Anatomy of the Biliary Ducts 25 Fig. 9. Combined tube cholangiography and PTC show diffuse cancer extension into each segmental branch of the left liver.
References ................................. 1 Introduction Oral cholecystography (OCG) has undergone a rejuvenation with the development of nonsurgical therapeutic techniques: extracorporeal shock wave lithotripsy (ESWL), oral solvents, contact solvents (MTBE), and minimally invasive (laparoscopic) surgery (BRAKEL et al. 1992; MAGLINTE et al. 1991; MARZIO et al. 1992). The reason for this "rediscovery" of OCG is chiefly the information it can provide about the function of the gallbladder. OCG contrast agents are absorbed by passive diffusion across the intestinal mucosa.
This finding is caused by pus, debris, and fibrinous exudate. In gangrenous cholecystitis one may see the sloughed gallbladder mucosa as a thin membranous echo parallel to the wall of the gallbladder (JEFFREY et al. 1983). - Sonographic Murphy's sign has been reported as having a high positive predictive value for acute cholecystitis, greater than 90% (RALLS et al. 1985). The sonographic Murphy's sign is defined as the presence of maximal tenderness elicited by direct pressure of the transducer over a sonographically located gallbladder.
Biliary Tract Radiology by P. Rabischong, A. Pissas (auth.), Plinio Rossi MD, Mario Bezzi MD (eds.)