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691 results
  • Left side gallbladder with agenesis of right anterior sector and absence of right hepatic duct. A case report. [Journal Article]
    Int J Surg Case Rep 2019; 60:249-252Banchini F, Ekpo EF, … Capelli P
  • CONCLUSIONS: True left sided gallbladder is defined as one attached in the left of the ligamentum teres and falciform ligament. This abnormality predispose to a numerous anatomical variation. Unfortunately its finding is more often incidentally during intervention and recognition of such variation could be difficult that can be of high risk for surgical injury.Left sided gallbladder presents a significant challenge to the surgeon and makes it even more difficult to avoid postoperative complications. Therefore, a careful dissection of Calot's triangle and the complete mobilisation of the gallbladder should be done before clipping the cystic duct and artery. However, if a preoperative finding suggests a left sided gallbladder, then an in-depth preoperative anatomical study is advocated.
  • [Internal hernia through the falciform ligament: a rare cause of intestinal obstruction]. [Case Reports]
    Pan Afr Med J 2019; 32:48Hasnaoui H, Mouaqit O, … Bouhaddouti HE
  • Internal hernias are a rare cause of acute intestinal obstruction. Hernias through the falciform ligament is uncommon. Diagnosis is often made intraoperatively. Abdominal CT scan, performed in an emergency situation, can enable preoperative diagnosis and guide the therapeutic approach. In this respect, we here report a case whose data were collected in the Department of Visceral Surgery at the Un…
  • 1st report of unexpected true left-sided gallbladder treated with robotic approach. [Journal Article]
    Int J Surg Case Rep 2019; 58:100-103Gangemi A, Bustos R, Giulianotti PC
  • CONCLUSIONS: Robotic cholecystectomy was the chosen approach. When visceral surface of the liver was exposed, anomalous location of the gallbladder was noted, left to the round ligament. A cystic duct with a "hairpin" configuration and a very cephalad cystic artery were identified. Cholecystectomy was performed safely and uneventfully.No change of port setting was required with the robotic approach. The ICG-aided cholangiography improved surgeon's ability to recognize the concomitant vascular and biliary anomalies. However, no definitive conclusion can be drown until further experience and volume are achieved.
  • The hepatic capsular arteries: imaging features and clinical significance. [Review]
    Abdom Radiol (NY) 2019; 44(8):2729-2739Ibukuro K, Mori M, Akita K
  • CONCLUSIONS: We reviewed the radiology database and assessed clinical cases. When the hepatic artery is occluded, the collateral vessels, such as the inferior phrenic artery and the superior falciform ligament artery, develop via the hepatic capsular arteries at the right triangular ligament and falciform ligament, respectively. Bleeding from capsular arteries causes extensions of the subcapsular hematoma.The hepatic capsular arteries spread along the hepatic surface and constitute the vascular network throughout the liver. These arteries play an important role in collateral circulation in various clinical situations, as well as subcapsular hematoma.
  • Radial EUS imaging of the liver: A pictorial guide. [Journal Article]
    Endosc Ultrasound 2019 Mar-Apr; 8(2):76-81Bhatia V, Dhir V
  • Systematic radial EUS imaging can provide a detailed evaluation of most of the liver segments, liver hilum, and hilar and intra-hepatic vascular and ductal anatomy. Innumerable scan planes are possible, and the endosonographers must reference the intra-hepatic vascular structures and ligaments, surface landmarks such as the gallbladder, and adjacent organs such as cardiac chambers and kidneys to …
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