Biliary Flashcards
What is the name of the type of sludge that can mimic a solid lesion
Tumefactive sludge
m/c cause of acute cholecystitis?
obstruction/stones in the cystic duct/GB neck
acalculus cholecystitis may be caused by
trauma, surgery, burns, sepsis, prolonged fasting, diabetes
enlarged, distended, palpable, non-tender GB in a jaundice patient is termed
Courvoisier GB
what is Mirizzi syndrome
when a stone obstructs the cystic duct, causing inflammation and obstruction of the common duct and causing erosion of the duct wall by a gallstone
Segmental, saccular, or beaded appearance of the intrahepatic bile ducts
Multiple cystic structures in the liver that communicate with the biliary tree, describes….
Caroli’s disease
common SF of cholangitis
duct wall thickening
Spaghetti-like echogenic structure within a bile duct
ascariasis
True or false: With Mirrizi syndrome the CBD is dilated in size
FALSE - the CBD is normal, IHD are dilated
porcelain GB increases or decreases risk of GB cancer?
increases
increases SAP and increased serum bilirubin suggests?
acute cholecystitis
which cholecystitis complication causes a decrease in a positive Murphy’s sign
Gangrenous
intraluminal membranes are associated with which cholecystitis complication?
Gangrenous
emphasymatous cholecystitis is more common in patients with which disease?
diabetes
describe xanthogranulomatous cholecystitis
- rare form of chronic cholecystitis
- hypoechoic bands withing thickened GB wall
which cancer is most likely to metastasize in the GB
Melanoma
Describe Rigler’s triad, what is it found with
- small bowel obstruction
- pneumobilia
- ectopic gallstones
Found with Bouveret Syndrome aka Gallston Ileus
What is Bouveret Syndrome
small bowel obstruction caused by gallstone
aka Gallston Ileus
liver flukes referes to which type of parasite?
Clonorchis sinensis
SF of clonorchis sinensis/liver flukes
liver flukes not seen, dilated IHD
Charcot’s triad is:
- Fever
- RUQ pain
- Jaundice
Cholangitis SF:
thick GB wall, thick duct walls, sludge, dilated ducts
Bloody stool related to which biliary pathology?
PSC
true or false: Congestive heart failure is a cause of GB wall thickening?
TRUE
m/c gb variant?
junctional folds
