Chapter 53: Biliary Tract- Misc Flashcards

1
Q

What is a porcelain gallbladder?

A
  • Calcified gallbladder seen on abdominal x-ray
  • results from chronic cholelithiasis/cholecystitis with calcified scar tissue in gallbladder wall
  • cholecystectomy required because of the strong association of gallbladder carcinoma with this condition
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2
Q

What is hydrops of the gallbladder?

A

Complete obstruction of the cystic duct by a gallstone, with filling of the gallbladder with fluid (not bile) from the gallbladder mucosa

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3
Q

What is Gilbert’s syndrome?

A

Inborn error in liver bilirubin uptake and glucuronyl transferase resulting in hyperbilirubinemia

(Think: Gilbert’s = Glucuronyl)

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4
Q

What is Courvoisier’s gallbladder?

A
  • Palpable, nontender gallbladder (unlike gallstone disease) associated with cancer of the head of the pancreas
  • able to distend because it has not been“scarred down” by gallstones
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5
Q

What is Mirizzi’s syndrome?

A

Common hepatic duct obstruction as a result of extrinsic compression from a gallstone impacted in the cystic duct

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6
Q

What is the correct diagnosis? Elderly woman with small bowel obstruction and air in the biliarytract

A

Gallstone ileus

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7
Q

38-year-old female with progressively worse RUQ pain and ultrasound reveals a thickened gallbladder wall, pericholecysticfluid, and a sonographic Murphy’s sign

A

Acute cholecystitis

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8
Q

Lap chole POD #3, fever, RUQ fluid collection, no biliary dilation

A

Biloma (most common cause = cystic duct leak)

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9
Q

POD #7 following laparoscopic cholecystectomy—jaundice anddilated intrahepatic biliary ducts

A

Clipping or transection of common bile duct

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10
Q

33-year-old woman with jaundice, fever, RUQ pain, hypotension,and confusion

A

Suppurative cholangitis

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11
Q

43-year-old woman with RUQ pain and right subscapular pain for2 hours intermittently over 4 months

A

Biliary colic

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12
Q

Name the diagnostic modality:

22-year-old with RUQ pain with eating

A

Ultrasound for cholelithiasis

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