Lesson 10 (Part 3)

Question 1

Where should you measure the CBD?

Answer 1

To the or adjacent to the hepatic artery

- the most dilated portion of the gallbladder

Question 2

How much of the gallbladder is covered by the peritoneum?

Answer 2

50-70%

Question 3

What is the remainder of the gallbladder covered with thats not covered by the peritoneum?

Answer 3

Adventital tissue

- this space is common area to see edema

Question 4

What are 4 examples of anomalies in the gallbladder?

Answer 4

1. Intrahepatic/partially intrahepatic
   - may not migrate
   - very rare
2. Torsion
   - twisting
3. Agenesis
   - rare
4. Ectopic positions

Question 5

What leads to higher risk of torsion?

Answer 5

Twisting

Question 6

What are examples of ectopic positions? (4)

Answer 6

1. Suprahepatic
2. Suprarenal
3. Within abdominal wall
4. Falciform ligament

Question 7

What are 2 examples of normal variants?

Answer 7

1. Septate gallbladder

2. Duplication

Question 8

What is a septate gallbladder?

Answer 8

2 or more intercommunicating compartments divided by a thin septa

Question 9

Where is duplication of the gallbladder usually occur?

Answer 9

The cyctic duct

Question 10

What is duplication of the gallbladder?

Answer 10

2 non communicating anechoic structures

Question 11

What are normal variants that are commonly seen with the gallbladder? (3)

Answer 11

1. Phrygian cap
2. Hartmann’s pouch
3. Junctional fold

Question 12

Phrygian cap

Answer 12

Kink in the fundus

- kinks can shadow

Question 13

Hartmann’s pouch

Answer 13

Is an out pouching that occurs at the junction between the neck of the gallbladder and cystic duct

Question 14

Where is the common location for impacted stones in the gallbladder?

Answer 14

Hartmann’s pouch

Question 15

Junctional fold

Answer 15

Is a fold between the neck and the body of the gallbladder

Question 16

Where is the CHD/CBD seen compared to the hepatic artery?

Answer 16

Inferiorly