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Ecografía > Vesícula y vías biliares > Flashcards

Vesícula y vías biliares Flashcards

1
Q

Ecografía

Vesícula bilar: Anatomía

A

Morfología: forma de pera

Partes: cuello, cuerpo y fondo

Situación: bajo la cisura interlobar hepática

Diámetro transverso: hasta 4 cm.

Longitud: hasta 10 cm.

Grosor de la pared: hasta 3 mm.

Contenido: anecoico

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2
Q
A
  1. Ligamento redondo
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3
Q
A
  1. Cisura interlobar
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4
Q
A

GB: Vesícula 1: Ligamento redondo

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5
Q
A

Vesícula contraída

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6
Q

Ecografía

Vesícula biliar: Variantes

A

Pliegues

Tabicaciones o septos

Vesícula intrahepática: Craneal a la cisura interlobar

Vesícula doble: parcial o completa

Agenesia de vesícula

Vesícula ectópica

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7
Q
A

Vesícula septada

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8
Q
A

Vesícula septada

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9
Q
A

Pliegues en la vesícula

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10
Q
A

Vesícula en gorro frigio

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11
Q
A

Vesícula ectópica

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12
Q
A

Vesícula doble

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13
Q
A

Vesícula intrahepática

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14
Q

Ecografía

Litiasis biliar: Características

A

Frecuencia: En el 10% de la población

Composición: colesterol (75%), pigmentario (25%)

Clínica: asintomático, cólico biliar, dispepsia…

US: estructuras intraluminales, ecogénicas, móviles, con sombra acústica (si >3 mm de tamaño)

Diagnóstico diferencial: Pólipo: Ni se mueven ni producen sombra posterior. Barro biliar: Suele moverse pero no produce sombra

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15
Q
A

Litiasis biliar

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16
Q
A

Litiasis biliar

17
Q
A

Litiasis facetadas

18
Q
A

Jack stone

19
Q
A

Litiasis conteniendo gas

20
Q
A

Cálculos de colesterol

21
Q
A

Barro biliar y 2 cálculos

22
Q
A

Vesícula llena de barro biliar

23
Q
A

Bola de barro biliar

24
Q
A

Bola de barro biliar (sin flujo)

25
Q
A

Barro biliar con cristales y artefactos en el doppler

26
Q
A

Barro biliar con aspecto de membranas

27
Q
A

Bola de barro biliar móvil

Ecografía (10 decks)

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