LIVERS GREEN FRIEND
This forms the superior boundary of the Calot's triangle
What is the liver edge
Normal gallbladder wall thickness should be less than this measurement.
What is 4 mm?
Inflammation of the gallbladder without stones is called this.
What is acalculous cholecystitis?
Used for ductal irrigation to relax the sphincter of Oddi when CBD stones are encountered on IOC
The definitive management for symptomatic gallstones
What is a cholecystectomy?
The cystic artery arises from this artery
Chronic gallbladder inflammation with calcification of the wall is known by this term and carries an increased risk of carcinoma.
What is porcelain gallbladder?
Black pigment stones are most often associated with this type of disorder.
chronic hemolysis ie: sickle cell
The percentage of patients that develop complications from cholelithiasis i.e. acute cholecystitis
What is 1%
The three essential steps for the critical view of safety.
What is (1) clear the hepatocystic triangle, (2) expose the cystic plate by separating the lower third of the gallbladder from the liver, and (3) identify only two tubular structures entering the gallbladder.
The gallbladders venous drainage
What is the liver parenchyma?
An immobile echogenic focus without shadowing attached to the gallbladder wall may represent this.
What is a gallbladder polyp?
This complication of acute cholecystitis makes percutaneous cholecystostomy unsafe due to the risk of perforation
What is gangrenous cholecystitis?
In patients with evidence of acute cholangitis, undergoing this procedure is the standard of care
What is an ERCP?
A bailout procedure used when unable to obtain critical view of safety
Subtotal cholecystectomy
This variant occurs when the cystic duct joins the right hepatic duct instead of the common hepatic duct.
What is an aberrant cystic duct insertion?
This ultrasound sign occurs when the gallbladder is packed with stones producing a bright line and posterior shadowing.
What is the wall echo shadow sign
Interval cholecystectomy after cholecystostomy tube placement is done at this time frame
What is 6-12 weeks?
This radiopharmaceutical, a derivative of a bile acid analog, is taken up by hepatocytes and excreted into bile, making it useful for evaluating biliary tract patency and gallbladder function on scintigraphy.
What is iminodiacetic acid?
Strasberg classification for a CHD injury with > 2 cm stump
What is Strasberg E1
These ducts, if present, connect the gallbladder or bile ducts to intrahepatic bile ducts and can be a source of postoperative bile leak if injured.
What are the ducts of Lushka?
Dilatation of the common bile duct beyond this diameter in a young adult is considered abnormal.
What is 6 mm?
This condition is when the gallbladder twists on its mesentery, causing vascular compromise.
Gallbladder volvulus
The name of a cholangiography clamp used to perform an IOC by clamping the infundibulum to allow passage of contrast towards the ducts.
What is a Kumar clamp?
Cholecystocholedochal fistula affecting less than one-third of the CBD (include type)
What is Mirizzi Type 2?