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Nan-Guang T, Ser-Yee L, Min-Hoe C. Unexpected Connection With a Diverticular Abscess. Gastroenterology 2016; 150:564-5. [PMID: 26827804 DOI: 10.1053/j.gastro.2015.12.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2015] [Revised: 11/24/2015] [Accepted: 12/04/2015] [Indexed: 12/02/2022]
Affiliation(s)
- Tan Nan-Guang
- Department of Colorectal Surgery, Singapore General Hospital, Singapore
| | - Lee Ser-Yee
- Department of Colorectal Surgery, Singapore General Hospital, Singapore; Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore
| | - Chew Min-Hoe
- Department of Colorectal Surgery, Singapore General Hospital, Singapore
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Desai NS, Khandelwal A, Virmani V, Kwatra NS, Ricci JA, Saboo SS. Imaging in laparoscopic cholecystectomy--what a radiologist needs to know. Eur J Radiol 2014; 83:867-879. [PMID: 24657107 DOI: 10.1016/j.ejrad.2014.02.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2013] [Revised: 02/16/2014] [Accepted: 02/18/2014] [Indexed: 12/13/2022]
Abstract
Laparoscopic cholecystectomy is the gold standard treatment option for cholelithiasis. In order to properly assess for the complications related to the procedure, an understanding of the normal biliary anatomy, its variants and the normal postoperative imaging is essential. Radiologist must be aware of benefits and limitations of multiple imaging modalities in characterizing the complications of this procedure as each of these modalities have a critical role in evaluating a symptomatic post-cholecystectomy patient. The purpose of this article is describe the multi-modality imaging of normal biliary anatomy and its variants, as well as to illustrate the imaging features of biliary, vascular, cystic duct, infectious as well as miscellaneous complications of laparoscopic cholecystectomy. We focus on the information that the radiologist needs to know about the radiographic manifestations of potential complications of this procedure.
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Affiliation(s)
- Naman S Desai
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis street, Boston, MA, 02115, USA.
| | - Ashish Khandelwal
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis street, Boston, MA, 02115, USA.
| | - Vivek Virmani
- Department of Radiology, Dr. Everett Chalmers Hospital, Priestman St, Fredericton, 700, NB E3B 5N5, Canada.
| | - Neha S Kwatra
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis street, Boston, MA, 02115, USA.
| | - Joseph A Ricci
- Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, Boston, MA 02114, USA.
| | - Sachin S Saboo
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis street, Boston, MA, 02115, USA.
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Turégano F, García-Marín A. Anatomy-based surgical strategy of gastrointestinal fistula treatment. Eur J Trauma Emerg Surg 2011; 37:233-9. [PMID: 26815105 DOI: 10.1007/s00068-011-0103-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2011] [Accepted: 02/28/2011] [Indexed: 01/30/2023]
Abstract
Anatomic delineation of a gastrointestinal fistula is essential in assessing the likelihood of spontaneous closure or to plan the surgical management. Computed tomography (CT) enterography and/or fistulograms provide invaluable information. The surgical strategy should carefully consider the when and how, as well as the special clinical situations that may arise following radiotherapy, the inaccessible or "frozen abdomen", and enteroatmospheric fistulas (EAFs). New operations like those performed in bariatric surgery, and the wide acceptance of the damage-control philosophy in severe trauma, have given rise to new types of fistulas and increased the occurrence of others. When confronted with this difficult complication, the surgeon must always exercise patience and restraint, and be open-minded about the different surgical alternatives to solve the problem.
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Affiliation(s)
- F Turégano
- General Surgery II Service and Emergency Department (Surgical Section), University General Hospital Gregorio Marañón, Dr. Esquerdo, 46, 28007, Madrid, Spain.
| | - A García-Marín
- General Surgery II Service and Emergency Department (Surgical Section), University General Hospital Gregorio Marañón, Dr. Esquerdo, 46, 28007, Madrid, Spain
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