c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Biliary Variation: 13

A D V E R T I S E M E N T

   
 

A large cystic duct must be carefully traced to its junction with the infundibulum of the gallbladder to rule out the possibility that it is a major bile duct or accessory duct. A cholangiogram should be done to confirm the anatomy.       

Notes:

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Biliary Variation: 14

A D V E R T I S E M E N T

   
 

The passage of stones into the common duct is dependent on the size of the stones and the size of the cystic duct.       

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Biliary Variation: 15

A D V E R T I S E M E N T

   
 

A long parallel channel between common and cystic duct may not be visible from externally, and the cystic duct junction may appear to be at its normal supraduodenal location. Prior to doing a cholecystojejunostomy to bypass a pancreatic cancer, it may be prudent to rule out this anomaly with a cholangiogram.      

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This page was last modified on 11/7/2000.