Boundaries of Gastrinoma Triangle It is an imaginary triangle formed by 3 points in upper abdomen: Apex: Cystic duct-CBD junction Inferior point: 2nd part duodenum-3rd part duodenum junction Left lateral point: Pancreatic neck-body junction This area is located to the right of Superior Mesenteric Artery… Read More
This article is in response to the request made by a reader in the comment section. Today, we will try to simplify the biliary tree cancers. Classification of Cholangiocarcinoma Second-order bile ducts act as the separation point between intrahepatic and extrahepatic cholangiocarcinoma. A. Inhtrahepatic –… Read More
Absolute contraindications to Ascitic Tapping (Paracentesis) While some authors have claimed ascitic paracentesis to be free from absolute contraindications, others have listed following as absolute contraindications: Clinically evident fibrinolysis Disseminated Intravascular Coagulation (DIC) Clinically apparent oozing from needle sticks Acute abdomen requiring surgery Relative contraindications… Read More
Couniaud divided liver into 8 functional segments, each of which is supplied by it’s own portal triad (composed of a portal vein, hepatic artery and a bile duct). Hepatic veins divide the liver in saggital plane: 1. Middle hepatic vein: Divides the liver into right… Read More
Unique features of stomach in relation to TNM cancer classification 1. Cancer penetrates the muscular propria and invades the ligaments (gastrohepatic and gastrocolic, i.e. lesser and greater omentum respectively) subserosally without breeching the serosa. Gastric cancer invasion of the lesser and greater omentum is T3,… Read More
