4— empyema of the gallbladder
Diseases of the Gallbladder and Bile Ducts - part 4 pot
... absorption of the majority of their energy at the end of their track range, the so-called Bragg peak The dose unit of charged particles is the Gray Equivalent (GyE) Figure 7.2 demonstrates the energy ... [48] The shortest route from the skin to gallbladder usually requires passage of the catheter through cm of liver tissue Passing the needle through the window of liver tissue also stabilizes the ... lization of the liver from the diaphragm the right liver is turned to the midline Then the entire posterior liver is freed from the anterior face of the retrohepatic vena cava by dissecting the small...
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Module 4: Overview of the Windows CE .NET Debugging Process
... device, including the name of the operating system, the name and model of the CPU, and other information Windows CE Remote System Information also displays information about the UI of the target device, ... system startup Open the individual windows of the kernel debugger by using the View menu, under Debug Windows Check the Debugger Status Check the status of the debugger using the status monitor ... window displays the stack of function calls that are currently active The Registers window displays all the CPU registers of the target platform There are specific features of the Call Stack and...
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báo cáo khoa học: "Synchronous double primary malignant tumor of the gallbladder and liver: a case report" potx
... wall thickening There was a palpable mass felt on the surface of the gallbladder neck portion The patient underwent surgical resection of the gallbladder and the left lobe of the liver Intraoperative ... adenocarcinoma of gallbladder with invasion to the perimuscular connective tissue The patient was diagnosed with synchronous double primary cancer of the gallbladder and liver, so additional resection of ... malignant tumor of the gallbladder and liver: a case report World Journal of Surgical Oncology 2011 9:84 Conclusions We report the first case of synchronous double primary malignancies of gallbladder...
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báo cáo khoa học: "Hepatoid adenocarcinoma of the gallbladder" pot
... gallbladder The gallbladder origin of the hepatoid adenocarcinoma was verified by the presence of foci of conventional adenocarcinoma, the recognition of highgrade dysplasia in the adjacent epithelium ... was verified by the presence of foci of conventional adenocarcinoma but also by the recognition of high-grade dysplasia in the adjacent epithelium and the absence of cirrhosis Page of Sakamoto K, ... origin [5] The main differential diagnosis is HCC with invasion into the gallbladder When HAC of the gallbladder invades the liver deeply (as in our case), differential diagnosis of these two...
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Báo cáo khoa học: "Primary carcinoid tumor of the gallbladder: A case report and brief review of the literature" potx
... fundus of the gallbladder (Fig 3) Histologically, the tumor was seen infiltrating into the mucosa extensively, and some penetrated the muscular layer but not through the serosa of the gallbladder ... http://www.wjso.com/content/8/1/12 Page of Figure Resected specimen of the gallbladder presenting a tumor (arrow) in the body and fundus of the gallbladder gallbladder have neither a metastatic nor invasive ... mass in the gallbladder was indentified but determination of histologic type of tumor and diagnosis to differentiate from gallbladder adenocarcinoma is often difficult Most carcinoids of the gallbladder...
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Diseases of the Gallbladder and Bile Ducts - part 1 pdf
... center of the gallbladder bed to the left border of the inferior vena cava c center of the gallbladder bed to the right border of the middle hepatic vein d center of the gallbladder bed to the left ... from the liver, the active relaxation of the gallbladder, and the resistance to flow through the lower end of the bile duct produced by the sphincter of Oddi In the fasting state the gallbladder progressively ... to the delivery of bile to the duodenum The gallbladder empties around 75% of its content At the same time, hepatic bile bypasses the gallbladder and empties into the duodenum At the end of the...
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Diseases of the Gallbladder and Bile Ducts - part 2 potx
... complication of PSC It occurs in approximately 2% of patients with PSC and end stage liver cirrhosis [87] Carcinoma of the gallbladder Carcinoma of the gallbladder is the most common carcinoma of the ... diagnosis of adenomatosis [58] Most polyps of the gallbladder are not neoplastic lesions but rather the result of lipid deposits or inflammation They are most often detected by ultrasonography The prevalence ... adenomas of the gallbladder Pathol Ann 1993;28:145–78 108 Jones RS Carcinoma of the gallbladder Surg Clin N Am 1990;70:1419–28 109 Tazuma S, Kajiyama G Carcinogenesis of malignant lesions of the gallbladder...
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Diseases of the Gallbladder and Bile Ducts - part 3 pdf
... In the majority of cases, the following structures can be identified: the common bile duct (CBD), the common hepatic duct, the cystic duct leading to the gallbladder, the gallbladder itself, the ... is considered a possible diagnosis The integrity of the gallbladder wall is a key factor in the diagnosis of depth of invasion of gallbladder cancer The normal gallbladder wall generally appears ... a segment of the efferent limb to the anterior abdominal wall A coronary “O” ring is sewn to the efferent limb and marks the site of attachment of the loop of bowel to the wall [5] The radiologist...
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Diseases of the Gallbladder and Bile Ducts - part 5 potx
... sheath of the main right portal pedicle Therefore, to find the bile duct within the sheath of the right portal pedicle, the cystic plate must be detached from the anterior surface of the sheath of the ... permission from the Journal of the American College of Surgeons.) junction of the aberrant duct with the hepatic duct may be identical to that of the junction of the cystic duct with the hepatic ... tentative identification of the cystic structures by dissection in the triangle of Calot, followed by dissection of the gallbladder off the liver bed After complete detachment of the gallbladder, conclusive...
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Diseases of the Gallbladder and Bile Ducts - part 6 pptx
... [41,44–46] The extent of hepatic resection is determined by the extent of the primary tumor both in terms of the degree to which the tumor invades the gallbladder fossa of the liver and the degree ... to 72 hours from the onset of symptoms With the introduction of laparoscopic cholecystectomy at the beginning of the 1990s the question of timing arose again At the beginning of the decade, acute ... treatment the gallstone disimpacts and falls back into the gallbladder, which allows emptying of the gallbladder, resulting in reduction of the inflammation The theoretical aim of fasting is to rest the...
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Diseases of the Gallbladder and Bile Ducts - part 7 pdf
... With the sole exception of ciprofloxacin, the bile obtained from over 90% of the patients at the time of endoscopic drainage contained no detectable level of antibiotic despite i.v infusion of the ... normal gallbladder What is the next step in the management of this 10 An Asian male has history of recurrent episodes of cholangitis Which of the following should be considered in the management of ... Further investigations demonstrate fusiform cystic dilatations of the common bile duct with thickening of the bile duct wall and extension of the cystic abnormalities into the left lobe of the...
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Diseases of the Gallbladder and Bile Ducts - part 8 pptx
... women The same study confirmed the findings that 73% of cases have IBD, most of them ulcerative colitis [12] One of the reasons why the prevalence of this disease appears to be increasing is that the ... major criticism of the theories of colonic toxins causing PSC comes from studies looking at the natural history of the disorder It has been demonstrated that the severity of the colitis bears ... dilatation of the bile ducts is easily visualized, and the location of the biliary stenosis can be determined At the same time, the patency of the main hepatic artery and portal vein and their branches...
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Diseases of the Gallbladder and Bile Ducts - part 9 potx
... plate excluding the gallbladder, and the fundus of the gallbladder is approximated to the dissection at the hilum of the liver In this way, the gallbladder and bile duct act as the conduit through ... to the precipitation of some of the components of bile out of solution Factors that disturb the equilibrium among the solutes of bile, by either increasing or decreasing the concentrations of ... atresia) and that the proximal ducts dilate in response to obstruction [32] The operative strategy required will depend on the age of the child, the size of the ducts, and the location of the perforation...
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Diseases of the Gallbladder and Bile Ducts - part 10 ppsx
... structures that eventually bud off and migrate to the center of the portal tract to become the interlobular bile ducts The ductal plate cells around the periphery of the portal tract normally involute, ... reflects some degree of failure of the normal formation of the interlobular bile ducts, and results in a characteristic portal tract lesion consisting of persistence of some remnant of the ductal plate ... aspects of CHF is the association with cysts of the extrahepatic biliary tree Patients with ARPKD, CHF, and choledochal cysts of the common bile duct may require excision of the cyst as either an...
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báo cáo khoa học: "Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature" potx
... the potential for some kind of injury of the gallbladder Page of Figure Photographs of fixed gallbladder prepared with formaldehyde (a) Successive sections of the gallbladder show traumatic hemorrhagic ... cost and the ability to perform the test at the bedside in the emergency department Non-visualization of the gallbladder at ultrasonography should raise the suspicion of a traumatic gallbladder ... examination of the abdomen were normal, but the gallbladder could not be visualized The results of all laboratory tests were normal except for a leucocytosis level of 12.2 × 103/mm3 Because of the suspicion...
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Báo cáo y học: "Neuroendocrine tumors of the gallbladder: a case report and review of the literature" docx
... suggestive of an NET tumor The determination of the histological type of the tumor and differential diagnosis from GB adenocarcinoma are often difficult The identification of neuroendocrine cells and the ... intestinal metaplasia of the body and fundus as well as from preexisting endocrine cells in the neck of the GB [1-11] The age at presentation of GB NETs ranges from 38 to 81 years, and there is a markedly ... extremely rare The first case of a carcinoid tumor of the GB was reported in 1929, and 43 cases of carcinoid tumors have been reported to date Approximately half of the reported cases of GB carcinoid...
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Báo cáo y học: " Primary hydatid cyst of the gallbladder: a case report" ppt
... found, located in the body and fundus of the gallbladder (Figure 2) Macroscopically, the hydatid cyst was part of the gallbladder The cyst had reduced severely the lumen of the gallbladder and ... reported, opinions about the pathogenesis of the primary gallbladder hydatid cysts are divided depending on the location of the cyst: in the lumen of the gallbladder or on the external surface [6-8,13] ... pericyst attached to the liver (Figure 1) The inflammatory response of the liver tissue against the cyst was extensive and formed the structural part of the posterior wall of the pericyst Complete...
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Báo cáo y học: "Undifferentiated giant cell type carcinoma of the gallbladder with sarcomatoid dedifferentiation: a case report and review of the literature" ppsx
... findings The diagnosis of gallbladder neoplasm was only made following histopathological evaluation of the resected specimen The cm solid lesion obstructed the lumen in the neck of the gallbladder, ... suspected for gallbladder cancer’s aetiology [1,2] Mainly of epithelial cell origin, the majority of gallbladder carcinomas are adeno-carcinomas of varying degrees of differentiation Other, less ... uneventful recovery, the patient was discharged on the 4th postoperative day On cut surface, a cm firm mass obstructing the lumen in the neck of the gallbladder was identified The mass was Figure...
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Báo cáo y học: "Torsion of the gallbladder: a case report" docx
... cholecystectomy, as the surgeon was more familiar with the open rather than the laparoscopic approach At operation, there was free, bile-stained fluid on opening the peritoneal cavity and the gallbladder ... focal thickening around the neck of the gallbladder as well as a small amount of pericholecystic fluid that had extended into the right anterior perihepatic space As the patient's condition was ... interests The authors declare that they have no competing interests Authors' contributions All of the named authors were involved in the preparation of this manuscript All authors read and approved the...
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A critical discourse analysis of the news on north korean missile launches part 4
... includes the rationale, the scope of the research, the aims of the research, the methodology and the design of the research - Part 2- Development: This is the main part of the thesis and has three ... aware that the wider the range of data we achieve from, the more reliable the research results will be However, within the constraint of time and the limited length of a minor thesis, the data ... Central Organ of the Communist Party of Vietnam, the voice of the Party, State and people of Vietnam, published the first issue on March 11, 1951 in the War Zone of Viet Bac during the Resistance...
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Tìm thêm: hệ việt nam nhật bản và sức hấp dẫn của tiếng nhật tại việt nam xác định các mục tiêu của chương trình xác định các nguyên tắc biên soạn khảo sát các chuẩn giảng dạy tiếng nhật từ góc độ lí thuyết và thực tiễn khảo sát chương trình đào tạo của các đơn vị đào tạo tại nhật bản tiến hành xây dựng chương trình đào tạo dành cho đối tượng không chuyên ngữ tại việt nam điều tra đối với đối tượng giảng viên và đối tượng quản lí điều tra với đối tượng sinh viên học tiếng nhật không chuyên ngữ1 khảo sát thực tế giảng dạy tiếng nhật không chuyên ngữ tại việt nam khảo sát các chương trình đào tạo theo những bộ giáo trình tiêu biểu xác định mức độ đáp ứng về văn hoá và chuyên môn trong ct phát huy những thành tựu công nghệ mới nhất được áp dụng vào công tác dạy và học ngoại ngữ mở máy động cơ rôto dây quấn hệ số công suất cosp fi p2 đặc tuyến hiệu suất h fi p2 đặc tuyến mômen quay m fi p2 đặc tuyến dòng điện stato i1 fi p2 thông tin liên lạc và các dịch vụ phần 3 giới thiệu nguyên liệu chỉ tiêu chất lượng 9 tr 25