Abdominal Ultrasound How, Why and When by Jane A. Smith (formerly Bates) MPhil DMU DCR

By Jane A. Smith (formerly Bates) MPhil DMU DCR

As increasingly more practitioners are hoping on ultrasound as an authorized, secure, and in your price range diagnostic software in daily perform, its use in diagnosing stomach difficulties is readily expanding. This up to date variation contains assurance of easy anatomy, method, and ultrasound appearances, as well as the commonest pathological strategies. It serves as either a realistic, clinically proper guide and source for pros, in addition to a useful textbook for college kids getting into the sphere. * Over 500 illustrations and fine quality scans truly express stomach anatomy. * useful and clinically correct insurance addresses the troubles of either practitioners and scholars. * Succinct, finished chapters express small print.

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However, it may be a significant factor in planning and performing hepatic surgery, especially tumour resection, as the surgeon attempts to retain as much viable hepatic tissue as possible with intact venous outflow (Fig. 4 Haemodynamics of the liver Pulsed and colour Doppler to investigate the hepatic vasculature are now established aids to diagnosis in the upper abdomen. Doppler should always be used in conjunction with the real-time image and in the context of the patient’s presenting symptoms.

21). The three main hepatic veins, left, middle and right, can be traced into the inferior vena cava (IVC) at the superior margin of the liver (Fig. 11). Their course runs, therefore, approximately perpendicular to the portal vessels, so a section of liver with a longitudinal image of a hepatic vein is likely to contain a transverse section through a portal vein, and vice versa. Unlike the portal tracts, the hepatic veins do not have a fibrous sheath and their walls are therefore less reflective.

2 LS through the IVC. 3 LS through the midline, level of the aorta. 4 Longitudinal oblique section through the CBD. 5 Transverse oblique section through the hepatic venous confluence. 6 TS through the level of the porta hepatis. 7 TS at the level of the pancreas. qxd 40 6/30/04 5:37 PM Page 40 ABDOMINAL ULTRASOUND References 1. UK Association of Sonographers. 2001 Guidelines for Professional Working Standards – Ultrasound Practice. UKAS, London. 2. Couinaud C. 1954 Lobes et segments hépatiques; note sur l’architecture anatomique et chirugicale du foie.

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