Category: Hepatobiliary system

Blunt liver and spleen injuries: CT grading versus intra-operative findings

Case contribution: Dr Radhiana Hassan Clinical: A 33 years old man Alleged MVA, car versus lorry Complaint of abdominal pain Clinically guarded abdomen, not distended BP=100/60mmHg, PR=110 bpm, Hb=11.6 gm/dL…

 Posted in Hepatobiliary system, Trauma

CT findings of periportal tracking in blunt liver injury

Case contribution: Dr Radhiana Hassan Clinical: A 28 years old man A lorry driver, burst tyre and lorry skidded into a drain Post trauma complaint of chest pain and pain…

 Posted in Hepatobiliary system, Trauma

Focal nodular hyperplasia of liver

Case contribution: Dr Radhiana Hassan Clinical: A 37 years old lady Underlying thallassemia trait, not on blood transfusion History of taking traditional herbs (jamu) Had deranged liver enzymes detected a…

 Posted in Hepatobiliary system, Tumour

Pancreatic adenocarcinoma

Case contribution: Dr. Radhiana Hassan Clinical: A 57 years old man Underlying hypertension and bronchial asthma Presented with generalised body itchiness for 2 months Associated with jaundice for 2 weeks,…

 Posted in Hepatobiliary system, Tumour

Mirizzi syndrome

Case contribution: Dr Radhiana Hassan Clinical: A 30 years old lady Para 4, post partum day 12 Presented with yellowish discoloration of skin Associated with pale colored stool and tea…

 Posted in Hepatobiliary system

Gallbladder empyema

Case contribution: Dr. Radhiana Hassan Clinical: A 62 years old lady Underlying DM, HPT and hyperlipidaemia Also had gallstone, refused operation due to financial constraint Presented with right hypochondriac pain,…

 Posted in Hepatobiliary system, Infection

Iatrogenic gallbladder perforation

Case contribution: Dr Radhiana Hassan Clinical: A 76 years old man Under medical team for investigation of incidental findings of lung mass Referred from medical to surgical team for acute…

 Posted in Hepatobiliary system, Trauma

Gallbladder polyp

Case contribution: Dr Radhiana Hassan Clinical: A 66 years old lady History of colicky abdominal pain for 2 years More at right hypochondriac region No constitutional symptom No fever, no…

 Posted in Hepatobiliary system

Necrotizing pancreatitis

Case contribution: Dr Radhiana Hassan Clinical: A 43 years old man No known medical illness Sudden onset of severe abdominal pain for one day, radiating to the back and relieves…

 Posted in Hepatobiliary system, Infection

Blunt abdominal trauma: Grade III spleen injury with active hemorrhage

Case contribution: Dr Radhiana Hassan Clinical: A 25 years old man Involved in MVA, motorbike skidded Noted to have multiple abrasion wounds at abdomen CXR revealed a fracture of left…

 Posted in Hepatobiliary system, Trauma