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…
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…
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…
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,…
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…
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,…
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…
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…
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…
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…