NMS. Casos Clínicos

204

Part II ♦ Specific Disorders

procedure is very effective in resolving the pseudocyst. A biopsy is usually taken to ensure that the cyst is inflammatory in origin rather than cystadenoma or cystadenocarcinoma of the pancreas . Figure 7-26: Cystogastrostomy for pancreatic pseudocyst. (From Howard JM, Idezuki Y, Ihse I, et al. eds. Surgical Diseases of the Pancreas , 3rd ed. Baltimore: Lippincott Williams & Wilkins; 1998:428.) SAMPLE COMMON HEPATIC DISORDERS Critical Surgical Associations If You Hear/See Think Replaced right hepatic artery Superior mesenteric artery Hepatic adenoma Oral contraceptives Amebic abscess Cyst with “anchovy paste” Cyst with calcifications Echinococcus Central stellate scar Alpha-fetoprotein Focal nodular hyperplasia Hepatocellular carcinoma Bleeding esophageal varices Endoscopic banding

Pigmented stones

Hemolysis, hemoglobinopathies

Primary sclerosing cholangitis Fever, RUQ pain, jaundice

Ulcerative colitis

Cholangitis