Fig. 4.86 Inflamed appendix. Ultrasound scan.
Fig. 4.87 Axial CT shows inflamed appendix.
Fig. 4.88 Colon.
Fig. 4.89 Right and left colic flexures.
Fig. 4.90 Arterial supply to the colon.
Fig. 4.91 Rectum and anal canal.
Fig. 4.92 Arterial supply to the rectum and anal canal. Posterior view.
Fig. 4.93 Small bowel malrotation and volvulus. Radiograph of stomach, duodenum, and upper jejunum using barium.
Fig. 4.94 Small bowel malrotation. Radiograph of stomach, duodenum, and jejunum using barium.
Fig. 4.95 This radiograph of the abdomen, anteroposterior view, demonstrates a number of dilated loops of small bowel. Small bowel can be identified by the plicae circulares that pass from wall to wall as indicated. The large bowel is not dilated. The cause of the small bowel dilatation is an adhesion after pelvic surgery.
Dilation of small bowelPlicae circulares
Fig. 4.96 Coronal CT demonstrates dilated and fluid-filled loops of small bowel in patient with small bowel obstruction.
Dilated and fluid-filledloops of small bowel
Fig. 4.97 Coronal CT of abdomen shows fluid-filled and dilated ascending and transverse colon in patient with large bowel obstruction.
Fig. 4.98 This oblique radiograph demonstrates contrast passing through a colonic stent that has been placed to relieve bowel obstruction prior to surgery.
Fig. 4.99 This double-contrast barium enema demonstrates numerous small outpouchings throughout the distal large bowel predominantly within the descending colon and the sigmoid colon. These small outpouchings are diverticula and in most instances remain quiescent.
Fig. 4.100 Axial CT of inflamed sigmoid colon in patient with diverticulitis.
Fig. 4.101 Position of the liver in the abdomen.
Fig. 4.102 Surfaces of the liver and recesses associated with the liver.
Fig. 4.103 Diaphragmatic surface of the liver.
Fig. 4.104 Visceral surface of the liver. A. Illustration. B. Abdominal computed tomogram, with contrast, in the axial plane.
Left lobe of liverLeft lobe of liverRight lobeof liverCaudate lobeRight lobe of liverQuadrate lobeQuadrate lobeGallbladderAnteriorPosteriorFundusBodyNeckCystic ductPorta hepatisPortal veinFissure for ligamentum teresFissure for ligamentumvenosumHepatic artery properHepatic ductsBile ductABGallbladderPortal veinInferior vena cavaStomachNeck of pancreasSpleenLeft kidneyAortaRight crusLeft crus
Fig. 4.105 Posterior view of the bare area of the liver and associated ligaments.
Inferior vena cavaSuprarenal impressionLeft lobe of liverRight lobe of liver Renal impressionCaudate lobeGastric impressionEsophageal impressionColic impressionQuadrate lobeFalciform ligamentGallbladderPorta hepatisAnterior coronary ligamentPosterior coronary ligamentRight triangularligamentLeft triangular ligamentBare areaFundusBodyNeck
Fig. 4.106 Arterial supply to the liver and gallbladder. A. Schematic. B. Laparoscopic surgical view of cystic duct and cystic artery.
Fig. 4.107 Pancreas.
Fig. 4.108 Abdominal images. A. Abdominal computed tomogram, with contrast, in the axial plane. B. Abdominal ultrasound scan.