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Related Concept Videos

Cholecystitis01:20

Cholecystitis

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Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
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Gallbladder01:17

Gallbladder

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The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins...
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Appendicitis01:19

Appendicitis

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Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
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Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

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The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
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Chronic Pancreatitis I: Introduction01:25

Chronic Pancreatitis I: Introduction

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Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80%...
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Gross Anatomy of the Liver01:17

Gross Anatomy of the Liver

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The liver, the largest gland within the human body, is a firm and reddish-brown organ. This wedge-shaped structure weighs approximately 1.5 kg and occupies a significant portion of the right hypochondriac and epigastric regions. It extends more to the right of the body's midline than to the left.
Located under the diaphragm, the liver is almost entirely ensconced within the rib cage, providing it with substantial protection. Except for the superior most bare area, the liver's surface is...
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Related Experiment Video

Updated: May 1, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
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A giant type IVA choledochal cyst.

Utpal Anand1, Rajeev N Priyadarshi2, Bindey Kumar3

  • 1Department of GI Surgery Indira Gandhi Institute of Medical Sciences (Utpal Anand).

Annals of Gastroenterology
|April 10, 2014
PubMed
Summary

This case report details a rare, giant type IVA choledochal cyst in a young woman. Surgical resection and reconstruction led to a full recovery, highlighting effective treatment for this biliary anomaly.

Keywords:
cholangitischoledochal cysthepaticojejunostomymagnetic resonance cholangiopancreticography

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Area of Science:

  • Gastroenterology
  • Hepatobiliary Surgery
  • Pediatric Surgery

Background:

  • Choledochal cysts are rare congenital biliary tree anomalies.
  • Type IVA choledochal cysts involve extrahepatic and intrahepatic dilatation.

Observation:

  • A 25-year-old female presented with abdominal lump, jaundice, and fever.
  • Ultrasound and MRCP revealed a giant, asymmetric type IVA choledochal cyst.

Findings:

  • The patient underwent successful total resection of the extrahepatic cyst.
  • Roux-en-Y hepaticojejunostomy achieved complete recovery.

Implications:

  • This case underscores the importance of accurate diagnosis and surgical management for giant choledochal cysts.
  • Complete cyst excision and biliary reconstruction are crucial for favorable outcomes.