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Hepaticodochojejunostomy with afferent limb: CT anatomy
B M Montalvo1, D R Fanney, J M Yrizarry
1Department of Diagnostic Radiology, University of Miami School of Medicine, Jackson Memorial Medical Center, Florida.
Gastrointestinal Radiology
|January 1, 1989
Summary
This study reviews computed tomographic (CT) scans of hepaticodochojejunostomy with afferent limbs. Understanding this surgical pathway
Area of Science:
- Surgical anatomy
- Medical imaging
- Gastroenterology
Background:
- Hepaticodochojejunostomy is a surgical procedure connecting the hepatic bile ducts to the jejunum.
- An afferent limb is created for permanent access, facilitating retrograde biliary dilation.
- Understanding the anatomy of this afferent limb is crucial for accurate interpretation of medical imaging.
Purpose of the Study:
- To describe the computed tomographic (CT) appearance of the afferent limb in hepaticodochojejunostomy.
- To highlight the importance of recognizing this surgical pathway in CT scans.
- To aid in the successful transjejunal catheterization of bile ducts.
Main Methods:
- Review of computed tomographic (CT) scans from 12 patients.
- Analysis of the afferent limb's anatomical course from subcutaneous tissues to biliary tree anastomosis.
- Illustration of the limb's appearance on CT.
Main Results:
- Detailed description and illustration of the afferent limb's appearance on CT scans.
- Demonstration of the limb's pathway within the surgical anatomy.
- Identification of key anatomical features for recognition.
Conclusions:
- Familiarity with the afferent limb's anatomy on CT scans is essential.
- Accurate CT interpretation prevents diagnostic errors.
- Knowledge of this pathway facilitates successful bile duct catheterization.