Table Of Content

Prelims.qxd 7/6/04 9:20 AM Page i Abdominal Ultrasound Prelims.qxd 7/6/04 9:20 AM Page ii For Churchill Livingstone Commissioning Editor: Dinah Thom Development Editors: Kerry McGechie Project Manager: Morven Dean Designer: Judith Wright Prelims.qxd 7/6/04 9:20 AM Page iii Abdominal Ultrasound How, Why and When SECOND EDITION Jane A. Bates MPhil DMU DCR Lead Practitioner, Ultrasound Department, St James’s University Hospital, Leeds, UK E D I N B U R G H L O N D O N N E W YO R K O X F O R D P H I L A D E L P H I A S T L O U I S S Y D N E Y TO R O N TO 2004 Prelims.qxd 7/6/04 9:20 AM Page iv CHURCHILL LIVINGSTONE An imprint of Elsevier Limited © Harcourt Brace and Company Limited 1999 © Harcourt Publishers Limited 2001 © 2004, Elsevier Limited. All rights reserved. The right of Jane Bates to be identified as author of this work has been asserted by her in accordance with the Copyright, Designs and Patents Act 1988. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without either the prior permission of the publishers or a licence permitting restricted copying in the United Kingdom issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London W1T 4LP. Permissions may be sought directly from Elsevier’s Health Sciences Rights Department in Philadelphia, USA: phone: (+1) 215 238 7869, fax: (+1) 215 238 2239, e-mail: Prelims.qxd 7/6/04 9:20 AM Page v v Contents Contributors vii Preface ix Abbreviations xi 1. Optimizing the diagnostic information 1 2. The normal hepatobiliary system 17 3. Pathology of the gallbladder and biliary tree 41 4. Pathology of the liver and portal venous system 79 5. The pancreas 121 6. The spleen and lymphatic system 137 7. The renal tract 153 8. The retroperitoneum and gastrointestinal tract 195 9. The paediatric abdomen 215 10. The acute abdomen 243 11. Interventional and other techniques 253 Bibliography and further reading 275 Index 277 Prelims.qxd 7/6/04 9:20 AM Page vi This page intentionally left blank Prelims.qxd 7/6/04 9:20 AM Page vii vii Contributors Rosemary Arthur FRCR Consultant Radiologist Department of X-ray & Ultrasound, The General Infirmary at Leeds, Leeds, UK Simon T. Elliott MB ChB FRCR Consultant Radiologist Department of Radiology, Freeman Hospital, Newcastle-upon-Tyne, UK Grant M. Baxter FRCR Consultant Radiologist Western Infirmary University NHS Trust, Glasgow, UK Prelims.qxd 7/6/04 9:20 AM Page viii This page intentionally left blank Prelims.qxd 7/6/04 9:20 AM Page ix ix Preface Ultrasound continues to be one of the most and further management options. It is not a com- important diagnostic tools at our disposal. It is prehensive account of all the pathological processes used by a wide range of healthcare professionals likely to be encountered, but is intended as a across many applications. This book is intended as springboard from which practical skills and clinical a practical, easily accessible guide to sonographers knowledge can develop further. and those learning and developing in the field of This book aims to increase the sonographer’s abdominal ultrasound. The most obvious draw- awareness of the contribution of ultrasound within backs of ultrasound diagnosis are the physical lim- the general clinical picture, and introduce the itations of sound in tissue and its tremendous sonographer to its enormous potential. dependence upon the skill of the operator. This The author gratefully acknowledges the help book seeks to enable the operator to maximize the and support of the staff of the Ultrasound diagnostic information and to recognize the limi- Department at St James’s University Hospital, tations of the scan. Leeds. Where possible it presents a wider, more holistic approach to the patient, including presenting symptoms, complementary imaging procedures Leeds 2004 Jane Bates