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Old 08-12-2012
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Liver Triangle of Calot!

A 48-year-old woman comes to the emergency department because of a 1-day history of severe nausea and projectile vomiting and a 1-month history of recurrent severe pain in the right hypochondriac region. During abdominal examination, the patient holds her breath as the physician gently presses below the right costal marcin midclavicular line. Ultrasonography of the abdomen shows numerous gallstones. A laparoscopic cholecystectomy is recommended. Which of the following structures is most likely to be found in the area bounded by the common hepatic duct medially, cystic duct inferiorly, and lower edge of the liver superiorly?

a) Common Bile duct
b) Cystic artery
c) Pancreatic duct
d) Portal vein
e) Left hepatic duct
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Old 08-12-2012
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it's b) .cystic artery i guess...?
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Old 08-12-2012
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Default hahaha...calot ka triangle

Ya i remember this one from my surgical rotation. That time i checked in my mobile app and answered but i certainly remember now.

Triangle of Calot
medically: common hepatic duct
inferiorly: cystic duct
superiorly: liver bottom

inside structures- cystic artery and LUND node (indian and pakistani fellas can remember this node very easily )
In most of cases of cholecystitis LUND node is enlarged so mostly removed with gall bladder.

So answer is B
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Old 08-12-2012
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Cystic Artery
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Old 08-13-2012
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Contents of the Triangle of Calot:

1) Cystic artery
2) Cystic duct
3) Accessory right hepatic artery

During cholecystectomy, you MUST identify the lateral most structure to be the cystic duct before removal.
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Old 08-22-2012
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Default correct answer :)

The answer is b) Cystic artery

This artery is a branch of the right hepatic artery and is usually located by identifying the “triangle of Calot,” which is bounded by the described area. This artery is ligated in cholecystectomies. It must be identified with certainty before ligation. If either of the hepatic arteries is ligated rather than the cystic artery, the part of the liver supplied by the hepatic artery may degenerate.
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