This is a cholangiogram. I forget if I've posted one of these on the blog in the past. A cholangiogram is an x-ray of the duct system that connects the liver, gallbladder, pancreas, and duodenum (first part of the small intestine). I will try to get some arrows and labels on the picture to show you the anatomical structures (this here is supposed to be an educational website darnit).

This is a picture of a large stool ball removed from a patient's abdomen. What's a stool ball? Well, it's a piece of pooh. Yep, that thing was sitting outside of the colon and was hanging out inside a patient's abdomen. I'll tell you why that's not so good at a later time. (I have concealed the identities of the surgeons and of the stool ball to comply with HIPAA.)

6 Comments:
That just looks so gross it smells bad from here. Thanks for making a website that involves two senses. Now if I could just touch and taste it...
Indeed, the joy of surgery. This poor patient probably had that thing in his abdomen for quite some time. Pooh causes quite the inflammatory reaction when it ends up in places it shouldn't be. Hopefully he will be ok.
The only thing concerning here is the need for two residents to diagnose and treat. By the way, did you perform the rectal exam as part of your 12 point physical? That is still the smallest shit-head in the picture. Final clue, that must have caused quite the pain .
Well, I suppose a witty retort is in order, but I think an understanding of what we call "grammar" might be in order. You see, Mr. Anonymous, what you just wrote makes no sense whatsoever. Therefore, I must dismiss it as the rant and rave of a lunatic. HAHAHAHAHAHAHA
P.S. How 'bout them BASKETBALL GIANTS from Oral Roberts University
??
To the doctor who left that last comment: takes a shithead to know one now doesn't it. Dr. Smith (all aliases here by the way), you would have been very proud! Besides this particular magnet hospital is such a stellar teaching program I am amazed that it only took TWO residents to diagnose the pathology....
Early in my blogspan, I posted about a stercoral perforation of the colon, still one of my most memorable patients. Sometimes I think I still smell it on my fingers, all these years later...
You have many more amazing experiences ahead of you. It's a thrill ride!! I'll be back here to see what you have to say.
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