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Gallbladder is the Middle of it All
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Galen’s Concept of the Organs and their Faculties
Heat plays a central role part in the theory of Galen. The three ?faculties? of the body are the nutritive, vital and logical faculties. The nutritive faculty is related to the stomach which “cooks” the food and converts it into chyle. The chyle is transported to the liver by the portal vein. In the liver further heat converts the food into blood and adds natural spirit. Some of the blood is transported via the veins to the heart where more heat is added to create vital spirit. The blood becomes thinner is distributed to the body by the arteries giving warmth and enables growth. The vital spirit is measured through the pulse. The brain adds psychic pneuma, which provides the rational and logical faculty in the form of thought will and choice. These are distributed to the body via the nerves. The logical faculty reigns supreme and is followed in orderof importance by the vital and nutrtive faculties. The transport systems of the body include the nerves which transmit the logical faculty, the arteries which transport the vital spirit, and the veins which transport the blood with nutritive faculty from the liver. Galen faculties of the body nutrition portal vein stomach liver vein heart vital faculty pneuma lungs brain logical faculty animal spirits Davidoff art Copyright 2008 13169c18b01.8s
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Gallbladder in Red
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https://beta.thecommonvein.net/wp-content/uploads/2023/05/17082b06b01.8s.jpg
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Art of the Gallbladder
The Common Vein Copyright 2008
Gallbladder
04766b04.800 gallbladder bile duct cystic duct common hepatic duct common bile duct normal anatomy applied biology TCV Davidoff art Davidoff MD
Gallbladder in Blue
17082b06b01.8s gallbladder still life pear in blue MRI T1 weighted distended gallbladder choledocholithiaisis Courtesy Ashley Davidoff MD copyright 2008
Gallbladder in Red
17082b06b01.8s gallbladder still life pear in blue MRI T1 weighted distended gallbladder choledocholithiaisis Courtesy Ashley Davidoff MD copyright 2008
Obstructive Jaundice – In the Wrong Place at the Wrong Time
17082b04.8s gallbladder distended enlarged dilated cystic duct stone choledocholithiasis obstruction obstructed MRI T2 weighted Courtesy Ashley DAvidoff MD copyright
VAlves of Heister and the Archimedes Waterscrew
82656b20.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Valves of Heister and the Archimedes Waterscrew
82656b23.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Valves of Heister and the Archimedes Waterscrew
82656b15.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Blood Supply
78240b8b01gs gastroduodenal artery stent placement hepatic artery proper right hepatic artery cystic artery blood supply gallbladder anatomy angiogram angiography Davidoff ART Copyright 2008
Structures of the Biliary System
04766b05b02.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Gracile and Graceful Shapes of the Biliary System
04766b05b04.3k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Parts of the Gallbladder
04766b05b10.2k.8s gallbladder parts fundus = dark green body = green neck = light green normal anatomy Davidoff Art Copyright 2008
Dusk
24761b01.202.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Dusk
24761b01.203.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Sunrise
24761b01.204.8S gallbladder night dark dusk sunset Degas sleeping Davidoff art copyright 2008
Summer Morning
24761b01.205.8S gallbladder morning spring summer Degas sleeping Davidoff art copyright 2008
Putting the GAllbladder to Bed Peritoneal Covering
04766b05b04.52k.8s gallbladder support protection peritoneum bare area gallbladder fossa normal anatomy gastrohepatic ligament peritoneum serosal surface adventitial surface Davidoff art copyright 2008
Winter
24761b01.209.8S gallbladder winter Degas sleeping Davidoff art copyright 2008
Red Hot!
24761b01.99.8s gallbladder inflammation red cholecystitis acalculous calculous hemorrhagic rubor hyperemia dolor calor Davidoff art Courtesy Ashley Davidoff MD copyright 2008
The Pear
Classical Gallbladder Shape
85370pb01.8s pear fruit food gallbladder shape Davidoff photography Davidoff art Copyright 2008
Tear Drop Shape of the Gallbladder
02504pb03 water droplets window glass teardrop shape Davidoff photography water
Phrygian Cap
11921.8b05b014b01.8s gallbladder shape normal anatomy phrygian cap Davidoff art Copyright 2008
Fold in the Fundus
Phrygian in Green
04487.84s.8s gallbladder fundus fundal fold fold normal variant anatomy shape cystic duct phrygian cap Davidoff art copyright 2008
Phrygians of Northern and Central Asia Minor 1000-2000BC
The phrygian cap is a common normal variant of gallbladder shape characterized a fundus that is folded forward. It was first described by Bartel in 1916. The Phrygians were a primitive race that migrated into northern and central Asia Minor in the second millenium BC. The Greeks knew of the cap as an Oriental headgear that was tight fitting and conical in shape and it has been depicted in their art. (Ober WB Wharton RN On the “phrygian cap.” 255:571-572 New England Journal of Medicine 1956 The cap was a symbol of freedom and the pursuit of liberty.The cap was worn by King Midas who was cursed with donkey ears by Apollo. He used the Phrygian cap to hide his ears. It was subsequently worn by the Trojan hero Paris, was a symbol of freedom in the French and American revolutions, was depicted on coinage in the US and on variety of seals and flags throughout the world.
82407b14.8s gallbladder Phrygian cap freedom liberty shape symbol Davidoff art Copyright 2008
Choledocholithiasis, Obstructive Jaundice
When Green is Held Up – Yellow Ensues
17083c02.3kb04.8s 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Choledocholithiasis, High Fever, Sepsis
When Green Gets Held Up for Too Long Red Ensues
17083c02.3kb03.8s01 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Zuchini (Italian) Gallbladder
76764c.81s elderly female gallbladder elongated sausage shape zuchini shape transverse dimension 4.5 cms longitudinal dimension 12.5cms aging gallbladder vs enlarged? food in the body CTscan Courtesy Ashley DAvidoff MD Davidoff art Davidoff photography copyright 2008
Character of Bile
Yellow/Green Color of Bile
04766b05b04.32k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
A Little More Concentrated
04766b05b04.31k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.35k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.36k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Fiery Flamenco Dance
82595.8s gallbladder bile duct inflammation flamenco dance fiery fire acute calculous cholecystitis Courtesy Ashley Davidoff MD copyright 2008
Galen’s Concept of the Organs and their Faculties
Heat plays a central role part in the theory of Galen. The three ?faculties? of the body are the nutritive, vital and logical faculties. The nutritive faculty is related to the stomach which “cooks” the food and converts it into chyle. The chyle is transported to the liver by the portal vein. In the liver further heat converts the food into blood and adds natural spirit. Some of the blood is transported via the veins to the heart where more heat is added to create vital spirit. The blood becomes thinner is distributed to the body by the arteries giving warmth and enables growth. The vital spirit is measured through the pulse. The brain adds psychic pneuma, which provides the rational and logical faculty in the form of thought will and choice. These are distributed to the body via the nerves. The logical faculty reigns supreme and is followed in orderof importance by the vital and nutrtive faculties. The transport systems of the body include the nerves which transmit the logical faculty, the arteries which transport the vital spirit, and the veins which transport the blood with nutritive faculty from the liver. Galen faculties of the body nutrition portal vein stomach liver vein heart vital faculty pneuma lungs brain logical faculty animal spirits Davidoff art Copyright 2008 13169c18b01.8s
Witchdoctor – Sangoma
Gallbladders in Headress
The Zulu witchdoctors (Sangomas) of South Africa have a special repect for the gallbladder which they believe has special powers. It has the the same shape as the uterus and they have been interpreted as givers and receivers of life. The sangoma weras a headress that contains the dried gallbladders of goats. This image is dedicated to the Sangomas of South Africa, country of my birth. The whole image has been recreated by repetitive use of a gallbladder mount as seen below.
00139c25.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor gallbladders in the headress Davidoff art copyright 2008
The Gallbladder and the Witchdoctor
Giver and Receiver of Life
00139c20b.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor Davidoff art copyright 2008
Face of a Sangoma in Training
00139c15.9s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask Davidoff art copyright 2008
Gallbladder and Lime
04699b13.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Liver with Jello Consistency
24719 liver gallbladder + fx normal + anatomy + drawing
Gallbladder Flower
11906e03.8s gallbladder histology mucosa normal Davidoff art copyright 2008
Acute Cholecystitis
Clogged Drain
04766b08.8s gallbladder stones cholelithiasis acute cholecystitis distended enlarged bile ducts Davidoff art copyright 2008
Gallbladder Stones
Green Pepper, Bananas and Seeds
00404b01.800 gallbladder gallstones cystic duct cholelithiasis greenpepper banana Davidoff Art Davidoff MD
Cholelithiais
Environmental Effects
00404 W 2 gallbladder stones bananas greenpepper seeds cholelithiasis cystic duct art Courtesy Ashley Davidoff MD Davidoff art
Mardi Gras Liver and Connections
Gallbladder Dressed in Pink
42646b03 liver histology gallbladder bile duct normal anatomy histology Davidoff art copyright 2008
Strawberry Gallbladder
04761.800 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art
Endoderm of the Foregut
The Beginning of the Biliary System
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b01.8s
Embryology of the Liver Bile Ducts, Gallbladder and Pancreas
The Beginning of the Biliary System in Color
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b08.8s
Undersurface of the Liver
Gallbladder is the Middle of it All
82220b01.2k02.8s liver gallbladder porta hepatis hepatic artery portal vein IVC inferior vena cava falciform ligament ligamentum teres bare area of the liver left lobe segment IV segment I caudate lobe quadrate lobe gastrohepatic ligament right lobe hepatic Davidoff art copyright 2008
Histopathology of a Gallstone in Blue
This is a medium ?power photomicrograph of a tiny gallstone which was present in a gallbladder and was included in the microscopic section of that gallbladder. The yellow color is the natural color of the stone, and there appears to be some linear or crystalline structure. Only the gallstone is present in the picture, no gallbladder tissue can be seen.
gallbladder dx cholelithiasis histology histopathology Courtesy Barbara Banner MD 11921.8b05bs
Minerals of a Gallstone – Artistic Rendition
11921.8b05b04.8s gallstones cholelithiasis stone Davidoff Art copyright 2008
Large Cholesterol Stone Forming in Bile
11921.8b05b09.8s large gallstone cholesterol gallbladder cholelithiasis stone Davidoff Art copyright 2008
Strawberry Gallbladder
04776b02 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art Davidoff
Out of Shape
00139c06.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape Davidoff art copyright 2008
Small Pigmented Stones Lying Dependantly in the Gallbladder
3 Drops in the Depths of the Bile Ocean
11921.8b05b018.8s gallbladder cystic duct gallstones cholelithiasis Davidoff Art copyright 2008
Stone Impacted in the Cystic Duct Causing Obstruction
This Little Stone Ventured to Market and Two Little Stones Stayed Home
One Little Stone Got Trapped…
11921.8b05b019.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged Davidoff Art copyright 2008
Inflammation of the Gallbladder Wall
One Little Stone Got Trapped…And Nobody Lived Happily Forever After.
11921.8b05b020.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall acute cholecytitis Davidoff Art copyright 2008
Complex Fluid in the Gallbladder Fossa
And The Situation Got Worse…
11921.8b05b031.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis Davidoff Art copyright 2008
Cholecystitis Complicated by Abscess Formation in the Gallbladder Fossa
…and Worse…
11921.8b05b037.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis abscess formation Davidoff Art copyright 2008
Thin Sludge
No Stimulation and No Excercise .. The Plot Thickens..
11921.8b05b039.8s gallbladder distended enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis Davidoff art copyright 2008
Tumefactive Bile
…..and Thickens and The Story Becomes Bleeker and Blacker
11921.8b05b043..8sb01 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis Davidoff art copyright 2008
Acalculous Cholecystitis Crankcase Oil
…And Bleeker and Blacker Adding a Hint of Red and Fire
11921.8b05b043.8s gallbladder distended tumefactive bile thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis inflammation acalculous cholecystitis Davidoff art copyright 2008
Wall Rupture
Integrity Is Lost…
11921.8b05b043..8kb03 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Wall Rupture Focal Peritonitis
Svere Local Reaction to the Vile Bile Which Has Escaped
11921.8b05b043.8b05s gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Rupture with Diffuse Bile Peritonitis
The Fire Spreads Like Wildfire … Vile Bile on the loose
11921.8b05b046.8b05 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation and bile peritonitis Davidoff art copyright 2008
Ductal Systems
Calm and Colorful on a Summer Day
22391 R W3 liver duodenum pancreas pancreatic duct bile duct gallbladder normal anatomy drawing Davidoff art
Foregut
Connections All Intact
41774 liver bile duct gallbladder pancreas spleen splenic vein splenic artery portal vein hepatic artery fx normal anatomy drawing art Courtesy Ashley Davidoff MD Davidoff art
Gallbladder Cancer and Stones
11528b.8 gallbladder food in the body green pepper cancer carcinoma gall stones cholelithiasis Davidoff art Davidoff photography copyright
Gallbladder and Lemon
04699b14.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Hyperplastic Cholecystoses
04699b10.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at Christmas
04699b11.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at the Beach
04699b12.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
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Art of the Gallbladder
The Common Vein Copyright 2008
Gallbladder
04766b04.800 gallbladder bile duct cystic duct common hepatic duct common bile duct normal anatomy applied biology TCV Davidoff art Davidoff MD
Gallbladder in Blue
17082b06b01.8s gallbladder still life pear in blue MRI T1 weighted distended gallbladder choledocholithiaisis Courtesy Ashley Davidoff MD copyright 2008
Gallbladder in Red
17082b06b01.8s gallbladder still life pear in blue MRI T1 weighted distended gallbladder choledocholithiaisis Courtesy Ashley Davidoff MD copyright 2008
Obstructive Jaundice – In the Wrong Place at the Wrong Time
17082b04.8s gallbladder distended enlarged dilated cystic duct stone choledocholithiasis obstruction obstructed MRI T2 weighted Courtesy Ashley DAvidoff MD copyright
VAlves of Heister and the Archimedes Waterscrew
82656b20.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Valves of Heister and the Archimedes Waterscrew
82656b23.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Valves of Heister and the Archimedes Waterscrew
82656b15.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Blood Supply
78240b8b01gs gastroduodenal artery stent placement hepatic artery proper right hepatic artery cystic artery blood supply gallbladder anatomy angiogram angiography Davidoff ART Copyright 2008
Structures of the Biliary System
04766b05b02.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Gracile and Graceful Shapes of the Biliary System
04766b05b04.3k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Parts of the Gallbladder
04766b05b10.2k.8s gallbladder parts fundus = dark green body = green neck = light green normal anatomy Davidoff Art Copyright 2008
Dusk
24761b01.202.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Dusk
24761b01.203.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Sunrise
24761b01.204.8S gallbladder night dark dusk sunset Degas sleeping Davidoff art copyright 2008
Summer Morning
24761b01.205.8S gallbladder morning spring summer Degas sleeping Davidoff art copyright 2008
Putting the GAllbladder to Bed Peritoneal Covering
04766b05b04.52k.8s gallbladder support protection peritoneum bare area gallbladder fossa normal anatomy gastrohepatic ligament peritoneum serosal surface adventitial surface Davidoff art copyright 2008
Winter
24761b01.209.8S gallbladder winter Degas sleeping Davidoff art copyright 2008
Red Hot!
24761b01.99.8s gallbladder inflammation red cholecystitis acalculous calculous hemorrhagic rubor hyperemia dolor calor Davidoff art Courtesy Ashley Davidoff MD copyright 2008
The Pear
Classical Gallbladder Shape
85370pb01.8s pear fruit food gallbladder shape Davidoff photography Davidoff art Copyright 2008
Tear Drop Shape of the Gallbladder
02504pb03 water droplets window glass teardrop shape Davidoff photography water
Phrygian Cap
11921.8b05b014b01.8s gallbladder shape normal anatomy phrygian cap Davidoff art Copyright 2008
Fold in the Fundus
Phrygian in Green
04487.84s.8s gallbladder fundus fundal fold fold normal variant anatomy shape cystic duct phrygian cap Davidoff art copyright 2008
Phrygians of Northern and Central Asia Minor 1000-2000BC
The phrygian cap is a common normal variant of gallbladder shape characterized a fundus that is folded forward. It was first described by Bartel in 1916. The Phrygians were a primitive race that migrated into northern and central Asia Minor in the second millenium BC. The Greeks knew of the cap as an Oriental headgear that was tight fitting and conical in shape and it has been depicted in their art. (Ober WB Wharton RN On the “phrygian cap.” 255:571-572 New England Journal of Medicine 1956 The cap was a symbol of freedom and the pursuit of liberty.The cap was worn by King Midas who was cursed with donkey ears by Apollo. He used the Phrygian cap to hide his ears. It was subsequently worn by the Trojan hero Paris, was a symbol of freedom in the French and American revolutions, was depicted on coinage in the US and on variety of seals and flags throughout the world.
82407b14.8s gallbladder Phrygian cap freedom liberty shape symbol Davidoff art Copyright 2008
Choledocholithiasis, Obstructive Jaundice
When Green is Held Up – Yellow Ensues
17083c02.3kb04.8s 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Choledocholithiasis, High Fever, Sepsis
When Green Gets Held Up for Too Long Red Ensues
17083c02.3kb03.8s01 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Zuchini (Italian) Gallbladder
76764c.81s elderly female gallbladder elongated sausage shape zuchini shape transverse dimension 4.5 cms longitudinal dimension 12.5cms aging gallbladder vs enlarged? food in the body CTscan Courtesy Ashley DAvidoff MD Davidoff art Davidoff photography copyright 2008
Character of Bile
Yellow/Green Color of Bile
04766b05b04.32k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
A Little More Concentrated
04766b05b04.31k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.35k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.36k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Fiery Flamenco Dance
82595.8s gallbladder bile duct inflammation flamenco dance fiery fire acute calculous cholecystitis Courtesy Ashley Davidoff MD copyright 2008
Galen’s Concept of the Organs and their Faculties
Heat plays a central role part in the theory of Galen. The three ?faculties? of the body are the nutritive, vital and logical faculties. The nutritive faculty is related to the stomach which “cooks” the food and converts it into chyle. The chyle is transported to the liver by the portal vein. In the liver further heat converts the food into blood and adds natural spirit. Some of the blood is transported via the veins to the heart where more heat is added to create vital spirit. The blood becomes thinner is distributed to the body by the arteries giving warmth and enables growth. The vital spirit is measured through the pulse. The brain adds psychic pneuma, which provides the rational and logical faculty in the form of thought will and choice. These are distributed to the body via the nerves. The logical faculty reigns supreme and is followed in orderof importance by the vital and nutrtive faculties. The transport systems of the body include the nerves which transmit the logical faculty, the arteries which transport the vital spirit, and the veins which transport the blood with nutritive faculty from the liver. Galen faculties of the body nutrition portal vein stomach liver vein heart vital faculty pneuma lungs brain logical faculty animal spirits Davidoff art Copyright 2008 13169c18b01.8s
Witchdoctor – Sangoma
Gallbladders in Headress
The Zulu witchdoctors (Sangomas) of South Africa have a special repect for the gallbladder which they believe has special powers. It has the the same shape as the uterus and they have been interpreted as givers and receivers of life. The sangoma weras a headress that contains the dried gallbladders of goats. This image is dedicated to the Sangomas of South Africa, country of my birth. The whole image has been recreated by repetitive use of a gallbladder mount as seen below.
00139c25.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor gallbladders in the headress Davidoff art copyright 2008
The Gallbladder and the Witchdoctor
Giver and Receiver of Life
00139c20b.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor Davidoff art copyright 2008
Face of a Sangoma in Training
00139c15.9s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask Davidoff art copyright 2008
Gallbladder and Lime
04699b13.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Liver with Jello Consistency
24719 liver gallbladder + fx normal + anatomy + drawing
Gallbladder Flower
11906e03.8s gallbladder histology mucosa normal Davidoff art copyright 2008
Acute Cholecystitis
Clogged Drain
04766b08.8s gallbladder stones cholelithiasis acute cholecystitis distended enlarged bile ducts Davidoff art copyright 2008
Gallbladder Stones
Green Pepper, Bananas and Seeds
00404b01.800 gallbladder gallstones cystic duct cholelithiasis greenpepper banana Davidoff Art Davidoff MD
Cholelithiais
Environmental Effects
00404 W 2 gallbladder stones bananas greenpepper seeds cholelithiasis cystic duct art Courtesy Ashley Davidoff MD Davidoff art
Mardi Gras Liver and Connections
Gallbladder Dressed in Pink
42646b03 liver histology gallbladder bile duct normal anatomy histology Davidoff art copyright 2008
Strawberry Gallbladder
04761.800 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art
Endoderm of the Foregut
The Beginning of the Biliary System
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b01.8s
Embryology of the Liver Bile Ducts, Gallbladder and Pancreas
The Beginning of the Biliary System in Color
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b08.8s
Undersurface of the Liver
Gallbladder is the Middle of it All
82220b01.2k02.8s liver gallbladder porta hepatis hepatic artery portal vein IVC inferior vena cava falciform ligament ligamentum teres bare area of the liver left lobe segment IV segment I caudate lobe quadrate lobe gastrohepatic ligament right lobe hepatic Davidoff art copyright 2008
Histopathology of a Gallstone in Blue
This is a medium ?power photomicrograph of a tiny gallstone which was present in a gallbladder and was included in the microscopic section of that gallbladder. The yellow color is the natural color of the stone, and there appears to be some linear or crystalline structure. Only the gallstone is present in the picture, no gallbladder tissue can be seen.
gallbladder dx cholelithiasis histology histopathology Courtesy Barbara Banner MD 11921.8b05bs
Minerals of a Gallstone – Artistic Rendition
11921.8b05b04.8s gallstones cholelithiasis stone Davidoff Art copyright 2008
Large Cholesterol Stone Forming in Bile
11921.8b05b09.8s large gallstone cholesterol gallbladder cholelithiasis stone Davidoff Art copyright 2008
Strawberry Gallbladder
04776b02 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art Davidoff
Out of Shape
00139c06.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape Davidoff art copyright 2008
Small Pigmented Stones Lying Dependantly in the Gallbladder
3 Drops in the Depths of the Bile Ocean
11921.8b05b018.8s gallbladder cystic duct gallstones cholelithiasis Davidoff Art copyright 2008
Stone Impacted in the Cystic Duct Causing Obstruction
This Little Stone Ventured to Market and Two Little Stones Stayed Home
One Little Stone Got Trapped…
11921.8b05b019.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged Davidoff Art copyright 2008
Inflammation of the Gallbladder Wall
One Little Stone Got Trapped…And Nobody Lived Happily Forever After.
11921.8b05b020.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall acute cholecytitis Davidoff Art copyright 2008
Complex Fluid in the Gallbladder Fossa
And The Situation Got Worse…
11921.8b05b031.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis Davidoff Art copyright 2008
Cholecystitis Complicated by Abscess Formation in the Gallbladder Fossa
…and Worse…
11921.8b05b037.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis abscess formation Davidoff Art copyright 2008
Thin Sludge
No Stimulation and No Excercise .. The Plot Thickens..
11921.8b05b039.8s gallbladder distended enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis Davidoff art copyright 2008
Tumefactive Bile
…..and Thickens and The Story Becomes Bleeker and Blacker
11921.8b05b043..8sb01 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis Davidoff art copyright 2008
Acalculous Cholecystitis Crankcase Oil
…And Bleeker and Blacker Adding a Hint of Red and Fire
11921.8b05b043.8s gallbladder distended tumefactive bile thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis inflammation acalculous cholecystitis Davidoff art copyright 2008
Wall Rupture
Integrity Is Lost…
11921.8b05b043..8kb03 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Wall Rupture Focal Peritonitis
Svere Local Reaction to the Vile Bile Which Has Escaped
11921.8b05b043.8b05s gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Rupture with Diffuse Bile Peritonitis
The Fire Spreads Like Wildfire … Vile Bile on the loose
11921.8b05b046.8b05 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation and bile peritonitis Davidoff art copyright 2008
Ductal Systems
Calm and Colorful on a Summer Day
22391 R W3 liver duodenum pancreas pancreatic duct bile duct gallbladder normal anatomy drawing Davidoff art
Foregut
Connections All Intact
41774 liver bile duct gallbladder pancreas spleen splenic vein splenic artery portal vein hepatic artery fx normal anatomy drawing art Courtesy Ashley Davidoff MD Davidoff art
Gallbladder Cancer and Stones
11528b.8 gallbladder food in the body green pepper cancer carcinoma gall stones cholelithiasis Davidoff art Davidoff photography copyright
Gallbladder and Lemon
04699b14.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Hyperplastic Cholecystoses
04699b10.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at Christmas
04699b11.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at the Beach
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The phrygian cap is a common normal variant of gallbladder shape characterized a fundus that is folded forward. It was first described by Bartel in 1916. The Phrygians were a primitive race that migrated into northern and central Asia Minor in the second millenium BC. The Greeks knew of the cap as an Oriental headgear that was tight fitting and conical in shape and it has been depicted in their art. (Ober WB Wharton RN On the “phrygian cap.” 255:571-572 New England Journal of Medicine 1956 The cap was a symbol of freedom and the pursuit of liberty.The cap was worn by King Midas who was cursed with donkey ears by Apollo. He used the Phrygian cap to hide his ears. It was subsequently worn by the Trojan hero Paris, was a symbol of freedom in the French and American revolutions, was depicted on coinage in the US and on variety of seals and flags throughout the world.
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Valves of Heister and the Archimedes Waterscrew
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Obstructive Jaundice – In the Wrong Place at the Wrong Time
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Art of the Gallbladder
The Common Vein Copyright 2008
Gallbladder
04766b04.800 gallbladder bile duct cystic duct common hepatic duct common bile duct normal anatomy applied biology TCV Davidoff art Davidoff MD
Gallbladder in Blue
17082b06b01.8s gallbladder still life pear in blue MRI T1 weighted distended gallbladder choledocholithiaisis Courtesy Ashley Davidoff MD copyright 2008
Gallbladder in Red
17082b06b01.8s gallbladder still life pear in blue MRI T1 weighted distended gallbladder choledocholithiaisis Courtesy Ashley Davidoff MD copyright 2008
Obstructive Jaundice – In the Wrong Place at the Wrong Time
17082b04.8s gallbladder distended enlarged dilated cystic duct stone choledocholithiasis obstruction obstructed MRI T2 weighted Courtesy Ashley DAvidoff MD copyright
VAlves of Heister and the Archimedes Waterscrew
82656b20.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Valves of Heister and the Archimedes Waterscrew
82656b23.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Valves of Heister and the Archimedes Waterscrew
82656b15.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Blood Supply
78240b8b01gs gastroduodenal artery stent placement hepatic artery proper right hepatic artery cystic artery blood supply gallbladder anatomy angiogram angiography Davidoff ART Copyright 2008
Structures of the Biliary System
04766b05b02.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Gracile and Graceful Shapes of the Biliary System
04766b05b04.3k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Parts of the Gallbladder
04766b05b10.2k.8s gallbladder parts fundus = dark green body = green neck = light green normal anatomy Davidoff Art Copyright 2008
Dusk
24761b01.202.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Dusk
24761b01.203.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Sunrise
24761b01.204.8S gallbladder night dark dusk sunset Degas sleeping Davidoff art copyright 2008
Summer Morning
24761b01.205.8S gallbladder morning spring summer Degas sleeping Davidoff art copyright 2008
Putting the GAllbladder to Bed Peritoneal Covering
04766b05b04.52k.8s gallbladder support protection peritoneum bare area gallbladder fossa normal anatomy gastrohepatic ligament peritoneum serosal surface adventitial surface Davidoff art copyright 2008
Winter
24761b01.209.8S gallbladder winter Degas sleeping Davidoff art copyright 2008
Red Hot!
24761b01.99.8s gallbladder inflammation red cholecystitis acalculous calculous hemorrhagic rubor hyperemia dolor calor Davidoff art Courtesy Ashley Davidoff MD copyright 2008
The Pear
Classical Gallbladder Shape
85370pb01.8s pear fruit food gallbladder shape Davidoff photography Davidoff art Copyright 2008
Tear Drop Shape of the Gallbladder
02504pb03 water droplets window glass teardrop shape Davidoff photography water
Phrygian Cap
11921.8b05b014b01.8s gallbladder shape normal anatomy phrygian cap Davidoff art Copyright 2008
Fold in the Fundus
Phrygian in Green
04487.84s.8s gallbladder fundus fundal fold fold normal variant anatomy shape cystic duct phrygian cap Davidoff art copyright 2008
Phrygians of Northern and Central Asia Minor 1000-2000BC
The phrygian cap is a common normal variant of gallbladder shape characterized a fundus that is folded forward. It was first described by Bartel in 1916. The Phrygians were a primitive race that migrated into northern and central Asia Minor in the second millenium BC. The Greeks knew of the cap as an Oriental headgear that was tight fitting and conical in shape and it has been depicted in their art. (Ober WB Wharton RN On the “phrygian cap.” 255:571-572 New England Journal of Medicine 1956 The cap was a symbol of freedom and the pursuit of liberty.The cap was worn by King Midas who was cursed with donkey ears by Apollo. He used the Phrygian cap to hide his ears. It was subsequently worn by the Trojan hero Paris, was a symbol of freedom in the French and American revolutions, was depicted on coinage in the US and on variety of seals and flags throughout the world.
82407b14.8s gallbladder Phrygian cap freedom liberty shape symbol Davidoff art Copyright 2008
Choledocholithiasis, Obstructive Jaundice
When Green is Held Up – Yellow Ensues
17083c02.3kb04.8s 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Choledocholithiasis, High Fever, Sepsis
When Green Gets Held Up for Too Long Red Ensues
17083c02.3kb03.8s01 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Zuchini (Italian) Gallbladder
76764c.81s elderly female gallbladder elongated sausage shape zuchini shape transverse dimension 4.5 cms longitudinal dimension 12.5cms aging gallbladder vs enlarged? food in the body CTscan Courtesy Ashley DAvidoff MD Davidoff art Davidoff photography copyright 2008
Character of Bile
Yellow/Green Color of Bile
04766b05b04.32k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
A Little More Concentrated
04766b05b04.31k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.35k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.36k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Fiery Flamenco Dance
82595.8s gallbladder bile duct inflammation flamenco dance fiery fire acute calculous cholecystitis Courtesy Ashley Davidoff MD copyright 2008
Galen’s Concept of the Organs and their Faculties
Heat plays a central role part in the theory of Galen. The three ?faculties? of the body are the nutritive, vital and logical faculties. The nutritive faculty is related to the stomach which “cooks” the food and converts it into chyle. The chyle is transported to the liver by the portal vein. In the liver further heat converts the food into blood and adds natural spirit. Some of the blood is transported via the veins to the heart where more heat is added to create vital spirit. The blood becomes thinner is distributed to the body by the arteries giving warmth and enables growth. The vital spirit is measured through the pulse. The brain adds psychic pneuma, which provides the rational and logical faculty in the form of thought will and choice. These are distributed to the body via the nerves. The logical faculty reigns supreme and is followed in orderof importance by the vital and nutrtive faculties. The transport systems of the body include the nerves which transmit the logical faculty, the arteries which transport the vital spirit, and the veins which transport the blood with nutritive faculty from the liver. Galen faculties of the body nutrition portal vein stomach liver vein heart vital faculty pneuma lungs brain logical faculty animal spirits Davidoff art Copyright 2008 13169c18b01.8s
Witchdoctor – Sangoma
Gallbladders in Headress
The Zulu witchdoctors (Sangomas) of South Africa have a special repect for the gallbladder which they believe has special powers. It has the the same shape as the uterus and they have been interpreted as givers and receivers of life. The sangoma weras a headress that contains the dried gallbladders of goats. This image is dedicated to the Sangomas of South Africa, country of my birth. The whole image has been recreated by repetitive use of a gallbladder mount as seen below.
00139c25.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor gallbladders in the headress Davidoff art copyright 2008
The Gallbladder and the Witchdoctor
Giver and Receiver of Life
00139c20b.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor Davidoff art copyright 2008
Face of a Sangoma in Training
00139c15.9s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask Davidoff art copyright 2008
Gallbladder and Lime
04699b13.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Liver with Jello Consistency
24719 liver gallbladder + fx normal + anatomy + drawing
Gallbladder Flower
11906e03.8s gallbladder histology mucosa normal Davidoff art copyright 2008
Acute Cholecystitis
Clogged Drain
04766b08.8s gallbladder stones cholelithiasis acute cholecystitis distended enlarged bile ducts Davidoff art copyright 2008
Gallbladder Stones
Green Pepper, Bananas and Seeds
00404b01.800 gallbladder gallstones cystic duct cholelithiasis greenpepper banana Davidoff Art Davidoff MD
Cholelithiais
Environmental Effects
00404 W 2 gallbladder stones bananas greenpepper seeds cholelithiasis cystic duct art Courtesy Ashley Davidoff MD Davidoff art
Mardi Gras Liver and Connections
Gallbladder Dressed in Pink
42646b03 liver histology gallbladder bile duct normal anatomy histology Davidoff art copyright 2008
Strawberry Gallbladder
04761.800 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art
Endoderm of the Foregut
The Beginning of the Biliary System
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b01.8s
Embryology of the Liver Bile Ducts, Gallbladder and Pancreas
The Beginning of the Biliary System in Color
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b08.8s
Undersurface of the Liver
Gallbladder is the Middle of it All
82220b01.2k02.8s liver gallbladder porta hepatis hepatic artery portal vein IVC inferior vena cava falciform ligament ligamentum teres bare area of the liver left lobe segment IV segment I caudate lobe quadrate lobe gastrohepatic ligament right lobe hepatic Davidoff art copyright 2008
Histopathology of a Gallstone in Blue
This is a medium ?power photomicrograph of a tiny gallstone which was present in a gallbladder and was included in the microscopic section of that gallbladder. The yellow color is the natural color of the stone, and there appears to be some linear or crystalline structure. Only the gallstone is present in the picture, no gallbladder tissue can be seen.
gallbladder dx cholelithiasis histology histopathology Courtesy Barbara Banner MD 11921.8b05bs
Minerals of a Gallstone – Artistic Rendition
11921.8b05b04.8s gallstones cholelithiasis stone Davidoff Art copyright 2008
Large Cholesterol Stone Forming in Bile
11921.8b05b09.8s large gallstone cholesterol gallbladder cholelithiasis stone Davidoff Art copyright 2008
Strawberry Gallbladder
04776b02 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art Davidoff
Out of Shape
00139c06.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape Davidoff art copyright 2008
Small Pigmented Stones Lying Dependantly in the Gallbladder
3 Drops in the Depths of the Bile Ocean
11921.8b05b018.8s gallbladder cystic duct gallstones cholelithiasis Davidoff Art copyright 2008
Stone Impacted in the Cystic Duct Causing Obstruction
This Little Stone Ventured to Market and Two Little Stones Stayed Home
One Little Stone Got Trapped…
11921.8b05b019.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged Davidoff Art copyright 2008
Inflammation of the Gallbladder Wall
One Little Stone Got Trapped…And Nobody Lived Happily Forever After.
11921.8b05b020.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall acute cholecytitis Davidoff Art copyright 2008
Complex Fluid in the Gallbladder Fossa
And The Situation Got Worse…
11921.8b05b031.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis Davidoff Art copyright 2008
Cholecystitis Complicated by Abscess Formation in the Gallbladder Fossa
…and Worse…
11921.8b05b037.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis abscess formation Davidoff Art copyright 2008
Thin Sludge
No Stimulation and No Excercise .. The Plot Thickens..
11921.8b05b039.8s gallbladder distended enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis Davidoff art copyright 2008
Tumefactive Bile
…..and Thickens and The Story Becomes Bleeker and Blacker
11921.8b05b043..8sb01 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis Davidoff art copyright 2008
Acalculous Cholecystitis Crankcase Oil
…And Bleeker and Blacker Adding a Hint of Red and Fire
11921.8b05b043.8s gallbladder distended tumefactive bile thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis inflammation acalculous cholecystitis Davidoff art copyright 2008
Wall Rupture
Integrity Is Lost…
11921.8b05b043..8kb03 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Wall Rupture Focal Peritonitis
Svere Local Reaction to the Vile Bile Which Has Escaped
11921.8b05b043.8b05s gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Rupture with Diffuse Bile Peritonitis
The Fire Spreads Like Wildfire … Vile Bile on the loose
11921.8b05b046.8b05 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation and bile peritonitis Davidoff art copyright 2008
Ductal Systems
Calm and Colorful on a Summer Day
22391 R W3 liver duodenum pancreas pancreatic duct bile duct gallbladder normal anatomy drawing Davidoff art
Foregut
Connections All Intact
41774 liver bile duct gallbladder pancreas spleen splenic vein splenic artery portal vein hepatic artery fx normal anatomy drawing art Courtesy Ashley Davidoff MD Davidoff art
Gallbladder Cancer and Stones
11528b.8 gallbladder food in the body green pepper cancer carcinoma gall stones cholelithiasis Davidoff art Davidoff photography copyright
Gallbladder and Lemon
04699b14.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Hyperplastic Cholecystoses
04699b10.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at Christmas
04699b11.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at the Beach
04699b12.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
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Art of the Gallbladder
The Common Vein Copyright 2008
Gallbladder
04766b04.800 gallbladder bile duct cystic duct common hepatic duct common bile duct normal anatomy applied biology TCV Davidoff art Davidoff MD
Gallbladder in Blue
17082b06b01.8s gallbladder still life pear in blue MRI T1 weighted distended gallbladder choledocholithiaisis Courtesy Ashley Davidoff MD copyright 2008
Gallbladder in Red
17082b06b01.8s gallbladder still life pear in blue MRI T1 weighted distended gallbladder choledocholithiaisis Courtesy Ashley Davidoff MD copyright 2008
Obstructive Jaundice – In the Wrong Place at the Wrong Time
17082b04.8s gallbladder distended enlarged dilated cystic duct stone choledocholithiasis obstruction obstructed MRI T2 weighted Courtesy Ashley DAvidoff MD copyright
VAlves of Heister and the Archimedes Waterscrew
82656b20.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Valves of Heister and the Archimedes Waterscrew
82656b23.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Valves of Heister and the Archimedes Waterscrew
82656b15.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Blood Supply
78240b8b01gs gastroduodenal artery stent placement hepatic artery proper right hepatic artery cystic artery blood supply gallbladder anatomy angiogram angiography Davidoff ART Copyright 2008
Structures of the Biliary System
04766b05b02.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Gracile and Graceful Shapes of the Biliary System
04766b05b04.3k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Parts of the Gallbladder
04766b05b10.2k.8s gallbladder parts fundus = dark green body = green neck = light green normal anatomy Davidoff Art Copyright 2008
Dusk
24761b01.202.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Dusk
24761b01.203.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Sunrise
24761b01.204.8S gallbladder night dark dusk sunset Degas sleeping Davidoff art copyright 2008
Summer Morning
24761b01.205.8S gallbladder morning spring summer Degas sleeping Davidoff art copyright 2008
Putting the GAllbladder to Bed Peritoneal Covering
04766b05b04.52k.8s gallbladder support protection peritoneum bare area gallbladder fossa normal anatomy gastrohepatic ligament peritoneum serosal surface adventitial surface Davidoff art copyright 2008
Winter
24761b01.209.8S gallbladder winter Degas sleeping Davidoff art copyright 2008
Red Hot!
24761b01.99.8s gallbladder inflammation red cholecystitis acalculous calculous hemorrhagic rubor hyperemia dolor calor Davidoff art Courtesy Ashley Davidoff MD copyright 2008
The Pear
Classical Gallbladder Shape
85370pb01.8s pear fruit food gallbladder shape Davidoff photography Davidoff art Copyright 2008
Tear Drop Shape of the Gallbladder
02504pb03 water droplets window glass teardrop shape Davidoff photography water
Phrygian Cap
11921.8b05b014b01.8s gallbladder shape normal anatomy phrygian cap Davidoff art Copyright 2008
Fold in the Fundus
Phrygian in Green
04487.84s.8s gallbladder fundus fundal fold fold normal variant anatomy shape cystic duct phrygian cap Davidoff art copyright 2008
Phrygians of Northern and Central Asia Minor 1000-2000BC
The phrygian cap is a common normal variant of gallbladder shape characterized a fundus that is folded forward. It was first described by Bartel in 1916. The Phrygians were a primitive race that migrated into northern and central Asia Minor in the second millenium BC. The Greeks knew of the cap as an Oriental headgear that was tight fitting and conical in shape and it has been depicted in their art. (Ober WB Wharton RN On the “phrygian cap.” 255:571-572 New England Journal of Medicine 1956 The cap was a symbol of freedom and the pursuit of liberty.The cap was worn by King Midas who was cursed with donkey ears by Apollo. He used the Phrygian cap to hide his ears. It was subsequently worn by the Trojan hero Paris, was a symbol of freedom in the French and American revolutions, was depicted on coinage in the US and on variety of seals and flags throughout the world.
82407b14.8s gallbladder Phrygian cap freedom liberty shape symbol Davidoff art Copyright 2008
Choledocholithiasis, Obstructive Jaundice
When Green is Held Up – Yellow Ensues
17083c02.3kb04.8s 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Choledocholithiasis, High Fever, Sepsis
When Green Gets Held Up for Too Long Red Ensues
17083c02.3kb03.8s01 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Zuchini (Italian) Gallbladder
76764c.81s elderly female gallbladder elongated sausage shape zuchini shape transverse dimension 4.5 cms longitudinal dimension 12.5cms aging gallbladder vs enlarged? food in the body CTscan Courtesy Ashley DAvidoff MD Davidoff art Davidoff photography copyright 2008
Character of Bile
Yellow/Green Color of Bile
04766b05b04.32k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
A Little More Concentrated
04766b05b04.31k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.35k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.36k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Fiery Flamenco Dance
82595.8s gallbladder bile duct inflammation flamenco dance fiery fire acute calculous cholecystitis Courtesy Ashley Davidoff MD copyright 2008
Galen’s Concept of the Organs and their Faculties
Heat plays a central role part in the theory of Galen. The three ?faculties? of the body are the nutritive, vital and logical faculties. The nutritive faculty is related to the stomach which “cooks” the food and converts it into chyle. The chyle is transported to the liver by the portal vein. In the liver further heat converts the food into blood and adds natural spirit. Some of the blood is transported via the veins to the heart where more heat is added to create vital spirit. The blood becomes thinner is distributed to the body by the arteries giving warmth and enables growth. The vital spirit is measured through the pulse. The brain adds psychic pneuma, which provides the rational and logical faculty in the form of thought will and choice. These are distributed to the body via the nerves. The logical faculty reigns supreme and is followed in orderof importance by the vital and nutrtive faculties. The transport systems of the body include the nerves which transmit the logical faculty, the arteries which transport the vital spirit, and the veins which transport the blood with nutritive faculty from the liver. Galen faculties of the body nutrition portal vein stomach liver vein heart vital faculty pneuma lungs brain logical faculty animal spirits Davidoff art Copyright 2008 13169c18b01.8s
Witchdoctor – Sangoma
Gallbladders in Headress
The Zulu witchdoctors (Sangomas) of South Africa have a special repect for the gallbladder which they believe has special powers. It has the the same shape as the uterus and they have been interpreted as givers and receivers of life. The sangoma weras a headress that contains the dried gallbladders of goats. This image is dedicated to the Sangomas of South Africa, country of my birth. The whole image has been recreated by repetitive use of a gallbladder mount as seen below.
00139c25.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor gallbladders in the headress Davidoff art copyright 2008
The Gallbladder and the Witchdoctor
Giver and Receiver of Life
00139c20b.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor Davidoff art copyright 2008
Face of a Sangoma in Training
00139c15.9s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask Davidoff art copyright 2008
Gallbladder and Lime
04699b13.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Liver with Jello Consistency
24719 liver gallbladder + fx normal + anatomy + drawing
Gallbladder Flower
11906e03.8s gallbladder histology mucosa normal Davidoff art copyright 2008
Acute Cholecystitis
Clogged Drain
04766b08.8s gallbladder stones cholelithiasis acute cholecystitis distended enlarged bile ducts Davidoff art copyright 2008
Gallbladder Stones
Green Pepper, Bananas and Seeds
00404b01.800 gallbladder gallstones cystic duct cholelithiasis greenpepper banana Davidoff Art Davidoff MD
Cholelithiais
Environmental Effects
00404 W 2 gallbladder stones bananas greenpepper seeds cholelithiasis cystic duct art Courtesy Ashley Davidoff MD Davidoff art
Mardi Gras Liver and Connections
Gallbladder Dressed in Pink
42646b03 liver histology gallbladder bile duct normal anatomy histology Davidoff art copyright 2008
Strawberry Gallbladder
04761.800 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art
Endoderm of the Foregut
The Beginning of the Biliary System
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b01.8s
Embryology of the Liver Bile Ducts, Gallbladder and Pancreas
The Beginning of the Biliary System in Color
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b08.8s
Undersurface of the Liver
Gallbladder is the Middle of it All
82220b01.2k02.8s liver gallbladder porta hepatis hepatic artery portal vein IVC inferior vena cava falciform ligament ligamentum teres bare area of the liver left lobe segment IV segment I caudate lobe quadrate lobe gastrohepatic ligament right lobe hepatic Davidoff art copyright 2008
Histopathology of a Gallstone in Blue
This is a medium ?power photomicrograph of a tiny gallstone which was present in a gallbladder and was included in the microscopic section of that gallbladder. The yellow color is the natural color of the stone, and there appears to be some linear or crystalline structure. Only the gallstone is present in the picture, no gallbladder tissue can be seen.
gallbladder dx cholelithiasis histology histopathology Courtesy Barbara Banner MD 11921.8b05bs
Minerals of a Gallstone – Artistic Rendition
11921.8b05b04.8s gallstones cholelithiasis stone Davidoff Art copyright 2008
Large Cholesterol Stone Forming in Bile
11921.8b05b09.8s large gallstone cholesterol gallbladder cholelithiasis stone Davidoff Art copyright 2008
Strawberry Gallbladder
04776b02 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art Davidoff
Out of Shape
00139c06.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape Davidoff art copyright 2008
Small Pigmented Stones Lying Dependantly in the Gallbladder
3 Drops in the Depths of the Bile Ocean
11921.8b05b018.8s gallbladder cystic duct gallstones cholelithiasis Davidoff Art copyright 2008
Stone Impacted in the Cystic Duct Causing Obstruction
This Little Stone Ventured to Market and Two Little Stones Stayed Home
One Little Stone Got Trapped…
11921.8b05b019.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged Davidoff Art copyright 2008
Inflammation of the Gallbladder Wall
One Little Stone Got Trapped…And Nobody Lived Happily Forever After.
11921.8b05b020.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall acute cholecytitis Davidoff Art copyright 2008
Complex Fluid in the Gallbladder Fossa
And The Situation Got Worse…
11921.8b05b031.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis Davidoff Art copyright 2008
Cholecystitis Complicated by Abscess Formation in the Gallbladder Fossa
…and Worse…
11921.8b05b037.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis abscess formation Davidoff Art copyright 2008
Thin Sludge
No Stimulation and No Excercise .. The Plot Thickens..
11921.8b05b039.8s gallbladder distended enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis Davidoff art copyright 2008
Tumefactive Bile
…..and Thickens and The Story Becomes Bleeker and Blacker
11921.8b05b043..8sb01 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis Davidoff art copyright 2008
Acalculous Cholecystitis Crankcase Oil
…And Bleeker and Blacker Adding a Hint of Red and Fire
11921.8b05b043.8s gallbladder distended tumefactive bile thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis inflammation acalculous cholecystitis Davidoff art copyright 2008
Wall Rupture
Integrity Is Lost…
11921.8b05b043..8kb03 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Wall Rupture Focal Peritonitis
Svere Local Reaction to the Vile Bile Which Has Escaped
11921.8b05b043.8b05s gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Rupture with Diffuse Bile Peritonitis
The Fire Spreads Like Wildfire … Vile Bile on the loose
11921.8b05b046.8b05 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation and bile peritonitis Davidoff art copyright 2008
Ductal Systems
Calm and Colorful on a Summer Day
22391 R W3 liver duodenum pancreas pancreatic duct bile duct gallbladder normal anatomy drawing Davidoff art
Foregut
Connections All Intact
41774 liver bile duct gallbladder pancreas spleen splenic vein splenic artery portal vein hepatic artery fx normal anatomy drawing art Courtesy Ashley Davidoff MD Davidoff art
Gallbladder Cancer and Stones
11528b.8 gallbladder food in the body green pepper cancer carcinoma gall stones cholelithiasis Davidoff art Davidoff photography copyright
Gallbladder and Lemon
04699b14.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Hyperplastic Cholecystoses
04699b10.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at Christmas
04699b11.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at the Beach
04699b12.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
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Art of the Gallbladder
The Common Vein Copyright 2008
Gallbladder
04766b04.800 gallbladder bile duct cystic duct common hepatic duct common bile duct normal anatomy applied biology TCV Davidoff art Davidoff MD
Gallbladder in Blue
17082b06b01.8s gallbladder still life pear in blue MRI T1 weighted distended gallbladder choledocholithiaisis Courtesy Ashley Davidoff MD copyright 2008
Gallbladder in Red
17082b06b01.8s gallbladder still life pear in blue MRI T1 weighted distended gallbladder choledocholithiaisis Courtesy Ashley Davidoff MD copyright 2008
Obstructive Jaundice – In the Wrong Place at the Wrong Time
17082b04.8s gallbladder distended enlarged dilated cystic duct stone choledocholithiasis obstruction obstructed MRI T2 weighted Courtesy Ashley DAvidoff MD copyright
VAlves of Heister and the Archimedes Waterscrew
82656b20.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Valves of Heister and the Archimedes Waterscrew
82656b23.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Valves of Heister and the Archimedes Waterscrew
82656b15.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Blood Supply
78240b8b01gs gastroduodenal artery stent placement hepatic artery proper right hepatic artery cystic artery blood supply gallbladder anatomy angiogram angiography Davidoff ART Copyright 2008
Structures of the Biliary System
04766b05b02.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Gracile and Graceful Shapes of the Biliary System
04766b05b04.3k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Parts of the Gallbladder
04766b05b10.2k.8s gallbladder parts fundus = dark green body = green neck = light green normal anatomy Davidoff Art Copyright 2008
Dusk
24761b01.202.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Dusk
24761b01.203.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Sunrise
24761b01.204.8S gallbladder night dark dusk sunset Degas sleeping Davidoff art copyright 2008
Summer Morning
24761b01.205.8S gallbladder morning spring summer Degas sleeping Davidoff art copyright 2008
Putting the GAllbladder to Bed Peritoneal Covering
04766b05b04.52k.8s gallbladder support protection peritoneum bare area gallbladder fossa normal anatomy gastrohepatic ligament peritoneum serosal surface adventitial surface Davidoff art copyright 2008
Winter
24761b01.209.8S gallbladder winter Degas sleeping Davidoff art copyright 2008
Red Hot!
24761b01.99.8s gallbladder inflammation red cholecystitis acalculous calculous hemorrhagic rubor hyperemia dolor calor Davidoff art Courtesy Ashley Davidoff MD copyright 2008
The Pear
Classical Gallbladder Shape
85370pb01.8s pear fruit food gallbladder shape Davidoff photography Davidoff art Copyright 2008
Tear Drop Shape of the Gallbladder
02504pb03 water droplets window glass teardrop shape Davidoff photography water
Phrygian Cap
11921.8b05b014b01.8s gallbladder shape normal anatomy phrygian cap Davidoff art Copyright 2008
Fold in the Fundus
Phrygian in Green
04487.84s.8s gallbladder fundus fundal fold fold normal variant anatomy shape cystic duct phrygian cap Davidoff art copyright 2008
Phrygians of Northern and Central Asia Minor 1000-2000BC
The phrygian cap is a common normal variant of gallbladder shape characterized a fundus that is folded forward. It was first described by Bartel in 1916. The Phrygians were a primitive race that migrated into northern and central Asia Minor in the second millenium BC. The Greeks knew of the cap as an Oriental headgear that was tight fitting and conical in shape and it has been depicted in their art. (Ober WB Wharton RN On the “phrygian cap.” 255:571-572 New England Journal of Medicine 1956 The cap was a symbol of freedom and the pursuit of liberty.The cap was worn by King Midas who was cursed with donkey ears by Apollo. He used the Phrygian cap to hide his ears. It was subsequently worn by the Trojan hero Paris, was a symbol of freedom in the French and American revolutions, was depicted on coinage in the US and on variety of seals and flags throughout the world.
82407b14.8s gallbladder Phrygian cap freedom liberty shape symbol Davidoff art Copyright 2008
Choledocholithiasis, Obstructive Jaundice
When Green is Held Up – Yellow Ensues
17083c02.3kb04.8s 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Choledocholithiasis, High Fever, Sepsis
When Green Gets Held Up for Too Long Red Ensues
17083c02.3kb03.8s01 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Zuchini (Italian) Gallbladder
76764c.81s elderly female gallbladder elongated sausage shape zuchini shape transverse dimension 4.5 cms longitudinal dimension 12.5cms aging gallbladder vs enlarged? food in the body CTscan Courtesy Ashley DAvidoff MD Davidoff art Davidoff photography copyright 2008
Character of Bile
Yellow/Green Color of Bile
04766b05b04.32k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
A Little More Concentrated
04766b05b04.31k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.35k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.36k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Fiery Flamenco Dance
82595.8s gallbladder bile duct inflammation flamenco dance fiery fire acute calculous cholecystitis Courtesy Ashley Davidoff MD copyright 2008
Galen’s Concept of the Organs and their Faculties
Heat plays a central role part in the theory of Galen. The three ?faculties? of the body are the nutritive, vital and logical faculties. The nutritive faculty is related to the stomach which “cooks” the food and converts it into chyle. The chyle is transported to the liver by the portal vein. In the liver further heat converts the food into blood and adds natural spirit. Some of the blood is transported via the veins to the heart where more heat is added to create vital spirit. The blood becomes thinner is distributed to the body by the arteries giving warmth and enables growth. The vital spirit is measured through the pulse. The brain adds psychic pneuma, which provides the rational and logical faculty in the form of thought will and choice. These are distributed to the body via the nerves. The logical faculty reigns supreme and is followed in orderof importance by the vital and nutrtive faculties. The transport systems of the body include the nerves which transmit the logical faculty, the arteries which transport the vital spirit, and the veins which transport the blood with nutritive faculty from the liver. Galen faculties of the body nutrition portal vein stomach liver vein heart vital faculty pneuma lungs brain logical faculty animal spirits Davidoff art Copyright 2008 13169c18b01.8s
Witchdoctor – Sangoma
Gallbladders in Headress
The Zulu witchdoctors (Sangomas) of South Africa have a special repect for the gallbladder which they believe has special powers. It has the the same shape as the uterus and they have been interpreted as givers and receivers of life. The sangoma weras a headress that contains the dried gallbladders of goats. This image is dedicated to the Sangomas of South Africa, country of my birth. The whole image has been recreated by repetitive use of a gallbladder mount as seen below.
00139c25.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor gallbladders in the headress Davidoff art copyright 2008
The Gallbladder and the Witchdoctor
Giver and Receiver of Life
00139c20b.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor Davidoff art copyright 2008
Face of a Sangoma in Training
00139c15.9s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask Davidoff art copyright 2008
Gallbladder and Lime
04699b13.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Liver with Jello Consistency
24719 liver gallbladder + fx normal + anatomy + drawing
Gallbladder Flower
11906e03.8s gallbladder histology mucosa normal Davidoff art copyright 2008
Acute Cholecystitis
Clogged Drain
04766b08.8s gallbladder stones cholelithiasis acute cholecystitis distended enlarged bile ducts Davidoff art copyright 2008
Gallbladder Stones
Green Pepper, Bananas and Seeds
00404b01.800 gallbladder gallstones cystic duct cholelithiasis greenpepper banana Davidoff Art Davidoff MD
Cholelithiais
Environmental Effects
00404 W 2 gallbladder stones bananas greenpepper seeds cholelithiasis cystic duct art Courtesy Ashley Davidoff MD Davidoff art
Mardi Gras Liver and Connections
Gallbladder Dressed in Pink
42646b03 liver histology gallbladder bile duct normal anatomy histology Davidoff art copyright 2008
Strawberry Gallbladder
04761.800 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art
Endoderm of the Foregut
The Beginning of the Biliary System
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b01.8s
Embryology of the Liver Bile Ducts, Gallbladder and Pancreas
The Beginning of the Biliary System in Color
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b08.8s
Undersurface of the Liver
Gallbladder is the Middle of it All
82220b01.2k02.8s liver gallbladder porta hepatis hepatic artery portal vein IVC inferior vena cava falciform ligament ligamentum teres bare area of the liver left lobe segment IV segment I caudate lobe quadrate lobe gastrohepatic ligament right lobe hepatic Davidoff art copyright 2008
Histopathology of a Gallstone in Blue
This is a medium ?power photomicrograph of a tiny gallstone which was present in a gallbladder and was included in the microscopic section of that gallbladder. The yellow color is the natural color of the stone, and there appears to be some linear or crystalline structure. Only the gallstone is present in the picture, no gallbladder tissue can be seen.
gallbladder dx cholelithiasis histology histopathology Courtesy Barbara Banner MD 11921.8b05bs
Minerals of a Gallstone – Artistic Rendition
11921.8b05b04.8s gallstones cholelithiasis stone Davidoff Art copyright 2008
Large Cholesterol Stone Forming in Bile
11921.8b05b09.8s large gallstone cholesterol gallbladder cholelithiasis stone Davidoff Art copyright 2008
Strawberry Gallbladder
04776b02 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art Davidoff
Out of Shape
00139c06.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape Davidoff art copyright 2008
Small Pigmented Stones Lying Dependantly in the Gallbladder
3 Drops in the Depths of the Bile Ocean
11921.8b05b018.8s gallbladder cystic duct gallstones cholelithiasis Davidoff Art copyright 2008
Stone Impacted in the Cystic Duct Causing Obstruction
This Little Stone Ventured to Market and Two Little Stones Stayed Home
One Little Stone Got Trapped…
11921.8b05b019.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged Davidoff Art copyright 2008
Inflammation of the Gallbladder Wall
One Little Stone Got Trapped…And Nobody Lived Happily Forever After.
11921.8b05b020.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall acute cholecytitis Davidoff Art copyright 2008
Complex Fluid in the Gallbladder Fossa
And The Situation Got Worse…
11921.8b05b031.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis Davidoff Art copyright 2008
Cholecystitis Complicated by Abscess Formation in the Gallbladder Fossa
…and Worse…
11921.8b05b037.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis abscess formation Davidoff Art copyright 2008
Thin Sludge
No Stimulation and No Excercise .. The Plot Thickens..
11921.8b05b039.8s gallbladder distended enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis Davidoff art copyright 2008
Tumefactive Bile
…..and Thickens and The Story Becomes Bleeker and Blacker
11921.8b05b043..8sb01 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis Davidoff art copyright 2008
Acalculous Cholecystitis Crankcase Oil
…And Bleeker and Blacker Adding a Hint of Red and Fire
11921.8b05b043.8s gallbladder distended tumefactive bile thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis inflammation acalculous cholecystitis Davidoff art copyright 2008
Wall Rupture
Integrity Is Lost…
11921.8b05b043..8kb03 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Wall Rupture Focal Peritonitis
Svere Local Reaction to the Vile Bile Which Has Escaped
11921.8b05b043.8b05s gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Rupture with Diffuse Bile Peritonitis
The Fire Spreads Like Wildfire … Vile Bile on the loose
11921.8b05b046.8b05 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation and bile peritonitis Davidoff art copyright 2008
Ductal Systems
Calm and Colorful on a Summer Day
22391 R W3 liver duodenum pancreas pancreatic duct bile duct gallbladder normal anatomy drawing Davidoff art
Foregut
Connections All Intact
41774 liver bile duct gallbladder pancreas spleen splenic vein splenic artery portal vein hepatic artery fx normal anatomy drawing art Courtesy Ashley Davidoff MD Davidoff art
Gallbladder Cancer and Stones
11528b.8 gallbladder food in the body green pepper cancer carcinoma gall stones cholelithiasis Davidoff art Davidoff photography copyright
Gallbladder and Lemon
04699b14.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Hyperplastic Cholecystoses
04699b10.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at Christmas
04699b11.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at the Beach
04699b12.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
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Art of the Gallbladder
The Common Vein Copyright 2008
Gallbladder
04766b04.800 gallbladder bile duct cystic duct common hepatic duct common bile duct normal anatomy applied biology TCV Davidoff art Davidoff MD
Gallbladder in Blue
17082b06b01.8s gallbladder still life pear in blue MRI T1 weighted distended gallbladder choledocholithiaisis Courtesy Ashley Davidoff MD copyright 2008
Gallbladder in Red
17082b06b01.8s gallbladder still life pear in blue MRI T1 weighted distended gallbladder choledocholithiaisis Courtesy Ashley Davidoff MD copyright 2008
Obstructive Jaundice – In the Wrong Place at the Wrong Time
17082b04.8s gallbladder distended enlarged dilated cystic duct stone choledocholithiasis obstruction obstructed MRI T2 weighted Courtesy Ashley DAvidoff MD copyright
VAlves of Heister and the Archimedes Waterscrew
82656b20.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Valves of Heister and the Archimedes Waterscrew
82656b23.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Valves of Heister and the Archimedes Waterscrew
82656b15.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Blood Supply
78240b8b01gs gastroduodenal artery stent placement hepatic artery proper right hepatic artery cystic artery blood supply gallbladder anatomy angiogram angiography Davidoff ART Copyright 2008
Structures of the Biliary System
04766b05b02.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Gracile and Graceful Shapes of the Biliary System
04766b05b04.3k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Parts of the Gallbladder
04766b05b10.2k.8s gallbladder parts fundus = dark green body = green neck = light green normal anatomy Davidoff Art Copyright 2008
Dusk
24761b01.202.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Dusk
24761b01.203.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Sunrise
24761b01.204.8S gallbladder night dark dusk sunset Degas sleeping Davidoff art copyright 2008
Summer Morning
24761b01.205.8S gallbladder morning spring summer Degas sleeping Davidoff art copyright 2008
Putting the GAllbladder to Bed Peritoneal Covering
04766b05b04.52k.8s gallbladder support protection peritoneum bare area gallbladder fossa normal anatomy gastrohepatic ligament peritoneum serosal surface adventitial surface Davidoff art copyright 2008
Winter
24761b01.209.8S gallbladder winter Degas sleeping Davidoff art copyright 2008
Red Hot!
24761b01.99.8s gallbladder inflammation red cholecystitis acalculous calculous hemorrhagic rubor hyperemia dolor calor Davidoff art Courtesy Ashley Davidoff MD copyright 2008
The Pear
Classical Gallbladder Shape
85370pb01.8s pear fruit food gallbladder shape Davidoff photography Davidoff art Copyright 2008
Tear Drop Shape of the Gallbladder
02504pb03 water droplets window glass teardrop shape Davidoff photography water
Phrygian Cap
11921.8b05b014b01.8s gallbladder shape normal anatomy phrygian cap Davidoff art Copyright 2008
Fold in the Fundus
Phrygian in Green
04487.84s.8s gallbladder fundus fundal fold fold normal variant anatomy shape cystic duct phrygian cap Davidoff art copyright 2008
Phrygians of Northern and Central Asia Minor 1000-2000BC
The phrygian cap is a common normal variant of gallbladder shape characterized a fundus that is folded forward. It was first described by Bartel in 1916. The Phrygians were a primitive race that migrated into northern and central Asia Minor in the second millenium BC. The Greeks knew of the cap as an Oriental headgear that was tight fitting and conical in shape and it has been depicted in their art. (Ober WB Wharton RN On the “phrygian cap.” 255:571-572 New England Journal of Medicine 1956 The cap was a symbol of freedom and the pursuit of liberty.The cap was worn by King Midas who was cursed with donkey ears by Apollo. He used the Phrygian cap to hide his ears. It was subsequently worn by the Trojan hero Paris, was a symbol of freedom in the French and American revolutions, was depicted on coinage in the US and on variety of seals and flags throughout the world.
82407b14.8s gallbladder Phrygian cap freedom liberty shape symbol Davidoff art Copyright 2008
Choledocholithiasis, Obstructive Jaundice
When Green is Held Up – Yellow Ensues
17083c02.3kb04.8s 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Choledocholithiasis, High Fever, Sepsis
When Green Gets Held Up for Too Long Red Ensues
17083c02.3kb03.8s01 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Zuchini (Italian) Gallbladder
76764c.81s elderly female gallbladder elongated sausage shape zuchini shape transverse dimension 4.5 cms longitudinal dimension 12.5cms aging gallbladder vs enlarged? food in the body CTscan Courtesy Ashley DAvidoff MD Davidoff art Davidoff photography copyright 2008
Character of Bile
Yellow/Green Color of Bile
04766b05b04.32k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
A Little More Concentrated
04766b05b04.31k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.35k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.36k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Fiery Flamenco Dance
82595.8s gallbladder bile duct inflammation flamenco dance fiery fire acute calculous cholecystitis Courtesy Ashley Davidoff MD copyright 2008
Galen’s Concept of the Organs and their Faculties
Heat plays a central role part in the theory of Galen. The three ?faculties? of the body are the nutritive, vital and logical faculties. The nutritive faculty is related to the stomach which “cooks” the food and converts it into chyle. The chyle is transported to the liver by the portal vein. In the liver further heat converts the food into blood and adds natural spirit. Some of the blood is transported via the veins to the heart where more heat is added to create vital spirit. The blood becomes thinner is distributed to the body by the arteries giving warmth and enables growth. The vital spirit is measured through the pulse. The brain adds psychic pneuma, which provides the rational and logical faculty in the form of thought will and choice. These are distributed to the body via the nerves. The logical faculty reigns supreme and is followed in orderof importance by the vital and nutrtive faculties. The transport systems of the body include the nerves which transmit the logical faculty, the arteries which transport the vital spirit, and the veins which transport the blood with nutritive faculty from the liver. Galen faculties of the body nutrition portal vein stomach liver vein heart vital faculty pneuma lungs brain logical faculty animal spirits Davidoff art Copyright 2008 13169c18b01.8s
Witchdoctor – Sangoma
Gallbladders in Headress
The Zulu witchdoctors (Sangomas) of South Africa have a special repect for the gallbladder which they believe has special powers. It has the the same shape as the uterus and they have been interpreted as givers and receivers of life. The sangoma weras a headress that contains the dried gallbladders of goats. This image is dedicated to the Sangomas of South Africa, country of my birth. The whole image has been recreated by repetitive use of a gallbladder mount as seen below.
00139c25.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor gallbladders in the headress Davidoff art copyright 2008
The Gallbladder and the Witchdoctor
Giver and Receiver of Life
00139c20b.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor Davidoff art copyright 2008
Face of a Sangoma in Training
00139c15.9s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask Davidoff art copyright 2008
Gallbladder and Lime
04699b13.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Liver with Jello Consistency
24719 liver gallbladder + fx normal + anatomy + drawing
Gallbladder Flower
11906e03.8s gallbladder histology mucosa normal Davidoff art copyright 2008
Acute Cholecystitis
Clogged Drain
04766b08.8s gallbladder stones cholelithiasis acute cholecystitis distended enlarged bile ducts Davidoff art copyright 2008
Gallbladder Stones
Green Pepper, Bananas and Seeds
00404b01.800 gallbladder gallstones cystic duct cholelithiasis greenpepper banana Davidoff Art Davidoff MD
Cholelithiais
Environmental Effects
00404 W 2 gallbladder stones bananas greenpepper seeds cholelithiasis cystic duct art Courtesy Ashley Davidoff MD Davidoff art
Mardi Gras Liver and Connections
Gallbladder Dressed in Pink
42646b03 liver histology gallbladder bile duct normal anatomy histology Davidoff art copyright 2008
Strawberry Gallbladder
04761.800 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art
Endoderm of the Foregut
The Beginning of the Biliary System
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b01.8s
Embryology of the Liver Bile Ducts, Gallbladder and Pancreas
The Beginning of the Biliary System in Color
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b08.8s
Undersurface of the Liver
Gallbladder is the Middle of it All
82220b01.2k02.8s liver gallbladder porta hepatis hepatic artery portal vein IVC inferior vena cava falciform ligament ligamentum teres bare area of the liver left lobe segment IV segment I caudate lobe quadrate lobe gastrohepatic ligament right lobe hepatic Davidoff art copyright 2008
Histopathology of a Gallstone in Blue
This is a medium ?power photomicrograph of a tiny gallstone which was present in a gallbladder and was included in the microscopic section of that gallbladder. The yellow color is the natural color of the stone, and there appears to be some linear or crystalline structure. Only the gallstone is present in the picture, no gallbladder tissue can be seen.
gallbladder dx cholelithiasis histology histopathology Courtesy Barbara Banner MD 11921.8b05bs
Minerals of a Gallstone – Artistic Rendition
11921.8b05b04.8s gallstones cholelithiasis stone Davidoff Art copyright 2008
Large Cholesterol Stone Forming in Bile
11921.8b05b09.8s large gallstone cholesterol gallbladder cholelithiasis stone Davidoff Art copyright 2008
Strawberry Gallbladder
04776b02 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art Davidoff
Out of Shape
00139c06.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape Davidoff art copyright 2008
Small Pigmented Stones Lying Dependantly in the Gallbladder
3 Drops in the Depths of the Bile Ocean
11921.8b05b018.8s gallbladder cystic duct gallstones cholelithiasis Davidoff Art copyright 2008
Stone Impacted in the Cystic Duct Causing Obstruction
This Little Stone Ventured to Market and Two Little Stones Stayed Home
One Little Stone Got Trapped…
11921.8b05b019.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged Davidoff Art copyright 2008
Inflammation of the Gallbladder Wall
One Little Stone Got Trapped…And Nobody Lived Happily Forever After.
11921.8b05b020.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall acute cholecytitis Davidoff Art copyright 2008
Complex Fluid in the Gallbladder Fossa
And The Situation Got Worse…
11921.8b05b031.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis Davidoff Art copyright 2008
Cholecystitis Complicated by Abscess Formation in the Gallbladder Fossa
…and Worse…
11921.8b05b037.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis abscess formation Davidoff Art copyright 2008
Thin Sludge
No Stimulation and No Excercise .. The Plot Thickens..
11921.8b05b039.8s gallbladder distended enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis Davidoff art copyright 2008
Tumefactive Bile
…..and Thickens and The Story Becomes Bleeker and Blacker
11921.8b05b043..8sb01 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis Davidoff art copyright 2008
Acalculous Cholecystitis Crankcase Oil
…And Bleeker and Blacker Adding a Hint of Red and Fire
11921.8b05b043.8s gallbladder distended tumefactive bile thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis inflammation acalculous cholecystitis Davidoff art copyright 2008
Wall Rupture
Integrity Is Lost…
11921.8b05b043..8kb03 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Wall Rupture Focal Peritonitis
Svere Local Reaction to the Vile Bile Which Has Escaped
11921.8b05b043.8b05s gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Rupture with Diffuse Bile Peritonitis
The Fire Spreads Like Wildfire … Vile Bile on the loose
11921.8b05b046.8b05 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation and bile peritonitis Davidoff art copyright 2008
Ductal Systems
Calm and Colorful on a Summer Day
22391 R W3 liver duodenum pancreas pancreatic duct bile duct gallbladder normal anatomy drawing Davidoff art
Foregut
Connections All Intact
41774 liver bile duct gallbladder pancreas spleen splenic vein splenic artery portal vein hepatic artery fx normal anatomy drawing art Courtesy Ashley Davidoff MD Davidoff art
Gallbladder Cancer and Stones
11528b.8 gallbladder food in the body green pepper cancer carcinoma gall stones cholelithiasis Davidoff art Davidoff photography copyright
Gallbladder and Lemon
04699b14.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Hyperplastic Cholecystoses
04699b10.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at Christmas
04699b11.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at the Beach
04699b12.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
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The Zulu witchdoctors (Sangomas) of South Africa have a special repect for the gallbladder which they believe has special powers. It has the the same shape as the uterus and they have been interpreted as givers and receivers of life. The sangoma weras a headress that contains the dried gallbladders of goats. This image is dedicated to the Sangomas of South Africa, country of my birth. The whole image has been recreated by repetitive use of a gallbladder mount as seen below.
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The phrygian cap is a common normal variant of gallbladder shape characterized a fundus that is folded forward. It was first described by Bartel in 1916. The Phrygians were a primitive race that migrated into northern and central Asia Minor in the second millenium BC. The Greeks knew of the cap as an Oriental headgear that was tight fitting and conical in shape and it has been depicted in their art. (Ober WB Wharton RN On the “phrygian cap.” 255:571-572 New England Journal of Medicine 1956 The cap was a symbol of freedom and the pursuit of liberty.The cap was worn by King Midas who was cursed with donkey ears by Apollo. He used the Phrygian cap to hide his ears. It was subsequently worn by the Trojan hero Paris, was a symbol of freedom in the French and American revolutions, was depicted on coinage in the US and on variety of seals and flags throughout the world.
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The phrygian cap is a common normal variant of gallbladder shape characterized a fundus that is folded forward. It was first described by Bartel in 1916. The Phrygians were a primitive race that migrated into northern and central Asia Minor in the second millenium BC. The Greeks knew of the cap as an Oriental headgear that was tight fitting and conical in shape and it has been depicted in their art. (Ober WB Wharton RN On the “phrygian cap.” 255:571-572 New England Journal of Medicine 1956 The cap was a symbol of freedom and the pursuit of liberty.The cap was worn by King Midas who was cursed with donkey ears by Apollo. He used the Phrygian cap to hide his ears. It was subsequently worn by the Trojan hero Paris, was a symbol of freedom in the French and American revolutions, was depicted on coinage in the US and on variety of seals and flags throughout the world.
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Structures of the Biliary System
04766b05b02.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Gracile and Graceful Shapes of the Biliary System
04766b05b04.3k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Parts of the Gallbladder
04766b05b10.2k.8s gallbladder parts fundus = dark green body = green neck = light green normal anatomy Davidoff Art Copyright 2008
Dusk
24761b01.202.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Dusk
24761b01.203.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Sunrise
24761b01.204.8S gallbladder night dark dusk sunset Degas sleeping Davidoff art copyright 2008
Summer Morning
24761b01.205.8S gallbladder morning spring summer Degas sleeping Davidoff art copyright 2008
Putting the GAllbladder to Bed Peritoneal Covering
04766b05b04.52k.8s gallbladder support protection peritoneum bare area gallbladder fossa normal anatomy gastrohepatic ligament peritoneum serosal surface adventitial surface Davidoff art copyright 2008
Winter
24761b01.209.8S gallbladder winter Degas sleeping Davidoff art copyright 2008
Red Hot!
24761b01.99.8s gallbladder inflammation red cholecystitis acalculous calculous hemorrhagic rubor hyperemia dolor calor Davidoff art Courtesy Ashley Davidoff MD copyright 2008
The Pear
Classical Gallbladder Shape
85370pb01.8s pear fruit food gallbladder shape Davidoff photography Davidoff art Copyright 2008
Tear Drop Shape of the Gallbladder
02504pb03 water droplets window glass teardrop shape Davidoff photography water
Phrygian Cap
11921.8b05b014b01.8s gallbladder shape normal anatomy phrygian cap Davidoff art Copyright 2008
Fold in the Fundus
Phrygian in Green
04487.84s.8s gallbladder fundus fundal fold fold normal variant anatomy shape cystic duct phrygian cap Davidoff art copyright 2008
Phrygians of Northern and Central Asia Minor 1000-2000BC
The phrygian cap is a common normal variant of gallbladder shape characterized a fundus that is folded forward. It was first described by Bartel in 1916. The Phrygians were a primitive race that migrated into northern and central Asia Minor in the second millenium BC. The Greeks knew of the cap as an Oriental headgear that was tight fitting and conical in shape and it has been depicted in their art. (Ober WB Wharton RN On the “phrygian cap.” 255:571-572 New England Journal of Medicine 1956 The cap was a symbol of freedom and the pursuit of liberty.The cap was worn by King Midas who was cursed with donkey ears by Apollo. He used the Phrygian cap to hide his ears. It was subsequently worn by the Trojan hero Paris, was a symbol of freedom in the French and American revolutions, was depicted on coinage in the US and on variety of seals and flags throughout the world.
82407b14.8s gallbladder Phrygian cap freedom liberty shape symbol Davidoff art Copyright 2008
Choledocholithiasis, Obstructive Jaundice
When Green is Held Up – Yellow Ensues
17083c02.3kb04.8s 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Choledocholithiasis, High Fever, Sepsis
When Green Gets Held Up for Too Long Red Ensues
17083c02.3kb03.8s01 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Zuchini (Italian) Gallbladder
76764c.81s elderly female gallbladder elongated sausage shape zuchini shape transverse dimension 4.5 cms longitudinal dimension 12.5cms aging gallbladder vs enlarged? food in the body CTscan Courtesy Ashley DAvidoff MD Davidoff art Davidoff photography copyright 2008
Character of Bile
Yellow/Green Color of Bile
04766b05b04.32k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
A Little More Concentrated
04766b05b04.31k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.35k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.36k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Fiery Flamenco Dance
82595.8s gallbladder bile duct inflammation flamenco dance fiery fire acute calculous cholecystitis Courtesy Ashley Davidoff MD copyright 2008
Galen’s Concept of the Organs and their Faculties
Heat plays a central role part in the theory of Galen. The three ?faculties? of the body are the nutritive, vital and logical faculties. The nutritive faculty is related to the stomach which “cooks” the food and converts it into chyle. The chyle is transported to the liver by the portal vein. In the liver further heat converts the food into blood and adds natural spirit. Some of the blood is transported via the veins to the heart where more heat is added to create vital spirit. The blood becomes thinner is distributed to the body by the arteries giving warmth and enables growth. The vital spirit is measured through the pulse. The brain adds psychic pneuma, which provides the rational and logical faculty in the form of thought will and choice. These are distributed to the body via the nerves. The logical faculty reigns supreme and is followed in orderof importance by the vital and nutrtive faculties. The transport systems of the body include the nerves which transmit the logical faculty, the arteries which transport the vital spirit, and the veins which transport the blood with nutritive faculty from the liver. Galen faculties of the body nutrition portal vein stomach liver vein heart vital faculty pneuma lungs brain logical faculty animal spirits Davidoff art Copyright 2008 13169c18b01.8s
Witchdoctor – Sangoma
Gallbladders in Headress
The Zulu witchdoctors (Sangomas) of South Africa have a special repect for the gallbladder which they believe has special powers. It has the the same shape as the uterus and they have been interpreted as givers and receivers of life. The sangoma weras a headress that contains the dried gallbladders of goats. This image is dedicated to the Sangomas of South Africa, country of my birth. The whole image has been recreated by repetitive use of a gallbladder mount as seen below.
00139c25.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor gallbladders in the headress Davidoff art copyright 2008
The Gallbladder and the Witchdoctor
Giver and Receiver of Life
00139c20b.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor Davidoff art copyright 2008
Face of a Sangoma in Training
00139c15.9s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask Davidoff art copyright 2008
Gallbladder and Lime
04699b13.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Liver with Jello Consistency
24719 liver gallbladder + fx normal + anatomy + drawing
Gallbladder Flower
11906e03.8s gallbladder histology mucosa normal Davidoff art copyright 2008
Acute Cholecystitis
Clogged Drain
04766b08.8s gallbladder stones cholelithiasis acute cholecystitis distended enlarged bile ducts Davidoff art copyright 2008
Gallbladder Stones
Green Pepper, Bananas and Seeds
00404b01.800 gallbladder gallstones cystic duct cholelithiasis greenpepper banana Davidoff Art Davidoff MD
Cholelithiais
Environmental Effects
00404 W 2 gallbladder stones bananas greenpepper seeds cholelithiasis cystic duct art Courtesy Ashley Davidoff MD Davidoff art
Mardi Gras Liver and Connections
Gallbladder Dressed in Pink
42646b03 liver histology gallbladder bile duct normal anatomy histology Davidoff art copyright 2008
Strawberry Gallbladder
04761.800 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art
Endoderm of the Foregut
The Beginning of the Biliary System
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b01.8s
Embryology of the Liver Bile Ducts, Gallbladder and Pancreas
The Beginning of the Biliary System in Color
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b08.8s
Undersurface of the Liver
Gallbladder is the Middle of it All
82220b01.2k02.8s liver gallbladder porta hepatis hepatic artery portal vein IVC inferior vena cava falciform ligament ligamentum teres bare area of the liver left lobe segment IV segment I caudate lobe quadrate lobe gastrohepatic ligament right lobe hepatic Davidoff art copyright 2008
Histopathology of a Gallstone in Blue
This is a medium ?power photomicrograph of a tiny gallstone which was present in a gallbladder and was included in the microscopic section of that gallbladder. The yellow color is the natural color of the stone, and there appears to be some linear or crystalline structure. Only the gallstone is present in the picture, no gallbladder tissue can be seen.
gallbladder dx cholelithiasis histology histopathology Courtesy Barbara Banner MD 11921.8b05bs
Minerals of a Gallstone – Artistic Rendition
11921.8b05b04.8s gallstones cholelithiasis stone Davidoff Art copyright 2008
Large Cholesterol Stone Forming in Bile
11921.8b05b09.8s large gallstone cholesterol gallbladder cholelithiasis stone Davidoff Art copyright 2008
Strawberry Gallbladder
04776b02 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art Davidoff
Out of Shape
00139c06.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape Davidoff art copyright 2008
Small Pigmented Stones Lying Dependantly in the Gallbladder
3 Drops in the Depths of the Bile Ocean
11921.8b05b018.8s gallbladder cystic duct gallstones cholelithiasis Davidoff Art copyright 2008
Stone Impacted in the Cystic Duct Causing Obstruction
This Little Stone Ventured to Market and Two Little Stones Stayed Home
One Little Stone Got Trapped…
11921.8b05b019.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged Davidoff Art copyright 2008
Inflammation of the Gallbladder Wall
One Little Stone Got Trapped…And Nobody Lived Happily Forever After.
11921.8b05b020.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall acute cholecytitis Davidoff Art copyright 2008
Complex Fluid in the Gallbladder Fossa
And The Situation Got Worse…
11921.8b05b031.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis Davidoff Art copyright 2008
Cholecystitis Complicated by Abscess Formation in the Gallbladder Fossa
…and Worse…
11921.8b05b037.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis abscess formation Davidoff Art copyright 2008
Thin Sludge
No Stimulation and No Excercise .. The Plot Thickens..
11921.8b05b039.8s gallbladder distended enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis Davidoff art copyright 2008
Tumefactive Bile
…..and Thickens and The Story Becomes Bleeker and Blacker
11921.8b05b043..8sb01 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis Davidoff art copyright 2008
Acalculous Cholecystitis Crankcase Oil
…And Bleeker and Blacker Adding a Hint of Red and Fire
11921.8b05b043.8s gallbladder distended tumefactive bile thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis inflammation acalculous cholecystitis Davidoff art copyright 2008
Wall Rupture
Integrity Is Lost…
11921.8b05b043..8kb03 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Wall Rupture Focal Peritonitis
Svere Local Reaction to the Vile Bile Which Has Escaped
11921.8b05b043.8b05s gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Rupture with Diffuse Bile Peritonitis
The Fire Spreads Like Wildfire … Vile Bile on the loose
11921.8b05b046.8b05 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation and bile peritonitis Davidoff art copyright 2008
Ductal Systems
Calm and Colorful on a Summer Day
22391 R W3 liver duodenum pancreas pancreatic duct bile duct gallbladder normal anatomy drawing Davidoff art
Foregut
Connections All Intact
41774 liver bile duct gallbladder pancreas spleen splenic vein splenic artery portal vein hepatic artery fx normal anatomy drawing art Courtesy Ashley Davidoff MD Davidoff art
Gallbladder Cancer and Stones
11528b.8 gallbladder food in the body green pepper cancer carcinoma gall stones cholelithiasis Davidoff art Davidoff photography copyright
Gallbladder and Lemon
04699b14.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Hyperplastic Cholecystoses
04699b10.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at Christmas
04699b11.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at the Beach
04699b12.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
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Art of the Gallbladder
The Common Vein Copyright 2008
Gallbladder
04766b04.800 gallbladder bile duct cystic duct common hepatic duct common bile duct normal anatomy applied biology TCV Davidoff art Davidoff MD
Gallbladder in Blue
17082b06b01.8s gallbladder still life pear in blue MRI T1 weighted distended gallbladder choledocholithiaisis Courtesy Ashley Davidoff MD copyright 2008
Gallbladder in Red
17082b06b01.8s gallbladder still life pear in blue MRI T1 weighted distended gallbladder choledocholithiaisis Courtesy Ashley Davidoff MD copyright 2008
Obstructive Jaundice – In the Wrong Place at the Wrong Time
17082b04.8s gallbladder distended enlarged dilated cystic duct stone choledocholithiasis obstruction obstructed MRI T2 weighted Courtesy Ashley DAvidoff MD copyright
VAlves of Heister and the Archimedes Waterscrew
82656b20.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Valves of Heister and the Archimedes Waterscrew
82656b23.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Valves of Heister and the Archimedes Waterscrew
82656b15.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Blood Supply
78240b8b01gs gastroduodenal artery stent placement hepatic artery proper right hepatic artery cystic artery blood supply gallbladder anatomy angiogram angiography Davidoff ART Copyright 2008
Structures of the Biliary System
04766b05b02.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Gracile and Graceful Shapes of the Biliary System
04766b05b04.3k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Parts of the Gallbladder
04766b05b10.2k.8s gallbladder parts fundus = dark green body = green neck = light green normal anatomy Davidoff Art Copyright 2008
Dusk
24761b01.202.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Dusk
24761b01.203.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Sunrise
24761b01.204.8S gallbladder night dark dusk sunset Degas sleeping Davidoff art copyright 2008
Summer Morning
24761b01.205.8S gallbladder morning spring summer Degas sleeping Davidoff art copyright 2008
Putting the GAllbladder to Bed Peritoneal Covering
04766b05b04.52k.8s gallbladder support protection peritoneum bare area gallbladder fossa normal anatomy gastrohepatic ligament peritoneum serosal surface adventitial surface Davidoff art copyright 2008
Winter
24761b01.209.8S gallbladder winter Degas sleeping Davidoff art copyright 2008
Red Hot!
24761b01.99.8s gallbladder inflammation red cholecystitis acalculous calculous hemorrhagic rubor hyperemia dolor calor Davidoff art Courtesy Ashley Davidoff MD copyright 2008
The Pear
Classical Gallbladder Shape
85370pb01.8s pear fruit food gallbladder shape Davidoff photography Davidoff art Copyright 2008
Tear Drop Shape of the Gallbladder
02504pb03 water droplets window glass teardrop shape Davidoff photography water
Phrygian Cap
11921.8b05b014b01.8s gallbladder shape normal anatomy phrygian cap Davidoff art Copyright 2008
Fold in the Fundus
Phrygian in Green
04487.84s.8s gallbladder fundus fundal fold fold normal variant anatomy shape cystic duct phrygian cap Davidoff art copyright 2008
Phrygians of Northern and Central Asia Minor 1000-2000BC
The phrygian cap is a common normal variant of gallbladder shape characterized a fundus that is folded forward. It was first described by Bartel in 1916. The Phrygians were a primitive race that migrated into northern and central Asia Minor in the second millenium BC. The Greeks knew of the cap as an Oriental headgear that was tight fitting and conical in shape and it has been depicted in their art. (Ober WB Wharton RN On the “phrygian cap.” 255:571-572 New England Journal of Medicine 1956 The cap was a symbol of freedom and the pursuit of liberty.The cap was worn by King Midas who was cursed with donkey ears by Apollo. He used the Phrygian cap to hide his ears. It was subsequently worn by the Trojan hero Paris, was a symbol of freedom in the French and American revolutions, was depicted on coinage in the US and on variety of seals and flags throughout the world.
82407b14.8s gallbladder Phrygian cap freedom liberty shape symbol Davidoff art Copyright 2008
Choledocholithiasis, Obstructive Jaundice
When Green is Held Up – Yellow Ensues
17083c02.3kb04.8s 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Choledocholithiasis, High Fever, Sepsis
When Green Gets Held Up for Too Long Red Ensues
17083c02.3kb03.8s01 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Zuchini (Italian) Gallbladder
76764c.81s elderly female gallbladder elongated sausage shape zuchini shape transverse dimension 4.5 cms longitudinal dimension 12.5cms aging gallbladder vs enlarged? food in the body CTscan Courtesy Ashley DAvidoff MD Davidoff art Davidoff photography copyright 2008
Character of Bile
Yellow/Green Color of Bile
04766b05b04.32k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
A Little More Concentrated
04766b05b04.31k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.35k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.36k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Fiery Flamenco Dance
82595.8s gallbladder bile duct inflammation flamenco dance fiery fire acute calculous cholecystitis Courtesy Ashley Davidoff MD copyright 2008
Galen’s Concept of the Organs and their Faculties
Heat plays a central role part in the theory of Galen. The three ?faculties? of the body are the nutritive, vital and logical faculties. The nutritive faculty is related to the stomach which “cooks” the food and converts it into chyle. The chyle is transported to the liver by the portal vein. In the liver further heat converts the food into blood and adds natural spirit. Some of the blood is transported via the veins to the heart where more heat is added to create vital spirit. The blood becomes thinner is distributed to the body by the arteries giving warmth and enables growth. The vital spirit is measured through the pulse. The brain adds psychic pneuma, which provides the rational and logical faculty in the form of thought will and choice. These are distributed to the body via the nerves. The logical faculty reigns supreme and is followed in orderof importance by the vital and nutrtive faculties. The transport systems of the body include the nerves which transmit the logical faculty, the arteries which transport the vital spirit, and the veins which transport the blood with nutritive faculty from the liver. Galen faculties of the body nutrition portal vein stomach liver vein heart vital faculty pneuma lungs brain logical faculty animal spirits Davidoff art Copyright 2008 13169c18b01.8s
Witchdoctor – Sangoma
Gallbladders in Headress
The Zulu witchdoctors (Sangomas) of South Africa have a special repect for the gallbladder which they believe has special powers. It has the the same shape as the uterus and they have been interpreted as givers and receivers of life. The sangoma weras a headress that contains the dried gallbladders of goats. This image is dedicated to the Sangomas of South Africa, country of my birth. The whole image has been recreated by repetitive use of a gallbladder mount as seen below.
00139c25.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor gallbladders in the headress Davidoff art copyright 2008
The Gallbladder and the Witchdoctor
Giver and Receiver of Life
00139c20b.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor Davidoff art copyright 2008
Face of a Sangoma in Training
00139c15.9s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask Davidoff art copyright 2008
Gallbladder and Lime
04699b13.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Liver with Jello Consistency
24719 liver gallbladder + fx normal + anatomy + drawing
Gallbladder Flower
11906e03.8s gallbladder histology mucosa normal Davidoff art copyright 2008
Acute Cholecystitis
Clogged Drain
04766b08.8s gallbladder stones cholelithiasis acute cholecystitis distended enlarged bile ducts Davidoff art copyright 2008
Gallbladder Stones
Green Pepper, Bananas and Seeds
00404b01.800 gallbladder gallstones cystic duct cholelithiasis greenpepper banana Davidoff Art Davidoff MD
Cholelithiais
Environmental Effects
00404 W 2 gallbladder stones bananas greenpepper seeds cholelithiasis cystic duct art Courtesy Ashley Davidoff MD Davidoff art
Mardi Gras Liver and Connections
Gallbladder Dressed in Pink
42646b03 liver histology gallbladder bile duct normal anatomy histology Davidoff art copyright 2008
Strawberry Gallbladder
04761.800 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art
Endoderm of the Foregut
The Beginning of the Biliary System
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b01.8s
Embryology of the Liver Bile Ducts, Gallbladder and Pancreas
The Beginning of the Biliary System in Color
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b08.8s
Undersurface of the Liver
Gallbladder is the Middle of it All
82220b01.2k02.8s liver gallbladder porta hepatis hepatic artery portal vein IVC inferior vena cava falciform ligament ligamentum teres bare area of the liver left lobe segment IV segment I caudate lobe quadrate lobe gastrohepatic ligament right lobe hepatic Davidoff art copyright 2008
Histopathology of a Gallstone in Blue
This is a medium ?power photomicrograph of a tiny gallstone which was present in a gallbladder and was included in the microscopic section of that gallbladder. The yellow color is the natural color of the stone, and there appears to be some linear or crystalline structure. Only the gallstone is present in the picture, no gallbladder tissue can be seen.
gallbladder dx cholelithiasis histology histopathology Courtesy Barbara Banner MD 11921.8b05bs
Minerals of a Gallstone – Artistic Rendition
11921.8b05b04.8s gallstones cholelithiasis stone Davidoff Art copyright 2008
Large Cholesterol Stone Forming in Bile
11921.8b05b09.8s large gallstone cholesterol gallbladder cholelithiasis stone Davidoff Art copyright 2008
Strawberry Gallbladder
04776b02 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art Davidoff
Out of Shape
00139c06.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape Davidoff art copyright 2008
Small Pigmented Stones Lying Dependantly in the Gallbladder
3 Drops in the Depths of the Bile Ocean
11921.8b05b018.8s gallbladder cystic duct gallstones cholelithiasis Davidoff Art copyright 2008
Stone Impacted in the Cystic Duct Causing Obstruction
This Little Stone Ventured to Market and Two Little Stones Stayed Home
One Little Stone Got Trapped…
11921.8b05b019.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged Davidoff Art copyright 2008
Inflammation of the Gallbladder Wall
One Little Stone Got Trapped…And Nobody Lived Happily Forever After.
11921.8b05b020.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall acute cholecytitis Davidoff Art copyright 2008
Complex Fluid in the Gallbladder Fossa
And The Situation Got Worse…
11921.8b05b031.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis Davidoff Art copyright 2008
Cholecystitis Complicated by Abscess Formation in the Gallbladder Fossa
…and Worse…
11921.8b05b037.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis abscess formation Davidoff Art copyright 2008
Thin Sludge
No Stimulation and No Excercise .. The Plot Thickens..
11921.8b05b039.8s gallbladder distended enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis Davidoff art copyright 2008
Tumefactive Bile
…..and Thickens and The Story Becomes Bleeker and Blacker
11921.8b05b043..8sb01 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis Davidoff art copyright 2008
Acalculous Cholecystitis Crankcase Oil
…And Bleeker and Blacker Adding a Hint of Red and Fire
11921.8b05b043.8s gallbladder distended tumefactive bile thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis inflammation acalculous cholecystitis Davidoff art copyright 2008
Wall Rupture
Integrity Is Lost…
11921.8b05b043..8kb03 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Wall Rupture Focal Peritonitis
Svere Local Reaction to the Vile Bile Which Has Escaped
11921.8b05b043.8b05s gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Rupture with Diffuse Bile Peritonitis
The Fire Spreads Like Wildfire … Vile Bile on the loose
11921.8b05b046.8b05 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation and bile peritonitis Davidoff art copyright 2008
Ductal Systems
Calm and Colorful on a Summer Day
22391 R W3 liver duodenum pancreas pancreatic duct bile duct gallbladder normal anatomy drawing Davidoff art
Foregut
Connections All Intact
41774 liver bile duct gallbladder pancreas spleen splenic vein splenic artery portal vein hepatic artery fx normal anatomy drawing art Courtesy Ashley Davidoff MD Davidoff art
Gallbladder Cancer and Stones
11528b.8 gallbladder food in the body green pepper cancer carcinoma gall stones cholelithiasis Davidoff art Davidoff photography copyright
Gallbladder and Lemon
04699b14.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Hyperplastic Cholecystoses
04699b10.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at Christmas
04699b11.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at the Beach
04699b12.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
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Art of the Gallbladder
The Common Vein Copyright 2008
Gallbladder
04766b04.800 gallbladder bile duct cystic duct common hepatic duct common bile duct normal anatomy applied biology TCV Davidoff art Davidoff MD
Gallbladder in Blue
17082b06b01.8s gallbladder still life pear in blue MRI T1 weighted distended gallbladder choledocholithiaisis Courtesy Ashley Davidoff MD copyright 2008
Gallbladder in Red
17082b06b01.8s gallbladder still life pear in blue MRI T1 weighted distended gallbladder choledocholithiaisis Courtesy Ashley Davidoff MD copyright 2008
Obstructive Jaundice – In the Wrong Place at the Wrong Time
17082b04.8s gallbladder distended enlarged dilated cystic duct stone choledocholithiasis obstruction obstructed MRI T2 weighted Courtesy Ashley DAvidoff MD copyright
VAlves of Heister and the Archimedes Waterscrew
82656b20.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Valves of Heister and the Archimedes Waterscrew
82656b23.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Valves of Heister and the Archimedes Waterscrew
82656b15.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Blood Supply
78240b8b01gs gastroduodenal artery stent placement hepatic artery proper right hepatic artery cystic artery blood supply gallbladder anatomy angiogram angiography Davidoff ART Copyright 2008
Structures of the Biliary System
04766b05b02.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Gracile and Graceful Shapes of the Biliary System
04766b05b04.3k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Parts of the Gallbladder
04766b05b10.2k.8s gallbladder parts fundus = dark green body = green neck = light green normal anatomy Davidoff Art Copyright 2008
Dusk
24761b01.202.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Dusk
24761b01.203.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Sunrise
24761b01.204.8S gallbladder night dark dusk sunset Degas sleeping Davidoff art copyright 2008
Summer Morning
24761b01.205.8S gallbladder morning spring summer Degas sleeping Davidoff art copyright 2008
Putting the GAllbladder to Bed Peritoneal Covering
04766b05b04.52k.8s gallbladder support protection peritoneum bare area gallbladder fossa normal anatomy gastrohepatic ligament peritoneum serosal surface adventitial surface Davidoff art copyright 2008
Winter
24761b01.209.8S gallbladder winter Degas sleeping Davidoff art copyright 2008
Red Hot!
24761b01.99.8s gallbladder inflammation red cholecystitis acalculous calculous hemorrhagic rubor hyperemia dolor calor Davidoff art Courtesy Ashley Davidoff MD copyright 2008
The Pear
Classical Gallbladder Shape
85370pb01.8s pear fruit food gallbladder shape Davidoff photography Davidoff art Copyright 2008
Tear Drop Shape of the Gallbladder
02504pb03 water droplets window glass teardrop shape Davidoff photography water
Phrygian Cap
11921.8b05b014b01.8s gallbladder shape normal anatomy phrygian cap Davidoff art Copyright 2008
Fold in the Fundus
Phrygian in Green
04487.84s.8s gallbladder fundus fundal fold fold normal variant anatomy shape cystic duct phrygian cap Davidoff art copyright 2008
Phrygians of Northern and Central Asia Minor 1000-2000BC
The phrygian cap is a common normal variant of gallbladder shape characterized a fundus that is folded forward. It was first described by Bartel in 1916. The Phrygians were a primitive race that migrated into northern and central Asia Minor in the second millenium BC. The Greeks knew of the cap as an Oriental headgear that was tight fitting and conical in shape and it has been depicted in their art. (Ober WB Wharton RN On the “phrygian cap.” 255:571-572 New England Journal of Medicine 1956 The cap was a symbol of freedom and the pursuit of liberty.The cap was worn by King Midas who was cursed with donkey ears by Apollo. He used the Phrygian cap to hide his ears. It was subsequently worn by the Trojan hero Paris, was a symbol of freedom in the French and American revolutions, was depicted on coinage in the US and on variety of seals and flags throughout the world.
82407b14.8s gallbladder Phrygian cap freedom liberty shape symbol Davidoff art Copyright 2008
Choledocholithiasis, Obstructive Jaundice
When Green is Held Up – Yellow Ensues
17083c02.3kb04.8s 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Choledocholithiasis, High Fever, Sepsis
When Green Gets Held Up for Too Long Red Ensues
17083c02.3kb03.8s01 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Zuchini (Italian) Gallbladder
76764c.81s elderly female gallbladder elongated sausage shape zuchini shape transverse dimension 4.5 cms longitudinal dimension 12.5cms aging gallbladder vs enlarged? food in the body CTscan Courtesy Ashley DAvidoff MD Davidoff art Davidoff photography copyright 2008
Character of Bile
Yellow/Green Color of Bile
04766b05b04.32k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
A Little More Concentrated
04766b05b04.31k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.35k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.36k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Fiery Flamenco Dance
82595.8s gallbladder bile duct inflammation flamenco dance fiery fire acute calculous cholecystitis Courtesy Ashley Davidoff MD copyright 2008
Galen’s Concept of the Organs and their Faculties
Heat plays a central role part in the theory of Galen. The three ?faculties? of the body are the nutritive, vital and logical faculties. The nutritive faculty is related to the stomach which “cooks” the food and converts it into chyle. The chyle is transported to the liver by the portal vein. In the liver further heat converts the food into blood and adds natural spirit. Some of the blood is transported via the veins to the heart where more heat is added to create vital spirit. The blood becomes thinner is distributed to the body by the arteries giving warmth and enables growth. The vital spirit is measured through the pulse. The brain adds psychic pneuma, which provides the rational and logical faculty in the form of thought will and choice. These are distributed to the body via the nerves. The logical faculty reigns supreme and is followed in orderof importance by the vital and nutrtive faculties. The transport systems of the body include the nerves which transmit the logical faculty, the arteries which transport the vital spirit, and the veins which transport the blood with nutritive faculty from the liver. Galen faculties of the body nutrition portal vein stomach liver vein heart vital faculty pneuma lungs brain logical faculty animal spirits Davidoff art Copyright 2008 13169c18b01.8s
Witchdoctor – Sangoma
Gallbladders in Headress
The Zulu witchdoctors (Sangomas) of South Africa have a special repect for the gallbladder which they believe has special powers. It has the the same shape as the uterus and they have been interpreted as givers and receivers of life. The sangoma weras a headress that contains the dried gallbladders of goats. This image is dedicated to the Sangomas of South Africa, country of my birth. The whole image has been recreated by repetitive use of a gallbladder mount as seen below.
00139c25.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor gallbladders in the headress Davidoff art copyright 2008
The Gallbladder and the Witchdoctor
Giver and Receiver of Life
00139c20b.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor Davidoff art copyright 2008
Face of a Sangoma in Training
00139c15.9s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask Davidoff art copyright 2008
Gallbladder and Lime
04699b13.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Liver with Jello Consistency
24719 liver gallbladder + fx normal + anatomy + drawing
Gallbladder Flower
11906e03.8s gallbladder histology mucosa normal Davidoff art copyright 2008
Acute Cholecystitis
Clogged Drain
04766b08.8s gallbladder stones cholelithiasis acute cholecystitis distended enlarged bile ducts Davidoff art copyright 2008
Gallbladder Stones
Green Pepper, Bananas and Seeds
00404b01.800 gallbladder gallstones cystic duct cholelithiasis greenpepper banana Davidoff Art Davidoff MD
Cholelithiais
Environmental Effects
00404 W 2 gallbladder stones bananas greenpepper seeds cholelithiasis cystic duct art Courtesy Ashley Davidoff MD Davidoff art
Mardi Gras Liver and Connections
Gallbladder Dressed in Pink
42646b03 liver histology gallbladder bile duct normal anatomy histology Davidoff art copyright 2008
Strawberry Gallbladder
04761.800 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art
Endoderm of the Foregut
The Beginning of the Biliary System
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b01.8s
Embryology of the Liver Bile Ducts, Gallbladder and Pancreas
The Beginning of the Biliary System in Color
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b08.8s
Undersurface of the Liver
Gallbladder is the Middle of it All
82220b01.2k02.8s liver gallbladder porta hepatis hepatic artery portal vein IVC inferior vena cava falciform ligament ligamentum teres bare area of the liver left lobe segment IV segment I caudate lobe quadrate lobe gastrohepatic ligament right lobe hepatic Davidoff art copyright 2008
Histopathology of a Gallstone in Blue
This is a medium ?power photomicrograph of a tiny gallstone which was present in a gallbladder and was included in the microscopic section of that gallbladder. The yellow color is the natural color of the stone, and there appears to be some linear or crystalline structure. Only the gallstone is present in the picture, no gallbladder tissue can be seen.
gallbladder dx cholelithiasis histology histopathology Courtesy Barbara Banner MD 11921.8b05bs
Minerals of a Gallstone – Artistic Rendition
11921.8b05b04.8s gallstones cholelithiasis stone Davidoff Art copyright 2008
Large Cholesterol Stone Forming in Bile
11921.8b05b09.8s large gallstone cholesterol gallbladder cholelithiasis stone Davidoff Art copyright 2008
Strawberry Gallbladder
04776b02 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art Davidoff
Out of Shape
00139c06.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape Davidoff art copyright 2008
Small Pigmented Stones Lying Dependantly in the Gallbladder
3 Drops in the Depths of the Bile Ocean
11921.8b05b018.8s gallbladder cystic duct gallstones cholelithiasis Davidoff Art copyright 2008
Stone Impacted in the Cystic Duct Causing Obstruction
This Little Stone Ventured to Market and Two Little Stones Stayed Home
One Little Stone Got Trapped…
11921.8b05b019.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged Davidoff Art copyright 2008
Inflammation of the Gallbladder Wall
One Little Stone Got Trapped…And Nobody Lived Happily Forever After.
11921.8b05b020.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall acute cholecytitis Davidoff Art copyright 2008
Complex Fluid in the Gallbladder Fossa
And The Situation Got Worse…
11921.8b05b031.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis Davidoff Art copyright 2008
Cholecystitis Complicated by Abscess Formation in the Gallbladder Fossa
…and Worse…
11921.8b05b037.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis abscess formation Davidoff Art copyright 2008
Thin Sludge
No Stimulation and No Excercise .. The Plot Thickens..
11921.8b05b039.8s gallbladder distended enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis Davidoff art copyright 2008
Tumefactive Bile
…..and Thickens and The Story Becomes Bleeker and Blacker
11921.8b05b043..8sb01 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis Davidoff art copyright 2008
Acalculous Cholecystitis Crankcase Oil
…And Bleeker and Blacker Adding a Hint of Red and Fire
11921.8b05b043.8s gallbladder distended tumefactive bile thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis inflammation acalculous cholecystitis Davidoff art copyright 2008
Wall Rupture
Integrity Is Lost…
11921.8b05b043..8kb03 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Wall Rupture Focal Peritonitis
Svere Local Reaction to the Vile Bile Which Has Escaped
11921.8b05b043.8b05s gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Rupture with Diffuse Bile Peritonitis
The Fire Spreads Like Wildfire … Vile Bile on the loose
11921.8b05b046.8b05 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation and bile peritonitis Davidoff art copyright 2008
Ductal Systems
Calm and Colorful on a Summer Day
22391 R W3 liver duodenum pancreas pancreatic duct bile duct gallbladder normal anatomy drawing Davidoff art
Foregut
Connections All Intact
41774 liver bile duct gallbladder pancreas spleen splenic vein splenic artery portal vein hepatic artery fx normal anatomy drawing art Courtesy Ashley Davidoff MD Davidoff art
Gallbladder Cancer and Stones
11528b.8 gallbladder food in the body green pepper cancer carcinoma gall stones cholelithiasis Davidoff art Davidoff photography copyright
Gallbladder and Lemon
04699b14.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Hyperplastic Cholecystoses
04699b10.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at Christmas
04699b11.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at the Beach
04699b12.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
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Art of the Gallbladder
The Common Vein Copyright 2008
Gallbladder
04766b04.800 gallbladder bile duct cystic duct common hepatic duct common bile duct normal anatomy applied biology TCV Davidoff art Davidoff MD
Gallbladder in Blue
17082b06b01.8s gallbladder still life pear in blue MRI T1 weighted distended gallbladder choledocholithiaisis Courtesy Ashley Davidoff MD copyright 2008
Gallbladder in Red
17082b06b01.8s gallbladder still life pear in blue MRI T1 weighted distended gallbladder choledocholithiaisis Courtesy Ashley Davidoff MD copyright 2008
Obstructive Jaundice – In the Wrong Place at the Wrong Time
17082b04.8s gallbladder distended enlarged dilated cystic duct stone choledocholithiasis obstruction obstructed MRI T2 weighted Courtesy Ashley DAvidoff MD copyright
VAlves of Heister and the Archimedes Waterscrew
82656b20.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Valves of Heister and the Archimedes Waterscrew
82656b23.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Valves of Heister and the Archimedes Waterscrew
82656b15.8s gallbladder Archimedes water screw cystic duct gravity upright spiral valves of Heister filling ampulla of VAter closed neck body fundus distended sympathetic bile duct Davidoff art Copyright 2008
Blood Supply
78240b8b01gs gastroduodenal artery stent placement hepatic artery proper right hepatic artery cystic artery blood supply gallbladder anatomy angiogram angiography Davidoff ART Copyright 2008
Structures of the Biliary System
04766b05b02.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Gracile and Graceful Shapes of the Biliary System
04766b05b04.3k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Parts of the Gallbladder
04766b05b10.2k.8s gallbladder parts fundus = dark green body = green neck = light green normal anatomy Davidoff Art Copyright 2008
Dusk
24761b01.202.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Dusk
24761b01.203.8S gallbladder night dark dusk Degas sleeping Davidoff art copyright 2008
Sunrise
24761b01.204.8S gallbladder night dark dusk sunset Degas sleeping Davidoff art copyright 2008
Summer Morning
24761b01.205.8S gallbladder morning spring summer Degas sleeping Davidoff art copyright 2008
Putting the GAllbladder to Bed Peritoneal Covering
04766b05b04.52k.8s gallbladder support protection peritoneum bare area gallbladder fossa normal anatomy gastrohepatic ligament peritoneum serosal surface adventitial surface Davidoff art copyright 2008
Winter
24761b01.209.8S gallbladder winter Degas sleeping Davidoff art copyright 2008
Red Hot!
24761b01.99.8s gallbladder inflammation red cholecystitis acalculous calculous hemorrhagic rubor hyperemia dolor calor Davidoff art Courtesy Ashley Davidoff MD copyright 2008
The Pear
Classical Gallbladder Shape
85370pb01.8s pear fruit food gallbladder shape Davidoff photography Davidoff art Copyright 2008
Tear Drop Shape of the Gallbladder
02504pb03 water droplets window glass teardrop shape Davidoff photography water
Phrygian Cap
11921.8b05b014b01.8s gallbladder shape normal anatomy phrygian cap Davidoff art Copyright 2008
Fold in the Fundus
Phrygian in Green
04487.84s.8s gallbladder fundus fundal fold fold normal variant anatomy shape cystic duct phrygian cap Davidoff art copyright 2008
Phrygians of Northern and Central Asia Minor 1000-2000BC
The phrygian cap is a common normal variant of gallbladder shape characterized a fundus that is folded forward. It was first described by Bartel in 1916. The Phrygians were a primitive race that migrated into northern and central Asia Minor in the second millenium BC. The Greeks knew of the cap as an Oriental headgear that was tight fitting and conical in shape and it has been depicted in their art. (Ober WB Wharton RN On the “phrygian cap.” 255:571-572 New England Journal of Medicine 1956 The cap was a symbol of freedom and the pursuit of liberty.The cap was worn by King Midas who was cursed with donkey ears by Apollo. He used the Phrygian cap to hide his ears. It was subsequently worn by the Trojan hero Paris, was a symbol of freedom in the French and American revolutions, was depicted on coinage in the US and on variety of seals and flags throughout the world.
82407b14.8s gallbladder Phrygian cap freedom liberty shape symbol Davidoff art Copyright 2008
Choledocholithiasis, Obstructive Jaundice
When Green is Held Up – Yellow Ensues
17083c02.3kb04.8s 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Choledocholithiasis, High Fever, Sepsis
When Green Gets Held Up for Too Long Red Ensues
17083c02.3kb03.8s01 82 female presents with obstructive jaundice sepsis gallbladder duct enlarged distended distension dilated dilatation choledocholithiasis stone obstruction obstructive jaundice MRI T2 weighted Courtesy Ashley Davidoff MD Davidoff art copyright 2008
Zuchini (Italian) Gallbladder
76764c.81s elderly female gallbladder elongated sausage shape zuchini shape transverse dimension 4.5 cms longitudinal dimension 12.5cms aging gallbladder vs enlarged? food in the body CTscan Courtesy Ashley DAvidoff MD Davidoff art Davidoff photography copyright 2008
Character of Bile
Yellow/Green Color of Bile
04766b05b04.32k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
A Little More Concentrated
04766b05b04.31k.8s gallbladder cystic duct right hepatic duct left hepatic duct common hepatic duct common bile duct pancreatic duct ampulla sphincter of Oddi normal anatomy Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.35k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Stone Imapacted in the Cystic Duct
04766b05b04b.36k.8s gallbladder cystic duct stone impacted obstruction enlarged gallbladder acute calculous cholecystitis Davidoff art copyright 2008
Fiery Flamenco Dance
82595.8s gallbladder bile duct inflammation flamenco dance fiery fire acute calculous cholecystitis Courtesy Ashley Davidoff MD copyright 2008
Galen’s Concept of the Organs and their Faculties
Heat plays a central role part in the theory of Galen. The three ?faculties? of the body are the nutritive, vital and logical faculties. The nutritive faculty is related to the stomach which “cooks” the food and converts it into chyle. The chyle is transported to the liver by the portal vein. In the liver further heat converts the food into blood and adds natural spirit. Some of the blood is transported via the veins to the heart where more heat is added to create vital spirit. The blood becomes thinner is distributed to the body by the arteries giving warmth and enables growth. The vital spirit is measured through the pulse. The brain adds psychic pneuma, which provides the rational and logical faculty in the form of thought will and choice. These are distributed to the body via the nerves. The logical faculty reigns supreme and is followed in orderof importance by the vital and nutrtive faculties. The transport systems of the body include the nerves which transmit the logical faculty, the arteries which transport the vital spirit, and the veins which transport the blood with nutritive faculty from the liver. Galen faculties of the body nutrition portal vein stomach liver vein heart vital faculty pneuma lungs brain logical faculty animal spirits Davidoff art Copyright 2008 13169c18b01.8s
Witchdoctor – Sangoma
Gallbladders in Headress
The Zulu witchdoctors (Sangomas) of South Africa have a special repect for the gallbladder which they believe has special powers. It has the the same shape as the uterus and they have been interpreted as givers and receivers of life. The sangoma weras a headress that contains the dried gallbladders of goats. This image is dedicated to the Sangomas of South Africa, country of my birth. The whole image has been recreated by repetitive use of a gallbladder mount as seen below.
00139c25.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor gallbladders in the headress Davidoff art copyright 2008
The Gallbladder and the Witchdoctor
Giver and Receiver of Life
00139c20b.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask sangoma witchdoctor Davidoff art copyright 2008
Face of a Sangoma in Training
00139c15.9s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape face of the gallbladder mask Davidoff art copyright 2008
Gallbladder and Lime
04699b13.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Liver with Jello Consistency
24719 liver gallbladder + fx normal + anatomy + drawing
Gallbladder Flower
11906e03.8s gallbladder histology mucosa normal Davidoff art copyright 2008
Acute Cholecystitis
Clogged Drain
04766b08.8s gallbladder stones cholelithiasis acute cholecystitis distended enlarged bile ducts Davidoff art copyright 2008
Gallbladder Stones
Green Pepper, Bananas and Seeds
00404b01.800 gallbladder gallstones cystic duct cholelithiasis greenpepper banana Davidoff Art Davidoff MD
Cholelithiais
Environmental Effects
00404 W 2 gallbladder stones bananas greenpepper seeds cholelithiasis cystic duct art Courtesy Ashley Davidoff MD Davidoff art
Mardi Gras Liver and Connections
Gallbladder Dressed in Pink
42646b03 liver histology gallbladder bile duct normal anatomy histology Davidoff art copyright 2008
Strawberry Gallbladder
04761.800 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art
Endoderm of the Foregut
The Beginning of the Biliary System
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
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Embryology of the Liver Bile Ducts, Gallbladder and Pancreas
The Beginning of the Biliary System in Color
In the 4th week of gestation, the primitive endoderm gives rise to a foregut diverticulum called the hepatic diveticulum at the junction of the of the foregut and midgut. The hepatic diverticulum is the precursor for the liver bile ducts and gallbladder. hepatic diverticulum pars hepatica and pars cystica.
liver bile ducts pars cystica gallbladder and cystic duct. endodermal bud solid cord growth and resorbtion gallbladder embryology normal Davidoff art copyright 2008
82219b08.8s
Undersurface of the Liver
Gallbladder is the Middle of it All
82220b01.2k02.8s liver gallbladder porta hepatis hepatic artery portal vein IVC inferior vena cava falciform ligament ligamentum teres bare area of the liver left lobe segment IV segment I caudate lobe quadrate lobe gastrohepatic ligament right lobe hepatic Davidoff art copyright 2008
Histopathology of a Gallstone in Blue
This is a medium ?power photomicrograph of a tiny gallstone which was present in a gallbladder and was included in the microscopic section of that gallbladder. The yellow color is the natural color of the stone, and there appears to be some linear or crystalline structure. Only the gallstone is present in the picture, no gallbladder tissue can be seen.
gallbladder dx cholelithiasis histology histopathology Courtesy Barbara Banner MD 11921.8b05bs
Minerals of a Gallstone – Artistic Rendition
11921.8b05b04.8s gallstones cholelithiasis stone Davidoff Art copyright 2008
Large Cholesterol Stone Forming in Bile
11921.8b05b09.8s large gallstone cholesterol gallbladder cholelithiasis stone Davidoff Art copyright 2008
Strawberry Gallbladder
04776b02 gallbladder strawberry gallbladder greenpepper yellow cholesterolosis hyperplastic cholecystoses cholecytosis Davidoff Art Davidoff
Out of Shape
00139c06.8s gallbladder histology normal gallbladder fossa free wall peritoneal lining whole mount mucosa histology shape Davidoff art copyright 2008
Small Pigmented Stones Lying Dependantly in the Gallbladder
3 Drops in the Depths of the Bile Ocean
11921.8b05b018.8s gallbladder cystic duct gallstones cholelithiasis Davidoff Art copyright 2008
Stone Impacted in the Cystic Duct Causing Obstruction
This Little Stone Ventured to Market and Two Little Stones Stayed Home
One Little Stone Got Trapped…
11921.8b05b019.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged Davidoff Art copyright 2008
Inflammation of the Gallbladder Wall
One Little Stone Got Trapped…And Nobody Lived Happily Forever After.
11921.8b05b020.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall acute cholecytitis Davidoff Art copyright 2008
Complex Fluid in the Gallbladder Fossa
And The Situation Got Worse…
11921.8b05b031.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis Davidoff Art copyright 2008
Cholecystitis Complicated by Abscess Formation in the Gallbladder Fossa
…and Worse…
11921.8b05b037.8s gallbladder cystic duct gallstones cholelithiasis stone impacted in the cystic duct distended enlarged hyperemic wall complex fluid in the gallbladder fossa tumefactive bile cholestasis sludge acute cholecytitis abscess formation Davidoff Art copyright 2008
Thin Sludge
No Stimulation and No Excercise .. The Plot Thickens..
11921.8b05b039.8s gallbladder distended enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis Davidoff art copyright 2008
Tumefactive Bile
…..and Thickens and The Story Becomes Bleeker and Blacker
11921.8b05b043..8sb01 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis Davidoff art copyright 2008
Acalculous Cholecystitis Crankcase Oil
…And Bleeker and Blacker Adding a Hint of Red and Fire
11921.8b05b043.8s gallbladder distended tumefactive bile thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge cholestasis stasis inflammation acalculous cholecystitis Davidoff art copyright 2008
Wall Rupture
Integrity Is Lost…
11921.8b05b043..8kb03 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Wall Rupture Focal Peritonitis
Svere Local Reaction to the Vile Bile Which Has Escaped
11921.8b05b043.8b05s gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation Davidoff art copyright 2008
Rupture with Diffuse Bile Peritonitis
The Fire Spreads Like Wildfire … Vile Bile on the loose
11921.8b05b046.8b05 gallbladder distended tumefactive bile crank case oil thick sludge enlarged dilated fluid fluid level gravity specific gravity sediment sludge black cholestasis stasis wall inflammation acalculous cholecystitis complicated by perforation and bile peritonitis Davidoff art copyright 2008
Ductal Systems
Calm and Colorful on a Summer Day
22391 R W3 liver duodenum pancreas pancreatic duct bile duct gallbladder normal anatomy drawing Davidoff art
Foregut
Connections All Intact
41774 liver bile duct gallbladder pancreas spleen splenic vein splenic artery portal vein hepatic artery fx normal anatomy drawing art Courtesy Ashley Davidoff MD Davidoff art
Gallbladder Cancer and Stones
11528b.8 gallbladder food in the body green pepper cancer carcinoma gall stones cholelithiasis Davidoff art Davidoff photography copyright
Gallbladder and Lemon
04699b14.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Hyperplastic Cholecystoses
04699b10.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at Christmas
04699b11.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
Gallbladder at the Beach
04699b12.1k gallbladder cystic duct hyperemic mucosa hyperplastic mucosa hyperplastic cholecystosis hyperplastic cholecystoses cholesterolosis adenomyomatosis Aschoff Rokitansky sinuses Davidoff art copyright 2008
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