https://www.visceralanatomy.com/pen-ink-sketches daily 0.75 2017-01-28 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1483929014637-9674NS7QKLMLXRVOLCM1/duodenal+hernia.JPG Pen & Ink Sketches - Paraduodenal Hernia A para duodenal hernia is caused by a rare anatomic variant. There is a hole through the fatty curtain that holds the blood supply to the intestine. Bowel can pass through this hole and get stuck, occasionally with catastrophic outcomes. In this illustration, the hole is being sewn closed.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1483929014637-9674NS7QKLMLXRVOLCM1/duodenal+hernia.JPG Pen & Ink Sketches - Paraduodenal Hernia A para duodenal hernia is caused by a rare anatomic variant. There is a hole through the fatty curtain that holds the blood supply to the intestine. Bowel can pass through this hole and get stuck, occasionally with catastrophic outcomes. In this illustration, the hole is being sewn closed.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1483940568763-U5OQEBRZJ0F5VX690A9U/appendix.JPG Pen & Ink Sketches - Appendicitis This worm-like organ hangs inconspicuously from the colon until, a little swelling and blockage results in pain, nausea, vomiting and infection. Timely removal can limit complication. Once a deadly disease, antibiotics have revolutionized care and limited morbidity for this common disease.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1481081892284-OOVI7NFF6WJAZXP7TUY2/duodenal+hernia.JPG Pen & Ink Sketches - Paraduodenal Hernia A para duodenal hernia is caused by a rare anatomic variant. There is a hole through the fatty curtain that holds the blood supply to the intestine. Bowel can pass through this hole and get stuck, occasionally with catastrophic outcomes. In this illustration, the hole is being sewn closed.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1483929119937-CY3CZJIIQ30ELQ1030OW/adrenal.JPG Pen & Ink Sketches - Right Adrenalectomy The adrenals are tiny, fatty organs draped over the kidneys deep in the abdomen. Do not take these little guys for granted. Adrenal dysfunction can wreak havoc on the body and even kill. In this case, we removed the right adrenal gland and a mass found by chance on a CT scan.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1481081941142-A2I6U2MRSYMUIZ5AO0CU/Renal.JPG Pen & Ink Sketches - Renal Trauma This is a depiction of a Renal Laceration, injury to the kidney, that required surgery. The kidney sits deep in the abdomen in an area known as the retroperitoneum. To get to the kidney, we had to sweep the colon and small intestine out of the way.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1483940763878-LA20JFCNVVL98773Q9B9/serosal+tear.JPG Pen & Ink Sketches - Serosal Tear- Ligament of Treitz Through a small hole deep to the colon, the small bowel passes from duodenum to jejunum. This area is tethered to our core. Injuries at the Ligament of Treitz are difficult to access and hard to repair. Here we see the small bowel fanning out and the colon lifted to reveal this treacherous injury.   2017 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1481081685182-RWHT4G5CO0GBCUXMFUVZ/adrenal.JPG Pen & Ink Sketches - Right Adrenalectomy The adrenals are tiny, fatty organs draped over the kidneys deep in the abdomen. Do not take these little guys for granted. Adrenal dysfunction can wreak havoc on the body and even kill. In this case, we removed the right adrenal gland and a mass found by chance on a CT scan.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1483940966596-RFJ4AETY44GJBL8NBUMA/tracheostomy.JPG Pen & Ink Sketches - Tracheostomy Respiratory failure is treated long-term with tracheostomy, a small tube placed in the neck. This illustration depicts different stages of the operation and anatomic landmarks identified in surgery. https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1485234383192-RP2CSOA107YCFERLF5DL/image4.JPG Pen & Ink Sketches - Acute Cholecystitis- Laparoscopic Cholecystectomy This is a large, swollen gallbladder with fat creeping onto its surface. Though an attempt was made to drain this gallbladder percutaneously, surgery was the final remedy.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1481082022381-P3D1Y8USO2RXIUOFVNSE/thyroid.JPG Pen & Ink Sketches - Total Thyroidectomy During the total thyroidectomy, both lobes of the thyroid and, in this case, an extra "pyramidal" lobe, were removed through a small collar incision. Pyramidal lobes occur in 10-15% of all normal thyroids. The pyramid marks the pathway that the thyroid takes in development, from the base of the tongue to its resting place in the neck.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1485234455378-Y6LJNYHG8NVOMGT7NI5T/pancreas.jpg Pen & Ink Sketches - Intraductal Papillary Mucinous Neoplasm- Pancreas Don't mess with the pancreas! This is a volatile organ, proned to inflammation and bleeding. IPMNs are masses that can cause pain by blocking the pancreatic ducts with thick mucous. Some of them harbor cancer cells. This pancreas has a mass at its tail, exposed when the stomach is lifted. https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1485232988457-KONRORWQ3IJV6ZA8FR8R/brachiocephalic.jpg Pen & Ink Sketches - Brachiocephalic Arteriovenous Fistula The first dialysis machine was built in 1943 to prolong life for people with kidney failure. The creation of arteriovenous fistulas allows for permanent access for hemodialysis. This image depicts a connection between artery and vein in the mid arm. https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1485233219415-M4S58RHRY0C9UCR6U3W8/FullSizeRender3.jpg Pen & Ink Sketches - Serosal Tear at the Peritoneal Reflection High velocity impact to the pelvis results in broken bones and injury to soft tissues and organs. The outer covering of the rectum was torn from its attachment in the pelvis. https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1485234311925-2H60PA31M8BYVFSGNW5B/FullSizeRender.jpg Pen & Ink Sketches - Perforated Appendicitis Appendicitis can really put a cramp in your day! This worm-like organ hangs inconspicuously off the colon until... A little swelling and blockage results in pain, nausea, vomiting and infection. Time to remove this angry organ before it causes more trouble. https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1485233500315-0GRN3HFWVAZWDFU3WMWR/hernia.jpg Pen & Ink Sketches - Ventral Hernia Repair Hernias are common complications of abdominal surgery. They may be small out pouchings or grow and stretch to contain bowel or bladder. This large hernia contained small intestine and was repaired with a piece of synthetic mesh. https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1485233890083-UA5L1B2TWDLK6SUTQQDW/ureter2.jpg Pen & Ink Sketches - Ureteral Injury The ureter is rarely injured by gunshot or knife. But, in this case, the left ureter was nearly cut in two. Lucky for this patient, the underlying iliac artery was in one piece, avoiding a bloody demise. https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1485234012323-P27RW91KKFM04Y7UL0RP/FullSizeRender2.jpg Pen & Ink Sketches - Open Cardiac Massage When people arrive in extremis to the Trauma Bay, some may be saved by an extreme operation, a left anterior thoracotomy. Through the chest, blood is shunted to the chest and the heart is directly massaged. https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1485637107500-Z5RLTCS9C43L2JIMVJGW/Left+Atrial+Rupture.jpg Pen & Ink Sketches - Left Atrial Rupture When people arrive in extremis to the Trauma Bay, some may be saved by an extreme operation, a left anterior thoracotomy. Through the chest, blood is diverted to the most essential organs and the heart is directly massaged back to life and function. https://www.visceralanatomy.com/portraiture-1 daily 0.75 2016-12-07 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480562985043-ZZUWJLR2F1EUB306LCJ9/Calculosa2.jpg Gallbladders - Cholecystitis calculus- A critical view #2 Vesica Fellea... abusive, wretched, bitter vessel. Throughout history this organ has plaguedhumanity with its tenacious spirit. This gallbladder is minimally inflamed, a dilated victim of biliary colic.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480562985043-ZZUWJLR2F1EUB306LCJ9/Calculosa2.jpg Gallbladders - Cholecystitis calculus- A critical view #2 Vesica Fellea... abusive, wretched, bitter vessel. Throughout history this organ has plaguedhumanity with its tenacious spirit. This gallbladder is minimally inflamed, a dilated victim of biliary colic.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480562965753-X2JW0VOFUZZ6J8K7A4MG/Calculosa1.jpg Gallbladders - Cholecystitis calculosa- A critical view #1 Vesica Fellea... abusive, wretched, bitter vessel. Throughout history this organ has plaguedhumanity with its tenacious spirit. This gallbladder is minimally inflamed, a dilated victim of biliary colic.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480563042314-BRLO7EO1Z4WEMC9HSL99/Chronica3.jpg Gallbladders - Cholecystitis chronica Vesica Fellea... abusive, wretched, bitter vessel. Throughout history this organ has plaguedhumanity with its tenacious spirit. This gallbladder is inflamed and enlarged with a bulging stone (a calculus) blocking the exit of bile. This irritation causes an unwelcomed but strikingly beautiful rosy pink organ.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480563057201-MG1UDKNWNVGNZSAV13LY/Chronica4.jpg Gallbladders - Cholecystitis chronica- A critical view #4 Vesica Fellea... abusive, wretched, bitter vessel. Throughout history this organ has plaguedhumanity with its tenacious spirit. This gallbladder shows long-standing disease. It is enlarged and thickened with a wide draining cystic duct.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480563070615-0SCXIRPQ35Y4B2PLQVH9/Chronica5.jpg Gallbladders - Cholecystitis haemorrhagica- A critical view #5 Vesica Fellea... abusive, wretched, bitter vessel. Throughout history this organ has plaguedhumanity with its tenacious spirit. This gallbladder is red-hot! Inflamed and infected, this bitter vessel is most certainly exacting pain on its person. Prone to bleeding and tearing, this gallbladder requires a gentle surgical touch.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480563209636-9LMDJ2QSV1KM8HOWWK04/Suppurativa6.jpg Gallbladders - Cholecystitis suppurativa- A critical view #6 Vesica Fellea... abusive, wretched, bitter vessel. Throughout history this organ has plaguedhumanity with its tenacious spirit. Long-standing disease and active infection cause the fat framing this gallbladder to almost melt from the organ surface. Prone to bleeding and tearing, this gallbladder requires a gentle surgical touch.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480563142974-IDU4QDNG9LZENXWPAQOC/Chronica7.jpg Gallbladders - Cholecystitis chronica- A critical view #7 Vesica Fellea... abusive, wretched, bitter vessel. Throughout history this organ has plaguedhumanity with its tenacious spirit. This gallbladder is inflamed and thickened with strands of scar tissue encasing the draining cystic duct. With a clear view of each structure, the "critical view", this gallbladder can be safely cut away and removed.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480563177135-7NWVGRJP3NRPTCAUB8RM/Chronica-8.jpg Gallbladders - Cholecystitis chronica- A critical view #8 Vesica Fellea... abusive, wretched, bitter vessel. Throughout history this organ has plaguedhumanity with its tenacious spirit. The cystic duct and artery that anchor the gallbladder are inflamed and irritated. With a clear view of each structure, the "critical view", this gallbladder can be safely cut away and removed.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480563242056-LHGMXMW0KRQ2MG21USW8/Gangrenosa9.jpg Gallbladders - Cholecystitis gangrenosa- A critical view #9   Vesica Fellea... abusive, wretched, bitter vessel. Throughout history this organ has plaguedhumanity with its tenacious spirit. The cystic duct of this gallbladder is inflamed and thickened. This gallbladder has reached its demise. It has lost a hearty blood supply and the tissue is dying. Vibrant shades of purple turn to rust and green; gangrene sets in and sickens from within.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480563259524-K2ZR7P5CM95SB77OD67C/Calculosa10.jpg Gallbladders - Cholecystitis chronica- A critical view #10   Vesica Fellea... abusive, wretched, bitter vessel. Throughout history this organ has plaguedhumanity with its tenacious spirit. The cystic duct of this gallbladder is inflamed and thickened. This irritation causes an unwelcomed but strikingly beautiful rosy pink organ. With a clear view of each structure, the "critical view", this gallbladder can be safely cut away and removed.   2016 https://www.visceralanatomy.com/humannature daily 0.75 2018-10-15 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480563592062-Y5MGDC3ST86P4PYP8DWO/Biliary+Colic.jpg Visceral Botany https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480563592062-Y5MGDC3ST86P4PYP8DWO/Biliary+Colic.jpg Visceral Botany https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480563605304-ZBHHBA90ATZXRZOWW8J6/Embolus-.jpg Visceral Botany - Embolus The blood supply to the small intestine is supplied by a single vessel known as the Superior Mesenteric Artery. In an instant this vessel may be blocked by a small piece of plaque or a clot, an embolus. While the human pathology of a mesenteric embolus often leads to a tragic end, the dying bowel turns shades of deep rose, blue and purple like leaves of a cabbage in fall.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480563894961-MO8T6UE79Y00L0FKXBYO/varices-low+res.jpg Visceral Botany - Varices As the liver fails, bridging veins engorge and form a ropy lattice, like the roots of Dicentra spectabilis, through the stomach and distal esophagus. These veins are swollen and thin-walled. Bleeding may be high volume and brisk. A life-threatening event unfolds.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480563932824-3VM361U0E0RBN34IFPZ5/Biliary+Colic.jpg Visceral Botany - Cholangitis Colic Root, Aletris lutea, is a member of the lily family is one of the many botanical remedies used to calm the symptoms of biliary colic. When the biliary system is blocked, infection sets in. Symptoms worsen to include fevers, chills, fatigue and skin of a golden hue. https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480564041025-NTVZWTHC1VNHEC39YERB/Cirrhotic-+low+res.jpg Visceral Botany - Cirrhosis As the liver fails, so too do other organ systems. Metabolism is altered and toxins build up. Cirrhosis develops slowly and insidiously over time with inflammation leading to the replacement of healthy liver with scar.   2016 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1485636144454-6IEGT79RO57S1TFJRREE/appendix-rev.jpg Visceral Botany - Epityphlitis agrimonia- Perforated Appendicitis -Perforated appendicitis was once a deadly disease. Modern antibiotics have changed the course of this ailment. Agrimonia, dried or in elixir, has many homeopathic applications. It has been used for centuries to settle the stomach and ease the gut. https://www.visceralanatomy.com/portraiture daily 0.75 2016-04-07 https://www.visceralanatomy.com/prints-and-paintings-past daily 0.75 2016-12-07 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1481082984778-SVYFL8YQ3FZCT6Z97DRU/image1.JPG Prints & paintings past - Anatomical https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1481082925498-LICW2TLU3EAP0RQ46BJ4/image1.JPG Prints & paintings past https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1481082984778-SVYFL8YQ3FZCT6Z97DRU/image1.JPG Prints & paintings past - Anatomical https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1481083818638-0KFW16SCF1R4VOEG9G43/image4.JPG Prints & paintings past - Personal https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1481082316974-BIXL5YUCCME22D7XYQA1/image7.JPG Prints & paintings past - Character Lithograph 2002 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480566328148-22S6PGCD99UHSRSYFX3X/image7.JPG Prints & paintings past https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480566280437-2GLL8637F5XKQTKFK72A/image4.JPG Prints & paintings past https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480571013634-F423P986FPAUV2EP4O8B/teeth.JPG Prints & paintings past - Dentition Pastel and charcoal 2003 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1481003542325-BAF3UHEMZBKRRPIP9FG7/self-portrait.JPG Prints & paintings past - Portrait Oil 2002 https://www.visceralanatomy.com/visceral-anatomy daily 1.0 2023-08-01 https://www.visceralanatomy.com/contact daily 0.75 2018-10-15 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1480567761621-WWIQBZHPH40W7R7FKXMW/Coverphoto.jpg About https://www.visceralanatomy.com/etsy-store daily 0.75 2017-01-28 https://images.squarespace-cdn.com/content/v1/583f95ee579fb3daf47a53b8/1481481365713-OGZVA725F0HDJZ8TBYGR/Coverphoto.jpg Shop