Accessory fissures of the liver: CT and sonographic appearance

Auh, Yong Ho; Rubenstein, W. A.; Zirinsky, K; Jb, Kneeland; Pardes, JC; Engel, I A; Whalen, J P; Kazam, Elias

doi:10.2214/ajr.143.3.565

Cited by 51 publications

(41 citation statements)

References 10 publications

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“…The incidence of diaphragmatic furrows as reported by Auh et al (1984) 9 was 63%. Machhi et al (2003) 8 reported its presence in 40% cases, whereas Joshi et al (2009) 5 found it in only 6% livers.…”

Section: Discussionmentioning

confidence: 87%

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Accessory Fissures of Liver and Their Clinical Significance

Reddy¹,

Mittal²,

Joshi³

et al. 2016

jemds

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BACKGROUNDWith the advent of USG, CT and MRI it is easy to visualise and localise the pathologies of liver, which is of great help in surgical interventions like resection and transplantation procedures.Variations of fissures on the surfaces of liver in the Central Indian population have been observed in the present study, some of which are not in consonance with that described by other workers. In an era of segmental resections, transplantation and laparoscopic surgeries the findings of the present study can be of great significance.

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Section: Discussionmentioning

confidence: 87%

“…CT findings by Auh et al (1984) 9 regarding accessory fissures on the visceral surface of liver was 25%, which increased to 70% with advancing age. Saritha et al 11 found it in 30% cases.…”

Section: Discussionmentioning

confidence: 94%

Accessory Fissures of Liver and Their Clinical Significance

Reddy¹,

Mittal²,

Joshi³

et al. 2016

jemds

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“…Sometimes disseminated or metastatic tumor cells may get entrapped in these sulci giving the appearance of an intrahepatic mass or focal lesions. 12 Such presence of accessory sulci and division of lobes were kept in mind when evaluating the patients with abdominal trauma because they may give a false impression of a liver laceration. 13 Accessory lobe in present case report is Riedel's lobe in one of the cadaver, is clinically very important lobe resulting in misdiagnosis.…”

Section: Discussionmentioning

confidence: 99%

Accessory sulci and segmentation on the surface of the liver: a clinical pitfall

2017

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Diaphragmatic surface of liver is usually smooth but sometimes it is well marked by the sulci or indentations. Sometimes these sulci were so deep to be termed as fissures as they divide the lobe of liver into different segments. We report the case of accessory sulci along the Anterosuperior surface of the right lobe associated with Reidel’s lobe along the inferior border of the left lobe of same specimen. In another specimen, the sulci were so deep to be termed as fissures, which divides the caudate and quadrate lobe. Knowledge about the accessory sulci and lobes were necessary as they may appear as incidental finding during the laparoscopic examinations. Hence, it is very much promising to know about these sulci and lobes for hepatobiliary surgeons, anatomists and radiologists.

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“…Studies on the variations in ductal and vascular anatomy of the liver are common, But literature pertaining to presence of grooves on hepatic surface is very scarce [2][3][4][5][6]. Accessory grooves are prominent vertical depression that appear on the hepatic surfaces.…”

Section: Introductionmentioning

confidence: 99%

“…Accessory grooves are prominent vertical depression that appear on the hepatic surfaces. There is no unanimous nomenclature since various researchers used different names including accessory fissures [2], hepatic fissures [3], diaphragmatic sulci [4], hepatic furrows [5] Liver is the largest vital organ, occupying right hypochondrium and epigastric region, extending into left hypochondrium as far as left lateral line of the abdominal cavity. It is convex in the front, to the right, above, and behind; and is somewhat concave inferiorly, where it is moulded to the shapes of the adjacent viscera [1].…”

Section: Introductionmentioning

confidence: 99%