Accessory Lobes Of. The Liver

Fraser, Charles G.

doi:10.1097/00000658-195201000-00020

Cited by 43 publications

(23 citation statements)

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“…Most pediculated accessory lobes are infrahepatic and are usually discovered when torsion occurs, but in rare cases may be mistaken for tumor (Fraser 1952;Adolphe et al 1982), case 1 of our study) (Fig. 10).…”

Section: Pedicutated Accessory Hepatic Lobementioning

confidence: 58%

“…A small accessory lobe always has a short pedicle. A large accessory lobe sometimes has a short pedicle (Fraser 1952;Peter and Strohm 1980; case 1 in our study), but usually the pedicle is long, measuring more than 10 cm in some cases (Levi et al 1969;Omanik and Jablonsky 1972).…”

Section: Pedicutated Accessory Hepatic Lobementioning

confidence: 59%

“…In the latter case the left lobe of the liver was absent (arrow) 2 Small lobes cases reported by d Pujari andDeodhare (1976) e Eiserth (1940)f Watson and Lee (1964) Lobes accessoires p6dicul6s sous-h6patiques 1 Lobes volumineux. Cas rapport6s par a Fraser (1952) b Omanik et Jablonsky (1972) c Llorente et Dardik (1971 avec absence du lobe gauche (lobus hepatis sinister) associ6e (fl~che) 2 Lobes de petit volume. Cas rapport6s par d Pujari et Deodhare (1976) e Eiserth (1940f Watson et Lee (1964) currently available investigative techniques, especially ultrasonography allow easy identification of this accessory lobe and to observe its homogenous parenchyma (Chaulieu et al 1982).…”

Section: Sessile Accessory Hepatic Lobementioning

confidence: 99%

“…The largest diameter of such accessory lobes ranges from 4 to 5 cm (Watson and Lee 1964) to up to more than 25 cm (Levi et al 1969). These accessory lobes are attached to any part of the inferior surface of the liver, including the caudate lobe (Watson and Lee 1964), left lobe (Eiserth 1940;Omanik and Jablonsky 1972), quadrate lobe (Lotte and Madier 1960); Sava et al 1984) and right lobe of the liver (Fraser 1952;Levi et al 1969). In our case 1 the pedicle was attached to the anterior edge of the liver medial to the gallbladder.…”

Section: Pedicutated Accessory Hepatic Lobementioning

confidence: 99%

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A general review of anomalies of hepatic morphology and their clinical implications

et al. 1985

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Anomalies of hepatic morphology, as opposed to anatomical variations, are rare. Nevertheless, knowledge of such anomalies is important since they do not always remain clinically latent. Four case studies of different types of anomalies encountered in surgical practice in the adult are reported herein. A general review of hepatic anomalies can be divided into two categories, i.e. anomalies due to defective development and anomalies due to excessive development of the liver. Such disturbances are sometimes associated with malformations of other structures, especially the diaphragm and suspensory apparatus of the liver. Defective development of the left lobe of the liver can lead to gastric volvulus. Conservely, defective development of the right lobe either remains clinically latent or leads to portal hypertension. Anomalies related to excessive development of the liver lead to formation of accessory lobes annexed to the liver. Despite their diversity of shape, size and location, such accessory lobes have common features allowing them to be considered as an entity. In most cases the accessory lobe is found in the infra-hepatic position. Riedel's lobe is the best known example of a sessile accessory lobe. Accessory lobes may also stimulate tumor. In cases where the accessory lobe has a pedicle, torsion is a common event leading to discovery of the abnormal mass. The origin of the anomalies of hepatic morphology occurring in the course of organogenesis remains to be elucidated. The use of ultrasonography should now allow identification of such anomalies prior to the occurrence of an acute complication and in the future to possibly detect them in the fetus.

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Section: Pedicutated Accessory Hepatic Lobementioning

confidence: 58%

Section: Pedicutated Accessory Hepatic Lobementioning

confidence: 59%

Section: Sessile Accessory Hepatic Lobementioning

confidence: 99%

Section: Pedicutated Accessory Hepatic Lobementioning

confidence: 99%

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A general review of anomalies of hepatic morphology and their clinical implications

et al. 1985

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“…More common abnormalities are the abnormalities in form and less common ones are the presence of accessory lobes or livers. 3 Acquired changes in liver morphology are represented by the following characteristic features, (1) linguiform lobes, (2) costal organ with very small left lobe, (3) deep renal impressions and "corset" type constrictions and local inflammation of the organ or gall bladder. 4 Accessory lobes arise most commonly from right lobe and may project in any direction.…”

Section: Discussionmentioning

confidence: 99%

Morphology of Caudate Lobe of Liver

Sadanandan¹,

Varghese²

2017

jemds

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BACKGROUNDCaudate lobe morphology has significance in diagnostic imaging and in minimally invasive surgery. The present study aims to assess the morphology of caudate lobe and its anatomical independence from rest of the liver, as it may be differentially affected in liver pathologies and may be beneficial for radiologists and surgeons. MATERIALS AND METHODSParameters like vertical and transverse diameters of caudate lobe and right lobe were measured with vernier callipers and surface area calculated using butter paper. Biliary drainage, venous supply and arterial supply of 36 adult human cadaveric livers were noted by gross dissection. RESULTSPapillary processes, caudate processes and notches were found in majority of caudate lobes studied. Caudate lobes varied in their shapes and measurements. An accessory fissure and lobe were seen. Ratio of surface area of caudate lobe to right lobe varied from 0.061 to 0.410. Portal vein and hepatic artery supplied the caudate lobes by their left branches and biliary drainage was also through left hepatic duct in majority of caudate lobes. CONCLUSIONThe anatomical independence of caudate lobe was assessed and confirmed by its mode of blood supply and biliary drainage. All the caudate lobes had independent vessels and ducts. The papillary process of caudate lobe can cause pitfalls in interpretation of C T images at the porta hepatis. Caudate lobe variations are important for surgeons and radiologists alike for avoiding misinterpretation and for better surgical outcome. Caudate lobe is so named, not because it is caudal in position, but because it often gives rise to a tail in the form of an elongated papillary process. The caudate lobe, also called spigelian lobe seems to be different from the rest of the liver in that it behaves in a paradoxical manner, particularly in cases of cirrhosis. It is anatomically independent from rest of the liver. KEYWORDSIt is bounded on the left by fissure for ligamentum venosum, inferiorly by porta hepatis, and on the right by inferior vena cava. It is continuous superiorly with the superior surface. It is subdivided into caudate lobe proper, and the papillary process, the caudate process and the paracaval portion which is anterior to inferior vena cava. The caudate lobe is connected to the right lobe of liver by the caudate process which passes laterally between portal vein and inferior vena cava at the porta hepatis. Sometimes, the 'Financial or Other Competing Interest': None.

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Accessory Liver with Double Gall Bladder

Mulla¹,

Weintraub²

1955

Arch Surg

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Accessory Lobes Of. The Liver

Cited by 43 publications

References 0 publications

A general review of anomalies of hepatic morphology and their clinical implications

A general review of anomalies of hepatic morphology and their clinical implications

Morphology of Caudate Lobe of Liver

Accessory Liver with Double Gall Bladder

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