Reply: Extrahepatic and intrahepatic vascular anatomy in the agenesis of the left lobe of the liver

Prithishkumar, Ivan James

doi:10.1002/ca.21018

Cited by 2 publications

(3 citation statements)

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“…Ideally, contrast-enhanced CT or MRI are modalities of choice, with MRI being of higher yield without radiation exposure and contrast administration [3]. Initially, acquired causes of lobar absence are essential to exclude, which may include traumatic, vascular, infectious, carcinomatous, or metabolic [4]. Specifically, left hepatic lobe agenesis may be due to multiple causes.…”

Section: Discussionmentioning

confidence: 99%

“…Ideally, contrast-enhanced computed tomography (CT) or magnetic resonance imaging (MRI) are modalities of choice, with MRI being of higher yield without radiation exposure and contrast administration [3]. Initially, acquired causes of lobar absence are essential to exclude [4]. To the best of our knowledge and literature review, associated ectopic gallbladder with left hepatic lobe agenesis is rarely reported.…”

Section: Introductionmentioning

confidence: 99%

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Left Hepatic Lobe Agenesis With Ectopic Gallbladder

Kanwal

Akhtar

2021

Cureus

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An ectopically located gallbladder is a rare entity. Here, we present a case of an ectopic gallbladder with left hepatic lobe agenesis. In this study, we describe the case of a 56-year-old male who was a known diabetic patient. He presented with abdominal pain, which started two weeks prior. Computed tomography (CT) abdomen with contrast was advised by the primary team, which showed an incidental ectopic gallbladder along the right posterior-inferior margins of the liver. Associated with it, there was complete agenesis of the left hepatic lobe, including absent segments II, III, and IV. Most of the commonly encountered ectopic positions include intrahepatic, transverse, retrohepatic, retroperitoneal, suprahepatic, falciform ligament, or under the left liver lobe. Ectopic gallbladders have clinical significance as they alter the clinical presentation of cholecystitis. They create technical challenges during cholecystectomy and other biliary operations and cause misdiagnosis in imaging. A thorough inspection of the biliary tract in patients undergoing surgery is suggested before electrocoagulation. A radiologist must always inform the clinician about the existence of an aberrant gallbladder.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Left Hepatic Lobe Agenesis With Ectopic Gallbladder

Kanwal

Akhtar

2021

Cureus

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“…cholangiocarcinoma). Once a possible metabolic, carcinomatous, traumatic, vascular or infectious cause has been excluded, it is important to evaluate the associated anatomic anomalies [16] . The awareness of this condition is crucial for the radiologist, who may be the first to orientate to the right diagnosis without any misinterpretation [3] .…”

Section: Discussionmentioning

confidence: 99%