Torsion of a hepatic lobe in the neonate — ultrasound findings

Abstract

We report a case of projectile vomiting in an infant, secondary to torsion of an accessory lobe of the liver, imaged by ultrasound.

Liver lobe torsion in dogs: 13 cases (1995–2004)

“…1,4,7,10,13 In the future, other imaging modalities, such as nuclear scintigraphy or hepatic vascular contrast studies, may be used to diagnose LLT, but because LLT is a surgical emergency, performing such diagnostic tests may be clinically inappropriate. Radiographic evidence of a cranial abdominal mass is not specific for a diagnosis of LLT but does suggest that additional interventions, such as abdominal ultrasonography or exploratory surgery, are indicated.…”

Possible Hepatic Torsion, a Pediatric Patient With Polycystic Kidney Disease

“…Hepatic torsion typically occurs in patients born with hepatobiliary anatomical anomalies, with accessory liver lobes being the most common irregularity. [9][10][11] In addition, hepatic torsion has also been reported in individuals with a history of abdominal wall defects, such as omphalocele, hepatic cysts, and diaphragmatic hernias. 9,[12][13][14][15] Similar etiologies for hepatic torsion could have contributed in this case as the patient had a history of hydrocele repair and an umbilical hernia.…”

An Unusual Cause of Abdominal Pain

“…Few cases are reported in neonates and infants. [2][3][4] Abnormality of the gross liver anatomy can occur in patients with an abdominal wall defect such as omphalocele. Therefore, torsion of accessory liver lobe should be suspected in any patient with previous repair of an abdominal wall defect who presents with abdominal pain or shock.…”