Document Detail


Torsion and infarction of an accessory liver lobe.
MedLine Citation:
PMID:  17163372     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Accessory lobes of the liver (ALL) may be congenital or acquired and are usually of no clinical significance. Torsions of the ALL are exceedingly rare and most are incidental findings at laparotomy, autopsy and in the course of investigation radiological investigations. A total of 17 infant and adult cases have been described previously in the medical literature. Most cases described since 1925 have been diagnosed at laparotomy, we report the 18th case of torsion of the accessory lobe of the liver in an elderly female which, despite all radiological interventions, required laparoscopy for diagnosis. We conclude that torsion of the accessory lobes of the liver is a rare finding; radiological imaging does not reveal the diagnosis and most are found at laparotomy. Laparoscopy may aid in the diagnosis of torsion of accessory liver lobes. If pain persists, we advocate the use surgical intervention with or without cholecystectomy.
Authors:
R S Hundal; J Ali; M A Korsten; A M Khan
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Zeitschrift für Gastroenterologie     Volume:  44     ISSN:  0044-2771     ISO Abbreviation:  Z Gastroenterol     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-12-13     Completed Date:  2007-02-28     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0033370     Medline TA:  Z Gastroenterol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1223-6     Citation Subset:  IM    
Affiliation:
Veterans Affairs Hospital, New York, USA.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / etiology
Aged
Cholangiopancreatography, Endoscopic Retrograde
Cholecystectomy
Diagnosis, Differential
Female
Hepatectomy
Humans
Infarction / diagnosis*,  pathology,  surgery
Ischemia / diagnosis*,  pathology,  surgery
Laparoscopy
Liver / abnormalities*,  blood supply*,  pathology,  surgery
Liver Diseases / diagnosis*,  pathology,  surgery
Liver Function Tests
Predictive Value of Tests
Recurrence
Tomography, X-Ray Computed
Torsion Abnormality / diagnosis,  pathology,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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