CC BY 4.0 · European J Pediatr Surg Rep. 2017; 05(01): e62-e64
DOI: 10.1055/s-0037-1607218
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Torsion of an Accessory Hepatic Lobe with Embedded Gallbladder: In an 11-Month-Old Boy

Chiman Lal Thakral
1   Department of Paediatric Surgery, Royal Hospital, Muscat, Oman
Ganji Shivalingam
2   Department of Pediatrics, Sohar Hospital, Sohar, Al Batinah, Oman
Faizan Manzoor Dar
3   Department of Surgery, Sohar Hospital, Sohar, Al Batinah, Oman
Nimish Thakral
4   Department of Surgery, Shri BM Patil Medical College, Bijapur, Karnataka, India
› Author Affiliations
Further Information

Publication History

05 August 2017

31 August 2017

Publication Date:
15 October 2017 (online)


An accessory lobe of the liver is a rare entity in clinical practice which is diagnosed incidentally. Infrequently, it may present as torsion with a clinical picture of an acute abdomen, a palpable mass, and may be associated with liver function abnormalities. Many of these patients have a history of previous surgery for congenital abdominal wall defects such as omphalocele. We present an extremely rare case of torsion of an accessory hepatic lobe in an 11-month-old male patient who presented in a state of shock. The infant underwent laparotomy and excision of the accessory lobe. Here, we aim to emphasize the importance of prompt management and early resection which is the cornerstone of a favorable outcome.

  • References

  • 1 Corbitt N, Rellinger EJ, Hernanz-Schulman M, Chung DH. Accessory hepatic lobes in the pediatric population: A report of three cases of torsion and literature review. J Pediatr Surg Case Rep 2017; 16: 15-18
  • 2 Wang C, Cheng L, Zhang Z. , et al. Accessory lobes of the liver: A report of 3 cases and review of the literature. Intractable Rare Dis Res 2012; 1 (02) 86-91
  • 3 Jambhekar K, Pandey T, Kaushik C, Shah HR. Intermittent torsion of accessory hepatic lobe: An unusual cause of recurrent right upper quadrant pain. Indian J Radiol Imaging 2010; 20 (02) 135-137
  • 4 Salisbury SM, Yi CE, Merianos DJ, Sapra A, Anselmo DM. Laparoscopic resection of a torsed accessory hepatic lobe: Case report and literature review. J Pediatr Surg Case Rep 2013; 1 (08) 214-217
  • 5 Kostov DV, Kobakov GL. Accessory hepatic lobe. Surg Radiol Anat 2011; 33 (09) 819-822
  • 6 Ladurner R, Brandacher G, Mark W. , et al. Complete hepatic ischemia due to torsion of a large accessory liver lobe: first case to require transplantation. Transpl Int 2005; 18 (04) 467-469
  • 7 Elmasalme F, Aljudaibi A, Matbouly S, Hejazi N, Zuberi MS. Torsion of an accessory lobe of the liver in an infant. J Pediatr Surg 1995; 30 (09) 1348-1350