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 Thakral1, Ganji Shivalingam2, Faizan Manzoor Dar3, Nimish Thakral4
  • 1Department of Paediatric Surgery, Royal Hospital, Muscat, Oman
  • 2Department of Pediatrics, Sohar Hospital, Sohar, Al Batinah, Oman
  • 3Department of Surgery, Sohar Hospital, Sohar, Al Batinah, Oman
  • 4Department of Surgery, Shri BM Patil Medical College, Bijapur, Karnataka, India
Further Information

Publication History

05 August 2017

31 August 2017

Publication Date:
15 October 2017 (online)

Abstract

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.