CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2010; 20(02): 135-137
DOI: 10.4103/0971-3026.63046
Abdominal

Intermittent torsion of accessory hepatic lobe: An unusual cause of recurrent right upper quadrant pain

Kedar Jambhekar
Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
,
Tarun Pandey
Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
,
Chhavi Kaushik
Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
,
Hemendra R Shah
Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
› Author Affiliations

Abstract

An accessory lobe of the liver is a rare congenital anomaly that can undergo torsion and present as an acute surgical emergency. It is rarely diagnosed preoperatively. We report the preoperative utility of CT scan and MRI in the diagnosis and surgical planning of a case of intermittent accessory hepatic lobe torsion.



Publication History

Article published online:
02 August 2021

© 2010. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Massaro M, Valencia MP, Guzman M, Mejia J. Accessory hepatic lobe mimicking an intra-abdominal tumor. J Comput Assist Tomogr 2007;31:572-3.
  • 2 Ladurner R, Brandacher G, Mark W, Iannetti C, Lottersberger C, Steurer W, et al. Complete hepatic ischemia due to torsion of a large accessory liver lobe: first case to require transplantation. Transpl Int 2005;18:467-9.
  • 3 Carrabetta S, Piombo A, Podestΰ R, Auriati L. Images in Surgery: Torsion and infarction of accessory liver lobe in young man. Surgery 2009;145:448-9.
  • 4 Johnstone G. Accessory lobe of liver presenting through a congenital deficiency of anterior abdominal wall. Arch Dis Child 1965;40:541-4.
  • 5 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;30:1348-50.
  • 6 Pιrez-Martνnez A, Conde-Cortιs J, Martνnez-Bermejo MA, Bento-Bravo L. Torsion of a pedunculated accessory hepatic lobe: differential diagnosis of projectile vomiting in a neonate. J Perinat Med 2006;34:248-9.
  • 7 Koplewitz BZ, Manson DE, Ein SH. Posttraumatic torsion of accessory lobe of the liver and the gallbladder. Pediatr Radiol 1999;29:799-802.
  • 8 Koumanidou C, Nasi E, Koutrouveli E, Theophanopoulou M, Hilari S, Kakavakis K, Torsion of an accessory hepatic lobe in a child: ultrasound, computed tomographic, and magnetic resonance imaging findings. Pediatr Surg Int 1998;13:526-7.