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Case Reports
. 2017 Jan;5(1):e62-e64.
doi: 10.1055/s-0037-1607218. Epub 2017 Oct 15.

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

Chiman Lal Thakral  1 , Ganji Shivalingam  2 , Faizan Manzoor Dar  3 , Nimish Thakral  4
Affiliations
Case Reports

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

Chiman Lal Thakral et al. European J Pediatr Surg Rep. 2017 Jan.

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.

Keywords: accessory hepatic lobe; omphalocele; torsion of accessory liver lobe.

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Conflict of interest statement

Conflict of Interest None.

Figures

Fig. 1
Fig. 1
( A – C ) White arrows show the accessory hepatic lobe and the black arrows show the embedded gallbladder.
Fig. 2
Fig. 2
Operative pictures: ( A ) Dusky Congested accessory liver lobe with the congested gallbladder (white arrow) embedded in it. ( B ) The liver lobe regaining normal color after untwisting the pedicle (white arrow).
See this image and copyright information in PMC

References

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