THE UNUSUAL FISSURES IN THE LOBES OF LIVER- A HOLISTIC APPROACH

Dr. Neelima. P, Dr. R. Ravi Sunder

Abstract


Perception regarding the presence of unusual fissures and accessory lobes in the human liver is of paramount importance to the Hepatobiliary surgeons, Radiologists or Forensic experts as they can be a source of error for pathologic liver nodule or echogenic liver lesions or lacerations. The etiology may be due to invagination of the diaphragm or developmental or genetical. Their number increases with age. The present study is aimed to determine the unusual fissures occurring in different lobes of the liver and to compare with other studies. 62 liver specimens obtained by routine cadaveric dissections for the past ten years were examined for the unusual fissures. 28 liver specimens from the study exhibited unusual fissures distributed in various lobes (45.16%). The maximum number of livers possessing fissures in right lobe was 14, in which a liver had 4 unusual fissures in the right lobe. Fissures were seen in quadrate lobe of 7 liver specimens, where a complete fissure dividing the quadrate lobe was identified in a specimen. Caudate lobe exhibited unusual fissures in 4 specimens and left lobe had fissures in 3 liver specimens. The results correlated with authors of previous studies when comparing each individual parameter. The present study provides an insight into the knowledge regarding the presence of unusual fissures in different lobes of the liver which is hardly available in the textbooks.


Keywords


Liver, lobes, unusual fissures, cadaver, dissection

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References


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