Anat Cell Biol.  2012 Mar;45(1):62-65. 10.5115/acb.2012.45.1.62.

Coexistence of multiple anomalies in the hepatobiliary system

• Anjamrooz
• Azari H

• KMID: 1447455
• DOI: http://doi.org/10.5115/acb.2012.45.1.62

Abstract

The co-occurrence of several anomalies in the hepatobiliary system is uncommon. In the present study, hepatic lobe anomalies occurring in combination with hepatic artery and biliary variations were observed in an adult male cadaver. There are no previous reports in the literature on the coexistence of such anatomical variations. Preoperative diagnosis of such coexisting anomalies is very difficult. Hence, a thorough knowledge of these variations will enable surgeons to select the most appropriate hepatobiliary surgical procedure and postoperative management.

Keyword

Liver; Hepatic artery; Gallbladder; Cystic duct

MeSH Terms

Adult
Cadaver
Cystic Duct
Gallbladder
Hepatic Artery
Humans
Liver
Male

Figure

• 

  Fig. 1 Photograph obtained during the dissection of the abdomen, showing the liver and right kidney. The liver lies anterior to the right kidney and suprarenal gland. The downward elongation of the right hepatic lobe created a deep hepatorenal pouch. CL, caudate lobe; GB, gallbladder; HRP, hepatorenal pouch; LHL, left hepatic lobe; QL, quadrate lobe; RHL, right hepatic lobe; RK, right kidney; RL, Riedel's lobe.

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  Fig. 2 Photograph of the visceral surface of the liver showing the unusual location of the fundus of the gallbladder, hypoplasia and deformation of the hepatic lobes. CL, caudate lobe; CP, caudate process; FL, falciform ligament; GB, gallbladder; LHL, left hepatic lobe; PP, papillary process; PV, portal vein; QL, quadrate lobe; RHL, right hepatic lobe; RI, renal impression; RL, round ligament; SF, short fissure; SI, suprarenal impression.

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  Fig. 3 Photograph of the visceral surface of the liver showing that two proper hepatic arteries enter the porta hepatis, the gallbladder neck lacks Hartmann's pouch and the common hepatic is unusally short. CD, cystic duct; CL, caudate lobe; CP, caudate process; GB, gallbladder; LHD, left hepatic duct; LHL, left hepatic lobe; LPHA, left proper hepatic artery; PP, papillary process; PV, portal vein; QL, quadrate lobe; RHD, right hepatic duct; RHL, right hepatic lobe; RPHA, right proper hepatic artery; SI, suprarenal impression.

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