Anat Cell Biol.  2013 Mar;46(1):82-84. 10.5115/acb.2013.46.1.82.

A peculiar liver with surgically and radiologically important variations: a case report

• Nayak SB
• Mishra S
• George BM
• Shetty SD
• Kumar N
• Guru A
• Rao SS
• Aithal A

• KMID: 2046761
• DOI: http://doi.org/10.5115/acb.2013.46.1.82

Abstract

A peculiar liver was found in an adult male cadaver during a dissection class for undergraduate medical students. The quadrate lobe and fissure for the ligamentum teres were totally absent. Thus, the cystic notch on the inferior border was very broad and deep, and the fundus and body of the gall bladder popped out through this notch. The cystic duct terminated into the right hepatic duct at the porta hepatis instead of terminating into the common hepatic duct. Awareness of variations of the lobes and fissures may minimize a misdiagnosis of liver problems. The aim of the current study was to alert radiologists and surgeons about possible variations in the external appearance and anomalies of the lobes and fissures of the liver.

Keyword

Liver; Quadrate lobe; Ligamentum teres; Cystic duct

MeSH Terms

Adult
Cadaver
Cystic Duct
Diagnostic Errors
Hepatic Duct, Common
Humans
Liver
Male
Students, Medical
Urinary Bladder

Figure

• 

  Fig. 1 Photograph of the visceral surface of the liver. Note the absence of the quadrate lobe and fissure for ligamentum teres. CL, caudate lobe.

• 

  Fig. 2 Anterior view of the liver. Note the gall bladder popping out almost at the middle of the inferior border. The ligamentum teres entered the liver through the anterior surface.

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  Fig. 3 Neatly displayed structures at the porta hepatis. CD, cystic duct; CHD, common hepatic duct; LHD, left hepatic duct; RHD, right hepatic duct.

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