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Anomalous splenic notches: a cadaveric study with clinical importance
Srijit Das1, Azian Abd Latiff, Farihah Haji Suhaimi
1Department of Anatomy, Faculty ofMedicine, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abd Aziz, Kuala Lumpur Malaysia. das_srijit23@rediffmail.com
Bratislavske Lekarske Listy
|February 12, 2009
Summary
Anatomical study reveals splenic notches can occur on the inferior border, not just the superior border. This finding is crucial for surgeons and radiologists during splenic procedures and interpretations.
Area of Science:
- Anatomy
- Surgical Anatomy
Background:
- Splenic notches represent remnants of fetal lobulation, typically found on the superior border.
- Literature on the prevalence and clinical significance of splenic notches is limited.
Purpose of the Study:
- To investigate the occurrence of anomalous splenic notches.
- To discuss the clinical importance of these anatomical variations.
Main Methods:
- Examination of 100 formalin-fixed cadaveric spleens.
- Observation and documentation of splenic notch presence and location.
Main Results:
- Splenic notches were identified on the superior border in 98% of specimens.
- Notches were observed on the inferior border in 2% of specimens.
- Anomalous fissures on the diaphragmatic surface were noted in 2% of cases.
Conclusions:
- Splenic notches are not exclusively located on the superior border; inferior border notches are a significant anatomical variation.
- The presence of inferior splenic notches has critical implications for surgeons performing splenic surgeries.
- Radiologists should consider inferior splenic notches when interpreting CT scans of the spleen.