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Accessory liver lobes: anatomical description and clinical implications
M Glenisson1, C Salloum1, C Lim1
1Service de chirurgie digestive, hépatobiliaire, pancréatique et transplantation hépatique, hôpital Henri-Mondor, Assistance Publique-Hôpitaux de Paris, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France.
Accessory liver lobes are rare, often incidentally found growths. They can mimic tumors or, rarely, develop hepatocellular tumors, requiring careful diagnosis.
Area of Science:
- Hepatology
- Anatomical Variations
Background:
- Accessory liver lobes are uncommon congenital anomalies resulting from excessive liver development.
- These lobes are typically infrahepatic and can be mistaken for tumors.
- Riedel's lobe, a hypertrophy of segments V and VI, is a well-known example.
Purpose of the Study:
- To provide an updated review of accessory hepatic lobes.
- To discuss their clinical presentation, diagnosis, and potential complications.
Main Methods:
- Literature review focusing on accessory hepatic lobes.
Main Results:
- Accessory lobes are often discovered incidentally.
- Complications include torsion, particularly in pedunculated forms.
- Hepatocellular tumors have been reported to develop within accessory lobes.
Conclusions:
- Accessory hepatic lobes are rare but important considerations in liver imaging.
- Differential diagnosis with tumors is crucial.
- Awareness of potential complications like torsion and neoplasm is necessary.
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