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Riedel's lobe of the liver: a case report
Christos Savopoulos1, Nikolaos Kakaletsis, Georgia Kaiafa
1From the First Propedeutic Department of Internal Medicine (CS, NK, GK, FI, AIH), Medical School; and Department of Radiology (AK-F), Medical School, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Greece.
Medicine
|January 27, 2015
Summary
Riedel's lobe, a rare liver anatomical variation, was incidentally found in a 71-year-old woman. This finding, alongside chronic inflammation from an iliopsoas abscess, highlights the importance of recognizing this condition.
Area of Science:
- Hepatology
- Anatomical Variations
- Radiology
Background:
- Riedel's lobe is an uncommon congenital anatomical variation of the liver.
- It presents as a tongue-like projection of the right hepatic lobe.
- Awareness is crucial as it can mimic other pathologies or lead to complications.
Observation:
- A 71-year-old female presented with incidental discovery of a nonpalpable Riedel's lobe.
- The patient also had hypergammaglobulinemia, attributed to a chronic right iliopsoas abscess.
- The abscess was a complication of bilateral hip replacement revision surgery.
Findings:
- The Riedel's lobe was an incidental radiological finding.
- Hypergammaglobulinemia and elevated C-reactive protein indicated chronic inflammation.
- Weakly positive autoantibodies suggested an inflammatory process.
Implications:
- This case underscores the importance of recognizing Riedel's lobe, even when asymptomatic.
- Riedel's lobe can be associated with inflammatory conditions.
- Potential complications include torsion and hepatic tumors, necessitating clinical awareness.
