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Symptomatic accessory lobe of the liver associated with hyperthyroidism
Y Tomooka1, M Torisu, T Fujimura
1First Department of Surgery, Kyushu University, School of Medicine, Fukuoka, Japan.
Journal of Pediatric Surgery
|November 1, 1988
Summary
A rare case of a symptomatic accessory liver lobe caused acute abdominal distress in a 15-year-old girl with hyperthyroidism. This presentation, involving a twisted necrotic mass, is unprecedented in pediatric literature.
Area of Science:
- Hepatology
- Pediatric Surgery
- Endocrinology
Background:
- Accessory lobes of the liver are rare congenital anomalies.
- Hyperthyroidism can present with varied symptoms, sometimes mimicking abdominal distress.
Observation:
- A 15-year-old Japanese female with diagnosed hyperthyroidism presented with acute abdominal distress.
- Surgical exploration revealed a twisted and necrotic mass originating from an accessory lobe of the liver.
Findings:
- The patient had a symptomatic accessory liver lobe, a condition not previously documented in a child.
- Necrosis and torsion of the accessory lobe led to acute presentation.
Implications:
- This case highlights the potential for accessory liver lobes to cause acute surgical emergencies in pediatric patients.
- Clinicians should consider rare liver anomalies in the differential diagnosis of acute abdominal pain, even in the presence of other conditions like hyperthyroidism.