Total Pageviews

Monday, 2 January 2017

CASE 411: ACCESSORY LIVER LOBE (ALL), Dr PHAN THANH HẢI - Dr NGUYỄN NGHIỆP VĂN, MEDIC MEDICAL CENTER, HCMC VIETNAM


https://mail.google.com/mail/u/0/images/cleardot.gif
Boy 10 yo with  mass  at  RUQ. Ultrasound  detected  one mass size of 6cm at lower liver,  mobile and   its structure  as the liver tissue. Vascular supply from hepatic artery.




MSCT with CE showed  this mass is  in separation with liver,  hypervascular,  contrast enhance very fast  and artery supply come from  hepatic artery ( CT1,  CT 2, CT  3).




In operation, this mass  is  near the gallblader, connected with the liver by Glisson capsule, the structure surface  like liver.





Resection of this pedicule, macroscopic  structure  is looked  like liver tissue.



Microscopic  report it is normal liver tissue.


Conclusion: This liver mass  is  accessory liver lobe (ALL)​​.
REFERENCE:


1 comment :

Hong Anh said...

Unlike accessory spleen, accessory liver lobe should be resected in order to prevent complications ( torsion, bleeding, infarction, portal vein obstruction, liver dysfunction) and malignant transformation.