A Study on The Morphological Variations of The Human Liver And Its Clinical Implications

A Study on The Morphological Variations of The Human Liver And Its Clinical Implications

Authors

  • Mitesh R Dave
  • Jaba Rajguru

Keywords:

Accessory fissures, Anomalous, Liver, Lobes, Morphology, Variant

Abstract

Background & objective: Liver being the largest abdominal organ, the knowledge of its normal and variant morphology is essential for the clinicians. The present study comprises the observations and analysis of the gross morphological variations and anomalies on the surface of the liver with respect to its shape, lobes, fissures and location of the gallbladder. Herein, we review, discuss and compare the literature on this study with our results. Methods: A total of 96 formalin-fixed adult human livers, irrespective of the sex, were studied over a period of four years. These livers were specifically observed for any variant or anomalous surface morphology. Results: The most common type of surface variation was accessory fissures (44.8%), followed by gall bladder fossa/ cystic notch (39.6%), fissure for ligamentum teres (28.1%), and shapes of caudate and quadrate lobes (24.1%). Interpretation & conclusion: Awareness of the anatomical knowledge of the presence of variant or anomalous surface features on the liver can contribute to the understanding of the underlying pathology and thus, helpful to the radiologists and surgeons for a favourable outcome. [Mitesh D NJIRM 2017; 8(5):75-78]

References

1. Snell RS. Clinical Anatomy by Regions. 9th Ed. Philadelphia: Wolters Kluwer Lippincott Williams & Wilkins. 2012: 196-197.
2. Sadler TW. Langman’s Medical Embryology. 11th Ed. Philadelphia: Wolters Kluwer Lippincott Williams & Wilkins. 2010: 219.
3. Champetier J, Yver R, Letoublon C & Vigneau B. A general review of anomalies of hepatic morphology and their clinical implications. Anat Clin. 1985; 7(4):285-299.
4. Sahani DV and Kalva SP. Imaging the Liver. Oncologist 2004;9:385-397.
5. Nagato AC, Silva MAS, Trajano ETL, Alves JN, Bandeira ACB, Ferreira TA, Valenca SS and Bezerra FS. Quantitative and Morphological analyses of different types of human liver. J. Morphol. Sci. 2011; 28(4): 275-279.
6. Daver GB, Bakshi GD, Patil A, Ellur S, Jain M and Daver NG. Bifid liver in a patient with diaphragmatic hernia. Indian J Gastroenterol. 2005; 24(1):27-28.
7. Nayak BS. A Study on the Anomalies of Liver in the South Indian Cadavers. Int.J.Morphol. 2013;31(2):658-661.
8. Auh YH, Lim JH, Kim KW, et al. Loculated fluid collections in hepatic fissures and recesses: CT appearance and potential pitfalls. Radiographics 1994; 14:529-540.
9. Patil S, Sethi M and Kakar S. Morphological Study of Human Liver and Its Surgical Importance. Int J Anat Res. 2014; 2(2):310-314.
10. Choy KW, Kogilavani S, Norshalizah M, Rani S, Aspalilah A, Farihah HS, Faizah O, Norzana AG and Das S. Anomalous Structures of the Liver: An Anatomical Insight. Clin Ter. 2013; 164(3):197-201.
11. Joshi SD, Joshi SS and Athavale SA. Some Interesting Observations on the Surface Features of the Liver And Their Clinical Implications. Singapore Med. J.2009; 50(7):715-719.
12. Deepa G and Shivakumar G L. Morphological Study of Variations in the Lobar Pattern of Liver. NJIRM. 2013; 4(4):42-45.
13. Pamidi N, Nayak S and Vollala VR. Cystogastrocolic fold and associated atrophy of the gallbladder. Singapore Med. J. 2008; 49(9):250-251.
14. Aktan ZA, Savas R, Pinar Y and Arslan O. Lobe And Segment Anomalies Of the Liver. J. Anat. Soc. India. 2001; 50(1):15-16.
15. Vinnakota S and Jayasree N. A New Insight into the Morphology of the Human Liver: A Cadaveric Study. Hindawi Publishing Corporation. ISRN Anatomy; 2013: 1-6.

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Published

2018-02-05

How to Cite

Dave, M. R., & Rajguru, J. (2018). A Study on The Morphological Variations of The Human Liver And Its Clinical Implications: A Study on The Morphological Variations of The Human Liver And Its Clinical Implications. National Journal of Integrated Research in Medicine, 8(5), 75–78. Retrieved from http://nicpd.ac.in/ojs-/index.php/njirm/article/view/1311

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Section

Original Articles