Choy K W, Kogilavani S, Norshalizah M, Rani S, Aspalilah A, Farihah H S, Faizah O, Norzana A G, Das S
Department of Anatomy, Faculty of Medicine, Universiti Kebangsaan Malaysia, 50300 Kuala Lumpur, Malaysia.
Clin Ter. 2013 May-Jun;164(3):197-201. doi: 10.7417/CT.2013.1549.
Anomalous structures of the liver are incidentally detected during autopsies or during routine cadaveric dissection. The present study aimed to observe the abnormal shapes of quadrate lobe, accessory sulci and ligamentum teres of the liver.
A total of 20 formalin fixed cadaveric livers (n=20), irrespective of the sex, were taken for this study. These specimens belonged to cadavers of unknown origins. The presence of accessory sulci and abnormalities related to the quadrate lobe and ligamentum teres were studied in detail. Morphometric measurements were taken for the abnormal accessory sulci and abnormal quadrate lobes.
Variable shapes of the quadrate lobes were observed with 8 (40%) being rectangular, 6 (30%) being pear-shaped, 4 (20%) being triangular and another 2 specimens (10%) which were square in shape. The presences of accessory sulci on the diaphragmatic surface of the liver were observed in 2 specimens (10%). Ligamentum teres traversed the groove in 18 (90%) while in 2 (10%) specimens, the ligamentum teres was embedded in the groove and it was covered by parenchymatous tissue of the liver it from the side of the quadrate lobe.
Prior anatomical knowledge of the presence of the anomalous structures in the liver with may be helpful for the radiologist and surgeons for correct interpretation of radiographs and planning appropriate hepatobiliary surgeries.
肝脏的异常结构在尸检或常规尸体解剖过程中被偶然发现。本研究旨在观察肝方叶、副沟和肝圆韧带的异常形态。
本研究共选取20例经福尔马林固定的尸体肝脏(n = 20),不考虑性别。这些标本来自来源不明的尸体。详细研究了副沟的存在以及与方叶和肝圆韧带相关的异常情况。对异常副沟和异常方叶进行了形态学测量。
观察到方叶有多种形状,其中8例(40%)为长方形,6例(30%)为梨形,4例(20%)为三角形,另外2例标本(10%)为正方形。在2例标本(10%)中观察到肝脏膈面存在副沟。18例(90%)中肝圆韧带穿过沟,而在2例(10%)标本中,肝圆韧带嵌入沟内,并从方叶一侧被肝脏实质组织覆盖。
预先了解肝脏中异常结构的存在,可能有助于放射科医生和外科医生正确解读X光片并规划合适的肝胆手术。