Savopoulos Christos, Kakaletsis Nikolaos, Kaiafa Georgia, Iliadis Fotios, Kalogera-Fountzila Anna, Hatzitolios Apostolos I
From 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 (Baltimore). 2015 Jan;94(3):e430. doi: 10.1097/MD.0000000000000430.
Riedel lobe of the liver is a simple anatomical variation, a downward tongue-like projection of the anterior edge of the right lobe of the liver to the right of the gallbladder with its typical case to be rare.We report the case of a 71-year-old woman with typical feature of a nonpalpable Riedel's lobe of the liver, as an incidental finding who was referred for reported hypergammaglobulinemia (22.7% [9%-19%]). Both features were attributed to a chronic inflammation because of an abscess in the right iliopsoas caused by infection due to bilateral hip replacement which underwent revision surgery. This was confirmed by her medical history, the imaging findings combined with elevated C-reactive protein, and by cross-reaction weak positive autoantibodies.Generally, knowledge or suspicion of Riedel's lobe of the liver is important, as it does not always remain clinically latent, as in our case, and it can be complicated by its torsion or hepatic tumors.
肝Riedel叶是一种简单的解剖变异,即肝右叶前缘向胆囊右侧的向下舌状突出,其典型病例较为罕见。我们报告了一例71岁女性,其具有肝脏不可触及的Riedel叶的典型特征,该特征为偶然发现,患者因报告的高球蛋白血症(22.7%[9%-19%])前来就诊。这两个特征均归因于双侧髋关节置换术后感染导致右髂腰肌脓肿引起的慢性炎症。患者的病史、影像学检查结果以及C反应蛋白升高和交叉反应弱阳性自身抗体均证实了这一点。一般来说,了解或怀疑肝Riedel叶很重要,因为它并不总是像我们的病例那样在临床上处于潜伏状态,它可能会因扭转或肝脏肿瘤而变得复杂。