Sontakke Yogesh Ashok, Gladwin V, Chand Parkash
Assistant Professor, Department of Anatomy, Academic Centre, JIPMER , Puducherry, India .
Professor and Head, Department of Anatomy, Academic Centre, JIPMER , Puducherry, India .
J Clin Diagn Res. 2016 Jul;10(7):AD03-5. doi: 10.7860/JCDR/2016/20059.8174. Epub 2016 Jul 1.
The morphology and relations of liver, gall bladder and inferior vena cava are cardinal. Their anatomical variations may be a reason for the adverse surgical outcome. During routine anatomy dissection of an abdomen, we noticed a variant liver, gall bladder and inferior vena cava in a 63-year-old male cadaver. In the specimen, a retrohepatic segment of inferior vena cava was found to be intrahepatic. On dissection, it was observed that inferior vena cava was covered entirely by a liver tissue on its dorsal aspect. In the same specimen, the gall bladder had undulated inferior surface. On dissection of the gall bladder, numerous mucosal folds were present in the interior. A band of fibrous tissue was found, which was extending from the right side of the gall bladder to the falciform ligament. Hence, preoperative scanning of congenital variations of the liver, gall bladder and inferior vena cava may be compassionate in planning safe surgeries and interventional abdominal procedures.
肝脏、胆囊和下腔静脉的形态及相互关系至关重要。它们的解剖变异可能是手术不良预后的一个原因。在对一具腹部进行常规解剖时，我们在一名63岁男性尸体上发现了肝脏、胆囊和下腔静脉的变异情况。在标本中，发现下腔静脉的肝后段位于肝内。解剖时观察到，下腔静脉的背侧完全被肝组织覆盖。在同一标本中，胆囊下表面呈波浪状。解剖胆囊时，内部有许多黏膜皱襞。发现一条纤维组织带，从胆囊右侧延伸至镰状韧带。因此，术前扫描肝脏、胆囊和下腔静脉的先天性变异情况，对于规划安全的手术和腹部介入操作可能是有益的。
