Charaa Soumaya, Frandon Julien, Touimi Benjelloun Ghizlane, Tessier Benoit
Department of Radiology and Medical Imaging, Nîmes University Hospital Center, University of Montpellier-Nîmes, Nîmes, France.
Medical Imaging Group Nîmes (MIG Nîmes), Nîmes, France.
Front Pediatr. 2025 Mar 6;13:1530918. doi: 10.3389/fped.2025.1530918. eCollection 2025.
An accessory liver lobe (ALL) represents a rare congenital variation of liver tissue, typically resulting from focal excessive development of liver tissue. Torsion of such lobes, though rare, can precipitate a severe surgical crisis due to hepatic ischemia and failure. We report a case involving a 9-year-old patient who was admitted with acute epigastric pain. Doppler ultrasound and contrast-enhanced CT scans revealed a heterogeneous, avascular mass with displacement of the gallbladder, which had a thickened wall. During laparotomy, a twisted, congested ALL along with the gallbladder was surgically removed. Diagnostic imaging, particularly computed tomography (CT), plays a crucial role in the rapid identification of causes behind acute abdominal pain, necessitating meticulous analysis of CT scans. We share the findings from imaging and surgery to enhance awareness of this rare condition.
副肝叶（ALL）是一种罕见的肝脏组织先天性变异，通常是由于肝脏组织局部过度发育所致。尽管这种肝叶扭转很少见，但由于肝脏缺血和衰竭，可能会引发严重的手术危机。我们报告一例9岁患者，因急性上腹部疼痛入院。多普勒超声和增强CT扫描显示一个不均匀的、无血管的肿块，伴有胆囊移位，胆囊壁增厚。在剖腹手术中，连同胆囊一起手术切除了扭转、充血的副肝叶。诊断性成像，尤其是计算机断层扫描（CT），在快速识别急性腹痛的病因方面起着关键作用，需要对CT扫描进行细致分析。我们分享影像学和手术的发现，以提高对这种罕见病症的认识。
