TY - JOUR
T1 - Accessory hepatic lobes in the pediatric population
T2 - A report of three cases of torsion and literature review
AU - Corbitt, Natasha
AU - Rellinger, Eric J.
AU - Hernanz-Schulman, Marta
AU - Chung, Dai H.
N1 - Publisher Copyright:
© 2016 The Authors
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Congenital liver anomalies are uncommon. Symptomatic accessory hepatic lobes (AHL), either in continuity with the liver or ectopically located, are even less common. AHL have been reported in individuals spanning from neonates to octogenarians and are typically asymptomatic, however when symptomatic often require surgical intervention. We report three new cases of AHL in children (mean = 14.6 years). All three presented with sudden onset of abdominal pain and were diagnosed preoperatively by imaging findings. All three patients had symptom resolution following resection of the torsed accessory liver lobes. We report here the largest series of pediatric AHL torsion at a single institution to date, review the classification schemes, identify diagnostic imaging findings, and summarize associated congenital disorders that should raise suspicion for accessory hepatic lobes.
AB - Congenital liver anomalies are uncommon. Symptomatic accessory hepatic lobes (AHL), either in continuity with the liver or ectopically located, are even less common. AHL have been reported in individuals spanning from neonates to octogenarians and are typically asymptomatic, however when symptomatic often require surgical intervention. We report three new cases of AHL in children (mean = 14.6 years). All three presented with sudden onset of abdominal pain and were diagnosed preoperatively by imaging findings. All three patients had symptom resolution following resection of the torsed accessory liver lobes. We report here the largest series of pediatric AHL torsion at a single institution to date, review the classification schemes, identify diagnostic imaging findings, and summarize associated congenital disorders that should raise suspicion for accessory hepatic lobes.
KW - Accessory hepatic lobe
KW - Accessory liver
KW - Accessory liver lobe
KW - Accessory liver lobe torsion
KW - Ectopic liver
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U2 - 10.1016/j.epsc.2016.09.003
DO - 10.1016/j.epsc.2016.09.003
M3 - Article
AN - SCOPUS:84994291473
SN - 2213-5766
VL - 16
SP - 15
EP - 18
JO - Journal of Pediatric Surgery Case Reports
JF - Journal of Pediatric Surgery Case Reports
ER -