Torsion of Accessory Hepatic Lobe - Current Issue of JIAPS
Accessory hepatic lobe (AHL) is an extremely rare anomaly. They usually present as small tongue-like projections from the surface of the liver, in the vicinity of the gall bladder fossa. They can rarely present as isolated lobes, either connected to the liver by a pedicle or having a separate mesentery containing blood vessels and bile ducts.[1] Most cases are asymptomatic. When pedunculated, AHL can undergo ischemic torsion and present as acute abdomen. In general, the diagnosis is made after laparotomy and histopathological confirmation.
Case Report
A 5-year-old male child was admitted with severe abdominal pain, vomiting, and fever. Pain abdomen was mainly in the right upper quadrant. He gave no history of similar prior episodes. Vomiting was nonbilious and fever was high grade and intermittent. He had not passed stools for past 2 days. On examination, he was febrile, pulse rate was 116/min, abdomen was mildly distended, and tenderness was present over right hypochondrium, right lumbar, and epigastric regions. He had generalized guarding and rigidity. On digital per-rectal examination, formed stools were present....
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