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Accessory Sulcus of Liver: An Anatomical Study and Its ClinicoSurgical Implications

Padamjeet Panchal, Assistant Professor, Department of Anatomy, All India Institute of Medical Sciences (AIIMS), Phulwari Sharif, Patna, Bihar 801507. , Panchal Padamjeet1 , Prasad Atulya2 , Prasad Bheem1 , Britto N.J.2 , Das Praveen K.3 , Chaturvedi Harish4

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Indian Journal of Anatomy 6(3):p 327-330, . | DOI: http://dx.doi.org/10.21088/ija.2320.0022.6317.14
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Abstract

Background: Accessory Sulci can be incidentally detected during any radiological procedures, routine autopsies, surgery or anatomical dissections. These have been investigated as congenital development or acquired due to pressure exerted by surrounding viscera. Aim: The aim of the present study was to find out the presence of Accessory Sulcus (AS) in the embalmed cadaveric livers, compare it with the normal liver and correlated its clinical implications. Materials and Methods: All intact cadaveric formalin-fixed 20 livers were utilised for the study. All the livers belonged to adults of unknown age and known sex (male-18, female-2) in the Department of Anatomy, in order to observe the presence and pattern of AS. Result: The diaphragmatic sulci (DS) were present in 2 cases. They were starting from the right side of the inferior vena cava on right lobe of liver extending from superior surface to the anterior and right surfaces. A Rouviere’s sulcus containing the right portal pedicle extending from the right of the porta hepatis, anterior to the caudate process was seen in 10% of cases. In one case sulcus extending from the right of fossa for gall bladder having a curved course bisecting the inferior border, was seen. Besides this, some minor sulci on the quadrate and caudate and left lobes were also seen.Conclusion: The anatomical knowledge of these hepatic AS may be utilised by radiologists to avoid possible errors in interpretation and subsequent misdiagnosis and may assist hepatobiliary surgeons to plan a safe surgical approaches.

 

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  • Padamjeet Panchal, Assistant Professor, Department of Anatomy, All India Institute of Medical Sciences (AIIMS), Phulwari Sharif, Patna, Bihar 801507.
    ,
  • Panchal Padamjeet1
    ,
  • Prasad Atulya2
    ,
  • Prasad Bheem1
    ,
  • Britto N.J.2
    ,
  • Das Praveen K.3
    ,
  • Chaturvedi Harish4
    ,
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DOI: http://dx.doi.org/10.21088/ija.2320.0022.6317.14
Keywords Hepatic Segments; Laproscopic Cholecystectomy; Portal Fissure; Rouviere’s Sulcus. 

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