A CASE OF ANOMALY OF THE LIVER REACHED THE PELVIC CAVITY

概要

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A 52-year-old man was admitted to the hospital for a left inguinal hernia and it was repaired. Postoperative plain X-ray film showed an abnormal shadow which pressed the ascending colon in his right flank. Computed tomography and drip infusion cholangiography (DIC) demonstrated that the abnormal shadow was a part of an abnormally big and deformed liver which pressed the ascending colon to the left and reached the pelvic cavity. The gallbladder was included in the abnormal part of the liver in the right flank. The hepatic ducts once united to form the common hepatic duct in the abnormal part, then ascended receiving the cystic duct and changing the name into the common bile duct, and flowed into the duodenum. DIC and 99mTc-PMT cholescintigraphy showed the choleric excretory function being in good condition. Because of good liver and choleric excretory function, this anomaly of the liver was not considered to be pathological. Although minor variations in size and form of the liver are not uncommon, true anomaly in the form of the liver like this case is exteremly rare and has not been reported at least in Japan.
日本臨床外科学会の論文