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Right Iliac fossa pain due to torsion and ischaemia of accessory liver lobe

An accessory liver lobe (ALL) is the presence of ectopic hepatic tissue which has developed as a result of excessive hepatic development. The majority of patients with ALL remain asymptomatic and their findings are incidental, either after undergoing radiological imaging or during surgery for other...

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Detalles Bibliográficos
Autores principales: Al-Anwar, Shahinda, Askari, Alan, Alvi, Atif
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6516433/
https://www.ncbi.nlm.nih.gov/pubmed/31110651
http://dx.doi.org/10.1093/jscr/rjz101
Descripción
Sumario:An accessory liver lobe (ALL) is the presence of ectopic hepatic tissue which has developed as a result of excessive hepatic development. The majority of patients with ALL remain asymptomatic and their findings are incidental, either after undergoing radiological imaging or during surgery for other pathology. However, in a small number of patients who have a pedunculated ALL, torsion of the lobe on its axis can cause pain, often due to ischaemia of the lobe. We report a 26-year-old female who presented with right iliac fossa pain mimicking acute appendicitis and preceded by recent vigorous exercising activity.