Sonographic characterization of an accessory fissure of the left hepatic lobe determined by omental infolding

C. Martinoli, G. Cittadini, R. Conzi, C. Pastorino, C. E. Neumaier, G. A. Rollandi, G. Grozio, G. Garlaschi

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Abstract

This article describes the sonographic appearance of a very common accessory fissure of the liver located on the inferior side of the left lobe. The fissure was recognized in about 5% of 800 consecutive subjects and showed variable appearance owing to different insertion levels on the inferior hepatic surface. It extended from the left hepatic border to the Rex's recess or alternatively to the falciform ligament or the gallbladder fossa and contained the hepatogastric and hepatoduodenal ligaments, as demonstrated by laparotomy in six cases. At surgery, there was no evidence of thickening of Glisson's capsule at the fissure site, thus suggesting that the fissure is the result of extrinsic remodeling of the left lobe by omental infolding.

Original languageEnglish
Pages (from-to)103-107
Number of pages5
JournalJournal of Ultrasound in Medicine
Volume11
Issue number2
Publication statusPublished - 1992

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Acoustics and Ultrasonics
  • Radiological and Ultrasound Technology

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    Martinoli, C., Cittadini, G., Conzi, R., Pastorino, C., Neumaier, C. E., Rollandi, G. A., Grozio, G., & Garlaschi, G. (1992). Sonographic characterization of an accessory fissure of the left hepatic lobe determined by omental infolding. Journal of Ultrasound in Medicine, 11(2), 103-107.