Quick Links
Archives
How
to
cite
this
Article:
Tallapaneni
Sreekanth.
DIAPHRAGMATIC
FISSURES
AND
ACCESSORY
SULCI
OF
LIVER
IN
THE
POPULATION
OF
TELANGANA.
Int J Anatomy Res 2016;4(4):3273-3278. DOI: 10.16965/ijar.2016.458.
Type of Article: Original Research
DOI: http://dx.doi.org/10.16965/ijar.2016.458
Page No.: 3273-3278
DIAPHRAGMATIC FISSURES AND ACCESSORY SULCI OF LIVER IN THE POPULATION OF TELANGANA
Tallapaneni Sreekanth
MD,
Associate
Professor,
Department
of
Anatomy,
Shadan
Institute
of
Medical
Sciences,
Teaching
Hospital
&
Research
Center,
Peerancheeruvu,
Near
Arramaisamma Temple, Hyderabad, Telangana, India.
Address
for
Correspondence:
Dr.
Tallapaneni
Sreekanth,
Associate
Professor,
Department
of
Anatomy,
Shadan
Institute
of
Medical
Sciences,
Teaching
Hospital
&
Research
Center,
Peerancheeruvu,
Near
Arramaisamma
Temple,
Hyderabad,
Telangana,
India.
Mobile
No:
70934
49309,
91006
83056.
E-Mail:
anatomysreekanth18@yahoo.com
ABSTRACT:
Background
and
Aims
:
The
sources
of
information
of
the
Diaphragmatic
Fissures
and
Accessory
Sulci
of
Liver
are
only
the
research
reports.
Routine
anatomy
Textbooks
do
not
even
mention
them.
Extensively
research
has
been
done
on
the
segmental
anatomy
of
liver
but
work
done
on
diaphragmatic
fissures
and
accessory
sulci
of
liver
is
scanty.
The
present
study
can
make
a
significant
contribution
to
the
existing
literature.
Hepatology
is
complete
only
with the knowledge of these fissures and sulci.
Materials
and
Methods:
The
present
study
was
carried
on
45
cadaveric
[40
Male
and
5
Female]
livers.
The
mean
age
of
the
cadavers
ranges
between
25
– 65 years. All the surfaces of the harvested livers were meticulously observed and photographed.
Result:
In
the
present
study
the
diaphragmatic
fissures
and
accessory
fissures
were
seen
in
14(31.11%)]
livers.
12
(26.66%)
livers
showed
diaphragmatic
and
accessory
fissures
on
the
right
lobe
and
two
(4.44%)
showed
on
left
lobe.
The
deep
diaphragmatic
fissures
seen
on
the
antero
superior
surface,
postero
superior
surface
caused
notched
appearance
of
the
liver.
The
fissures
were
ranging
from
shallow
to
deep,
narrow
to
broad,
single
to
multiple.
Two
liver
specimens
showed
the
furrowing
of
the
diaphragmatic
muscle
fibers
making
indentations
on
the
entire
right
lateral
surface.
3
livers
on
their
inferior
surfaces
showed
the
presence
of
accessory
fissures.
About
3
(6.66%)
caudate
lobes
showed
accessory
fissures.
In
the
present
study
none
of
the
quadrate lobes showed any accessory fissures.
Conclusion:
The
present
study
throws
light
on
the
frequency
of
occurrence
of
diaphragmatic
fissures
and
accessory
sulci
on
different
surfaces
of
liver.
The
results
of
the
present
study
may
be
gainfully
utilized
by
Forensic
specialist
during
postmortem
study,
Radiologists
reporting
the
abdominal
sonograms,
C.T. and M.R.I scans and Hepato-biliary Surgeons operating on Livers.
KEY WORDS: Accessory sulci, Diaphragmatic Fissures, Inferior Surface, Caudate lobe.
References
1
.
John
E.
Skandalakis,MD,
PhD,
Lee
J.
Skandalakis,
MD,
Panajiotis
n.
Skandalakis,
MD,
Petros
Mirilas,
MD,
Msurg,
Hepatic
surgical
anatomy,
Surgical
clinics of North America, 2004;84:413-435.
2
.
Standring
S,
Ellis
H,
Healy
JC,
et
al.
Liver
in:
Standring
S,
ed
Gray’s
Anatomy:
The
Anatomical
Basis
of
Clinical
Practice.
39
th
ed.
London:
Elsevier
Churchill Livingstone, 2005; 1213-25.
3
.
Zahn FW. Note sur les plis respiratories du diaphragm et les sillons diaphragmatiques du foie. Rev. Med Suisse Romande. 1882;2:531-535.
4
.
Auh
YH,
Lim
JH,
Kim
KW,
et
al.
Loculated
fluid
collections
in
hepatic
fissures
and
recesses:
CT
appearance
and
potential
pitfalls.
Radiographics
1994;14:529-40.
5
.
Thompson A: the morphological significance of certain fissures in the human liver. J Anat Physiol 1899;33:22.
6
.
Macchi V, Porzionato A, Parenti A, et al. Main accessory sulcus of the liver. Clin Anat.2005;18:39-45.
7
.
Suksaweang
S,
Lin
CM,
Jiang
TX,
Hughes
MW,
Widelitz
RB,
Choung
CM.
Morphogenesis
of
chicken
liver:
identification
of
localized
growth
zones
and
the role of beta-catenin/Wnt in size regulation. Dev Biol 2001;266:109-122.
8
.
Newell RLM M-JR: Grooves in the superior surface of the liver. Clin Anat 1933;18:39-45.
9
.
Auh
YH,
Rubenstein
WA.
Ziirinsky
K,
Kneeland
JB,
Pardes
JC,
Engel
IA,
Whalen
JP,
Kazam
E.
Accessory
fissures
of
the
liver:
C.T.
and
sonographic
appearance. AJR. Am J Roentgenol 1984: 3: 565-572.
1
0
.
Johnson
PB,
Cawich
SO,
Roberts
P,
Shah
S,
et
al.,
Variants
of
hepatic
arterial
supply
in
a
Caribbean
population:
A
computed
tomography
based
study.
Clin. Radiol. 2013;68(8):823-827.
1
1
.
Satheesha
Nayak
B,
Prasad
A
M,
Narendra
Padmidi,
Bincy
M
George.
Notched
liver
associated
with
subhepatic
caecum
and
appendix
–
a
case
report.
International Journal of Anatomical Variations . 2012;5:48-50.
1
2
.
Joshi
SD,
Hoshi
S
S,
Agthavale
S
A,
some
interesting
observations
on
the
surface
features
of
the
liver
and
their
clinical
implications,
Singapore
Med
J.
2006;50(7):715-719.
1
3
.
Veronica
Macchi,
Glampietro
Feltrin,
Anna
Parenti,
and
Raffaele
De
Caro.
Diaphragmatic
sulci
and
portal
fissures.
Journal
of
Anatomy.2003;202(3):303-308.
1
4
.
S.
Saritha,
Ramani,
Nagajyothi,
yesender.
Cadaveric
study
of
morphological
variations
in
the
human
liver
and
its
clinical
importance.
Valley
International Journals. International journal of Medical Sciences and Clinical Inventions. 2015;2(6):1020-1031.
1
5
.
Sunitha
Vinnakota,
Neelee
Jayasree.
A
New
Insight
into
the
Morphology
of
the
Human
Liver:
A
cadaveric
Study.
2013;http://dx.doi.org/10.5402/2012/689564.
1
6
.
Faizah
B.
Othman,
MD,
PhD.
Azian
A.
Latiff,
MD,
PhD,
Farihab
H.
Subaiml.
MBBS.
PhD,
Srijit
Das,
MBBS,
MS.
Accessory
sulci
of
the
liver,
Saudi
Med
J
2008; 29(9):1247-1249.
1
7
.
Sharmir
O.
Cawich,
Michael
T.
Gardner,
Ramnanand
Shetty,
Neil
W.
Pearce,
Vijay
Naraynsingh.
Accessory
Inferior
Sulci
of
the
Liver
in
an
Afro-
Caribbean Population. Int. j. Biomed Sci. 2016 Jun; 12(2): 58-64.
1
8
.
Satheesha Nayak B. A study on the Anomalies of Liver in the south Indian Cadavers.int. J. Morphol., 2013;31(2):658-661.
19.
Satish Jain, Indersain Gupta, Monica Jain, RP Singal. Accessory Sulci of Liver in the Population of Haryana. Int.J. Anat. Res. 2015;3(2):977-79.