Anatomical characteristics of the accessory hepatic lobe and its clinical-functional particularities
DOI:
https://doi.org/10.31686/ijier.vol9.iss5.3087Keywords:
Riedel's lobe, Accessory hepatic lobe, Hepatic lobe anatomical variationsAbstract
Riedel's lobe (ectopic lobe), also known as the accessory hepatic lobe, consists of an anatomical variation characterized by a tongue-shaped protrusion on the visceral surface of the liver right lobe, fixed by a pedicle. This variant draws attention in the clinical practice, as it can be mistaken for a tumor due to its elongated aspect. The aim of this research was to conduct a study on the anatomical characteristics and clinical and functional peculiarities of the accessory hepatic lobe. The paper is based on a integrative review and observational study on a cadaveric specimen. A cadaver with anatomical variation was used. Data were collected in PubMed, Scielo, and VHL. 257 articles were found in the databases, but only 13 were used for research. In careful review, two rare cases of the accessory lobe in the left lobe of the liver, hypoplastic left lobes, and agenesis of the right hepatic lobe, and often the clinical picture without changes in signs and symptoms were found. These morphological abnormalities' clinical impact is limited in the absence of underlying liver disease, cirrhosis, or known cancer. In case of complications or after the diagnosis of pedunculated tumors in the liver, laparoscopy is well indicated for removing these lobes or tumors.
References
Kurniawan J, Anggraeni D, Dewiasty E, Lutfie L. Riedel's lobe: clinical importance of a rare variant in liver morphology. Acta Med Indones. 2017;49(1):57-62.
Glenisson M, Salloum C, Lim C, et al. Accessory liver lobes: anatomical description and clinical implications. J Visc Surg. 2014;151(6):451-5. DOI: https://doi.org/10.1016/j.jviscsurg.2014.09.013
Akbulut S, Basak F, Sevinc MM. Gastric outlet obstruction caused by Riedel's lobe of the liver: A diagnostic and therapeutic challenge for surgeons. Hepato-Gastroenterology. 2011;58:589-92.
Ramos RR, Simonato LE, Godoy JMP, et al. Morphological characteristics of the in formalized corps: an observational study. IJDR. 2020;10(03):34746-48.
Vinnakota S, Jayasree N. A new insight into the morphology of the human liver: a cadaveric study. International Scholarly Research Notices Anatomy. 2013;24:1-6. DOI: https://doi.org/10.5402/2013/689564
Grant MJ, Booth A. A typology of reviews: an analysis of 14 review types and associated methodologies. Health Info Libr J. 2009;26(2):91-108. DOI: https://doi.org/10.1111/j.1471-1842.2009.00848.x
Bensaad A, Algaba R. Images in medicine: Riedel’s lobe of the liver. Pan African Medical Journal. 2017;28:211. DOI: https://doi.org/10.11604/pamj.2017.28.211.13586
Nacif LS, Buscariolli Ydos S, D'Albuquerque LA, Andraus W. Agenesis of the right hepatic lobe. Case Rep Med. 2012;2012:415742. DOI: https://doi.org/10.1155/2012/415742
Salzman SM, Schroff E, Goldman MD, Chung E. Riedel Fight Song: a case report of riedel lobe presumed to be hepatomegaly. International J Contemporary Pediatrics. 2016:3(3);1089-91. DOI: https://doi.org/10.18203/2349-3291.ijcp20162396
Chien GW, Orvieto MA, Galocy RM, Sokoloff MH, Shahav AL. Technical considerations for laparoscopic right renal surgery in presence of Riedel’s lobe of the liver. J Endourology. 2005;19(3):300-2. DOI: https://doi.org/10.1089/end.2005.19.300
Savopoulos C, Kakaletsis N, Kaiafa G, Iliadis F, Kalogera-Fountzila A, Hatzitolios AI. Riedel’s lobe of the liver: a case report. Medicine (Baltimore). 2015;94(3):e430. DOI: https://doi.org/10.1097/MD.0000000000000430
Elfeshawy MS. Bilobed spleen, transposition of the inferior vena cava and Riedel lobe: an extremely rare imaging finding in the same case. BJR Case Rep. 2018;5(2):20180091. DOI: https://doi.org/10.1259/bjrcr.20180091
Natarajan S, Jayasudha, Periasamy M, Rangasamy S. Torsion of accessory hepatic lobe. J Indian Assoc Pediatr Surg. 2017;22:55-56. DOI: https://doi.org/10.4103/0971-9261.194628
Downloads
Published
Issue
Section
License
Copyright (c) 2021 Camila Ribeiro Martins Schwantes, Bruna Leticia Miler, Ana Cristina Oliveira Gimenes, Geisy Natiele Borges Ribeiro, Suellen Keyze Almeida Lima, Luciana Estevam Simonato, Nilton Cesar Pezati Boer, Isabella Glória Camargo, Fernando Flávio Pavan da Silva, Jean Donizete Silveira Taliari, Rogério Rodrigo Ramos

This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Copyrights for articles published in IJIER journals are retained by the authors, with first publication rights granted to the journal. The journal/publisher is not responsible for subsequent uses of the work. It is the author's responsibility to bring an infringement action if so desired by the author for more visit Copyright & License.
How to Cite
Accepted 2021-04-12
Published 2021-05-01
Most read articles by the same author(s)
- Giulia Garcia Pedrão, Thales Vinicius Candido da Silva, Paulo Eduardo Novelini, Beatriz Ferratone Magalhães, Danilo Anderson Pereira, Carolina Maria Favarim Neujorks, Rogério Rodrigo Ramos, High Brachial Artery Bifurcation Clinical finding in Cadaveric Specimen by Medical Students During Internship , International Journal for Innovation Education and Research: Vol. 9 No. 2 (2021): International Journal for Innovation Education and Research
- Ana Júlia Salim Casseb, Ana Letícia Salim Casseb, Ana Carolina Souza, Alice Magalhães, Alice Berto Canova, Andressa Borher Mello Pinheiro, Ana Clara Izidoro Barreto Miranda, Ana Paula Boaro, Beatriz Maine Berg, Camila Borges Bittencourt, Daiane Batista Mariano Silva, Laura de Oliveira Roveri, Lívia Sotero, Rogério Rodrigo Ramos, Gestational Thrombophilia , International Journal for Innovation Education and Research: Vol. 10 No. 1 (2022): International Journal for Innovation Education and Research
- Larissa Amoroso da Silva, Bianca Pereira Carnevali, Rogério Rodrigo Ramos, Clinical and Therapeutic Treatment Approach Between Diabetes Mellitus and Urinary Tract Infection , International Journal for Innovation Education and Research: Vol. 9 No. 9 (2021): International Journal for Innovation Education and Research
- Mariane Gabriela Terezani, Elís Claudia Ribeiro Cantarella, Luciana Estevam Simonato, Wagner Rafael da Silva, José Martins Pinto Neto, André Wilian Lozano, Luis Lênin Vicente Pereira, Rogério Rodrigo Ramos, Prevalence and Current Practices of Self-Medication among Students of the Biomedicine Degree at the Health Sciences School , International Journal for Innovation Education and Research: Vol. 8 No. 12 (2020): International Journal for Innovation Education and Research
- Beatriz Brumato Macedo, Rogério Rodrigo Ramos, Application of botulinum toxin in facial paralysis , International Journal for Innovation Education and Research: Vol. 10 No. 7 (2022): International Journal for Innovation Education and Research
- João Paulo Martins de Oliveira, Maria Caroline Ferreira Cardoso, Ana Paula Silva Lopes, Aline Reis Stefanini, Paulo Henrique Bortoluzo, André Luís da Silva Fabris, Tais Cristina Nascimento Marques, Rogério Rodrigo Ramos, Nilton Cesar Pezati Boer, Luciana Estevam Simonato, Diagnostic aspects of juvenile ossificant fibroma , International Journal for Innovation Education and Research: Vol. 8 No. 9 (2020): International Journal for Innovation Education and Research
- Wagner Rafael Da Silva, Dora Inês Kozusny-Andreani, Rogério Rodrigo Ramos, Ozonized and natural compounds for in vitro Acinetobacter Baumannii treatment , International Journal for Innovation Education and Research: Vol. 9 No. 4 (2021): International Journal for Innovation Education and Research
- Ana Elisa Pereira da Silva, Tharinne Oliveira Silva Cavalheiro, Dora Inés Kozusny-Andreani, Rogério Rodrigo Ramos, Incidence of multiresistant antimicrobial Staphylococcus in the hands of Health Basic Unit professionals , International Journal for Innovation Education and Research: Vol. 9 No. 2 (2021): International Journal for Innovation Education and Research
- Igor Donizete Fernandes, Haiany Cruz dos Santos, Fabiano da Silva Feitosa, Anayque Taihara de Oliveira Ribeiro, Taíse Jordão Zanzarini, Jussara Britto Batista Gonçalves, Elena Carla Batista Mendes, Rogério Rodrigo Ramos, Teaching hospital management during the undergraduate nursing course , International Journal for Innovation Education and Research: Vol. 10 No. 1 (2022): International Journal for Innovation Education and Research
- Matheus Alexandre Da Silva Taliari, Andressa Costa Fontes, Fellipe Genasculi Araujo, Luis Lênin Vicente Pereira, Luciana Estevam Simonato, José Martins Pinto Neto, André Wilian Lozano, Nilton Cesar Pezati Boer, Wagner Rafael da Silva, Rafael Guerra de Aquino, Farid Jamil Silva de Arruda, Fábio Zanusso Prates, Noedi Leoni de Freitas, Jean Donizete Silveira Taliari, Rogério Rodrigo Ramos, Protoporphyrin IX Associated with Visible Light for the Treatment of Trichophyton rubrum Causing Onychomycosis - An Updated Review , International Journal for Innovation Education and Research: Vol. 10 No. 6 (2022): International Journal for Innovation Education and Research