ABSTRACT
Aims and objectives: Research on segmental anatomy of liver has been extensively done but very little work is done on Accessory Sulcus (AS). Participants: Present study was carried on 36 cadaveric livers with mean age ranging between 30-60 years. Main outcome measures: Although, variation in surface of liver are reported but very few studies are there which reports their presence on inferior surface, on caudate lobe, in gall bladder fossa and right lateral surface of liver. Result:We found AS in 13 livers (36.1%) out of 40 livers. These Sulci were transverse, vertical as well as curved in shape. Out of these in nine liver a single sulcus was present (25%) while in five livers the sulci were multiple (13.88%). Conclusion: This study highlights the occurrence of variations on the liver surface. The finding of this studymay be utilized by imaging specialists & surgeons respectively to avoid errors in interpretations & subsequent misdiagnosis.
ABSTRACT
Strangulated ileal intussusceptions into the Meckel’s diverticulum (which is caused by an incomplete obliteration of omphalomesentric duct) and coming out through ruptured umbilical hernia is an extremely rare presentation. A 3- months- old male child presented with low grade fever, refusal to feed and episodes of discomfort often alternating with long period of sleepiness and lethargy. On abdominal examination loops of intestine were seen at the site of ruptured umbilical hernia. The abdomen was opened under general anaesthesia by transverse incision. Proximal ileal intussusception into the Meckel’s diverticulum, which was gangrenous, was noted. A resection with end to end ileo-ileal anastomosis was undertaken. The prolapsed bowel was replaced back and double breasting of umbilical defect was done with vicryl 2-0. The patient was completely asymptomatic and healthy.