PMID: 9430027Jan 16, 1998Paper

Hypogenesis of right hepatic lobe accompanied by portal hypertension: case report and review of 31 Japanese cases

Journal of Gastroenterology
T InoueM Iwata

Abstract

We report a rare case of hypogenesis of the right lobe of the liver with portal hypertension and a review of 31 cases of agenesis or hypogenesis of the right hepatic lobe reported in Japan. A 74-year-old man consulted our hospital for further examination after a mass screening for gastric cancer. On physical examination liver enlargement was palpable, but liver function tests were normal. Abdominal ultrasonography, computed tomography, technetium-99m liver scintigraphy, and endoscopic retrograde cholangiopancreatography revealed a small right hepatic lobe and moderate splenomegaly, in contrast to a hypertrophic lateral segment of the left hepatic lobe, as well as ectopic dislocation of the gallbladder. Endoscopic examination revealed esophageal varices, indicating portal hypertension. Abdominal angiography demonstrated mild shunt flow between the hepatic artery feeding from the gastroduodenal artery and the portal vein. A biopsy specimen taken from both lobes of the liver showed normal liver tissue histologically. Based on these findings, we made a definite diagnosis of hypogenesis of the right lobe of the liver with portal hypertension. The present case appears to be the first such case accompanied by portal hypertension repor...Continue Reading

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Citations

May 3, 2012·Case Reports in Medicine·Lucas Souto NacifWellington Andraus
Oct 26, 2010·Clinics and Research in Hepatology and Gastroenterology·S R ChitranjanC J Das
Mar 18, 2010·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Xu Nan, Yan Lu-Nan
Apr 24, 2014·ANZ Journal of Surgery·Fanpu JiZongfang Li
Mar 15, 2013·Journal of the Korean Surgical Society·Kwang Yeol Paik
Oct 4, 2008·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Hee Jung SuhYun Ku Cho
Jun 21, 2019·Intractable & Rare Diseases Research·Yuka FujimotoYukihiro Inomata

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