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HEPATOCOLONIC VAGRANCY: WANDERING LIVER WITH COLONIC ABNORMALITIES
Author(s) -
Siddins Mark T. B.,
Cade Richard J.
Publication year - 1990
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1990.tb07392.x
Subject(s) - medicine , vagrancy , ecology , biology
Abnormalities of hepatic, Fixation resuluing in excessive mobility in a transverse plane are uncommonly encountered. The unusal incidental finding of a freely mobile liver and spleen in a patient presenting with sigmoid volvulus is reported. At laparotomy, the inferrior aspect of the right hemidiapharagm was smoothly peritonealized. without evidence of coronary or triangular ligaments. it is postulated that this abnormal hepatic mobility reflects persistance of the primative ventral mesogastrium. To the authors' knowledge, this unusual condition has not previously been recognized. The literature relating to wandering liver is reviewed and four other cases are presented. An invarible association of persisting ventral mesogastrium with abnormalities in colonic anatomy (hepatocolonic vagrancy) is decribed

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