A morphological study of human cadaveric liver and its clinical importance in Gujarat

Abstract

The liver is the largest gland of the body. It is involved in various metabolic activities. It is present in right hypochondrium, epigastric and reach up to left hypochondrium. Due to presence of falciform ligamentum, liver is divided into anatomical 5/6 right and 1/6 left lobe. During intrauterine life right lobe is larger due to haematopoiesis, but the haemopoietic function of liver is diminishes sufficiently in last two month leads to progressive reduction of its size which mostly affect left lobe. The study was carried out on 50 embalmed liver present in department of anatomy, GMERS medical college, Dharpur, Patan, Gujarat over the period of three year. Liver observed macroscopically for presence of any accessory lobe or fissure, then take photograph for record and further analysis. In our study out of 50 specimens 29(58%) specimen normal without any morphological changes, while in 21(42%) there are various changes. Out of 42% there is presence of accessory lobe in 7(14%), accessory fissure & grooves in 9(18%), Abnormal elongation of left lobe in 4 (8%) specimen and Riedel’s lobe in 1(2%) specimen. To identify primary or metastatic hepatic carcinoma hepatic imaging technique is best tool, in which various major fissure & lobes are very important landmark to mark the lobar anatomy and liver lesions. So it is helpful to radiologist as well as the surgeons to plan surgery accordingly. Keywords: Liver, Accessory lobe, Accessory fissure, Caudate lobe, Quadrate lobe.