Background: The porta hepatis is a deep transverse fissure on the inferior surface of the liver, between the quadrate lobe anteriorly and the caudate process posteriorly. The major structures traversing in it are the portal vein, the hepatic artery and the hepatic duct. There are a lot of variations in the arrangement of structures passing through porta hepatis. Having knowledge of these variations becomes important to help in the existing knowledge so as to avoid complications during surgical and radiological interventions. The present study was carried out to study the arrangement and number of structures passing through porta hepatis and to report any variation thereof. Materials and methods: 40 formalin fixed adult cadaveric livers obtained from the Department of Anatomy, JNIMS, Imphal were studied. Porta hepatis was carefully dissected to observe a) arrangement, b) number of structures (artery, vein and duct) and c) the combination of the above structures. Results: There was consistent arrangement of the structures in porta hepatis with ducts, arteries and veins antero-posteriorly in all the livers studied. The most common finding had the combination of 1 vein, 2 arteries and 1 duct seen in 16 specimens (40%). Maximum number of arteries observed was 4 in 1 specimen (2.5%), vein was 2 in 3 specimens (7.5%) and duct was 2 in 7 specimens (17.5%). Various combinations of structures were observed and the porta hepatis with maximum number of structures passing through had the combination of 2 veins, 3 arteries and 2 ducts seen in 1 specimen (2.5%). Conclusion: The present study highlights the various combinations of the structures at the porta hepatis and will be therefore useful for the radiologists and surgeons dealing with this region.
Read full abstract