title: Complete hepatic ischemia due to torsion of a large accessory liver lobe: first case to require transplantation.
abstract: Anatomical abnormalities of the liver are extremely rare. Although the majority of cases with an accessory liver are not detected, it can give rise to various clinical symptoms like recurrent abdominal pain and impaired liver function. Here we present the first case of orthotopic liver transplantation in a patient with hepatic ischemia caused by complete vascular occlusion due to a twisted accessory liver lobe. Although rare, an accessory liver lobe may cause serious and life-threatening problems and should therefore be kept in mind in patients presenting with acute abdominal pain.
authors.affiliation: Department of General and Transplant Surgery, University Hospital Innsbruck, Austria.
authors.forename: Ruth
authors.initials: R
authors.lastname: Ladurner
authors.forename: Gerald
authors.initials: G
authors.lastname: Brandacher
authors.forename: Walter
authors.initials: W
authors.lastname: Mark
authors.forename: Claudia
authors.initials: C
authors.lastname: Iannetti
authors.forename: Clemens
authors.initials: C
authors.lastname: Lottersberger
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Steurer
authors.forename: Alfred
authors.initials: A
authors.lastname: Königsrainer
authors.forename: Raimund
authors.initials: R
authors.lastname: Margreiter
mesh_terms: D000328:Adult; D000013:Congenital Abnormalities / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000601:surgery*; D008099:Liver / Q000002:abnormalities* / Q000098:blood supply*; D016031:Liver Transplantation; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality