title: Accessory Inferior Sulci of the Liver in an Afro-Caribbean Population.
abstract: BACKGROUND
  There have been no previous reports on the anatomic variations that exist on inferior surface of the liver in Caribbean populations. This information is important to optimize radiology and hepatobiliary surgical services in the region.
  
  
  METHODS
  Two investigators independently observed 69 cadaveric dissections over five years and described the variations in surface anatomy.
  
  
  RESULTS
  In this population 88% of cadaveric livers had conventional hepatic surface anatomy. However, 12% had accessory sulci present on the visceral surface of the liver, with a 7:1 male preponderance. When present, there was 100% correlation between the presence of Rouvière's sulcus and the right branch of portal pedicle.
  
  
  CONCLUSIONS
  Abnormal surface anatomy is present in 12% of unselected specimens in this Caribbean population. Interventional radiologists and hepatobiliary surgeons practicing in the Caribbean must be cognizant of these differences in order to minimize morbidity during invasive procedures.
authors: Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, Jamaica.
authors: Shamir
authors: S
authors: O Cawich
authors: Department of Basic Medical Sciences, University of the West Indies, Mona Campus, Kingston 7, Jamaica;
authors: Michael
authors: M
authors: T Gardner
authors: Department of Basic Medical Sciences, University of the West Indies, Mona Campus, Kingston 7, Jamaica;
authors: Ramnanand
authors: R
authors: Shetty
authors: Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, Jamaica.
authors: Neil
authors: N
authors: W Pearce
authors: Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, Jamaica.
authors: Vijay
authors: V
authors: Naraynsingh
keywords: Anatomy; Liver; Sulcus; Surface; Variation