Diaphragmatic Fissures and Accessory Sulci of Liver in the Population of Telangana
- Tallapaneni Sreekanth
Introduction The liver is the largest gland of the human body. It is situated under the right dome of the diaphragm. Anatomically, the liver is divided into right and left lobes by the line of reflection of falciform ligament anteriorly, the fissure for ligamentum venosum posteriorly and the fissure for ligamentum teres inferiorly. The anatomical right lobe is larger than that of the left lobe. The anatomical right lobe is further divided into smaller lobes called quadrate and caudate lobes. The caecum is the initial part of the large intestine. Usually, it is situated in the right iliac fossa, just above the lateral part of the inguinal ligament. It receives the opening of ilium on its left wall and opening of the vermiform appendix on its posteromedial wall. The vermiform appendix is a diverticulum of caecum which is variable in its position in relation to the caecum. It is suspended by a fold of peritoneum called mesoappendix and hence it is mobile. It is supplied by the appendicular artery, which is a branch of ileocolic artery. In the current case, we encountered two large unusual notches on the right lobe of the liver, which is a very rare variation. The caecum and appendix were also in subhepatic position.