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How   to   cite   this   Article:    Tallapaneni   Sreekanth.    DIAPHRAGMATIC   FISSURES   AND   ACCESSORY   SULCI   OF   LIVER   IN   THE         POPULATION   OF TELANGANA.  Int J Anatomy Res 2016;4(4):3273-3278. DOI: 10.16965/ijar.2016.458.
Type of Article: Original Research DOI: http://dx.doi.org/10.16965/ijar.2016.458 Page No.:  3273-3278
DIAPHRAGMATIC FISSURES AND ACCESSORY SULCI OF LIVER IN THE   POPULATION OF TELANGANA Tallapaneni Sreekanth MD,   Associate   Professor,   Department   of   Anatomy,   Shadan   Institute   of   Medical   Sciences,   Teaching   Hospital   &   Research   Center,   Peerancheeruvu,   Near Arramaisamma Temple, Hyderabad, Telangana, India. Address   for   Correspondence:   Dr.   Tallapaneni   Sreekanth,   Associate   Professor,   Department   of   Anatomy,   Shadan   Institute   of   Medical   Sciences,   Teaching Hospital   &   Research   Center,   Peerancheeruvu,   Near   Arramaisamma   Temple,   Hyderabad,   Telangana,   India.   Mobile   No:   70934   49309,   91006   83056.    E-Mail: anatomysreekanth18@yahoo.com ABSTRACT: Background   and   Aims :      The   sources   of   information   of   the   Diaphragmatic   Fissures   and   Accessory   Sulci   of   Liver   are   only   the   research   reports.      Routine anatomy   Textbooks   do   not   even   mention   them.      Extensively   research      has   been      done   on   the   segmental   anatomy   of   liver   but      work      done   on   diaphragmatic fissures   and   accessory   sulci   of   liver   is   scanty.      The   present   study   can   make   a   significant   contribution   to   the   existing   literature.      Hepatology   is   complete   only with the knowledge  of these fissures and sulci.  Materials   and   Methods:   The   present   study   was   carried   on      45   cadaveric   [40   Male   and   5   Female]      livers.      The   mean   age   of   the      cadavers   ranges   between   25 – 65 years. All the surfaces of the  harvested livers were meticulously observed and photographed.  Result:    In   the   present   study   the   diaphragmatic   fissures   and      accessory   fissures   were   seen   in   14(31.11%)]   livers.      12   (26.66%)   livers   showed   diaphragmatic and      accessory   fissures   on   the   right   lobe   and   two   (4.44%)   showed      on   left   lobe.      The   deep   diaphragmatic   fissures      seen   on   the   antero   superior   surface, postero   superior   surface   caused   notched   appearance   of   the   liver.   The   fissures   were   ranging   from   shallow   to   deep,   narrow   to   broad,      single   to   multiple.      Two liver   specimens   showed      the   furrowing   of   the   diaphragmatic   muscle      fibers      making   indentations      on   the   entire   right      lateral   surface.         3   livers   on   their     inferior   surfaces      showed   the   presence   of   accessory   fissures.      About   3   (6.66%)   caudate   lobes   showed   accessory   fissures.         In   the   present   study   none   of   the quadrate lobes showed any accessory fissures.  Conclusion:   The   present   study   throws   light   on         the         frequency   of   occurrence   of   diaphragmatic   fissures   and   accessory   sulci   on   different   surfaces   of   liver.     The   results   of   the   present   study   may   be   gainfully   utilized   by   Forensic   specialist   during   postmortem   study,   Radiologists   reporting   the   abdominal   sonograms,     C.T. and  M.R.I scans and  Hepato-biliary Surgeons operating on Livers. KEY WORDS:  Accessory sulci, Diaphragmatic Fissures, Inferior Surface, Caudate lobe. References 1 . John   E.   Skandalakis,MD,      PhD,      Lee   J.   Skandalakis,   MD,   Panajiotis   n.   Skandalakis,   MD,   Petros   Mirilas,   MD,   Msurg,   Hepatic   surgical   anatomy,   Surgical clinics of North America, 2004;84:413-435. 2 . Standring   S,   Ellis   H,   Healy   JC,   et   al.   Liver   in:   Standring   S,   ed   Gray’s   Anatomy:   The   Anatomical   Basis   of   Clinical   Practice.      39 th    ed.   London:   Elsevier Churchill Livingstone, 2005; 1213-25. 3 . Zahn FW. Note sur les plis  respiratories du diaphragm et les sillons diaphragmatiques du foie. Rev. Med Suisse Romande. 1882;2:531-535. 4 . Auh   YH,   Lim   JH,   Kim   KW,   et   al.   Loculated   fluid   collections   in   hepatic   fissures   and   recesses:   CT   appearance   and   potential   pitfalls.      Radiographics 1994;14:529-40. 5 . 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Volume 4 |Issue 4.3 |  2016 Date of Publication:  31 December 2016
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