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Year : 2021  |  Volume : 1  |  Issue : 4  |  Page : 173

Liver Sliver

1 Department of Medical Gastroenterology, SIMS Institute of Gastroenterology Hepatobiliary Sciences and Liver Transplantation, SRM Institute for Medical Science Hospital, Chennai, Tamil Nadu, India
2 Department of Radiology, SRM Institute for Medical Science Hospital, Chennai, Tamil Nadu, India

Date of Submission09-Jun-2021
Date of Acceptance09-Jun-2021
Date of Web Publication24-Sep-2021

Correspondence Address:
Kayalvizhi Jayaraman
No 1, Jawaharlal Nehru Salai, 100 Feet Road, Vadapalani, Chennai - 600 026, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ghep.ghep_27_21

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How to cite this article:
Jayaraman K, Karthikeyan D. Liver Sliver. Gastroenterol Hepatol Endosc Pract 2021;1:173

How to cite this URL:
Jayaraman K, Karthikeyan D. Liver Sliver. Gastroenterol Hepatol Endosc Pract [serial online] 2021 [cited 2022 Sep 30];1:173. Available from: http://www.ghepjournal.com/text.asp?2021/1/4/173/326632

A not so uncommon anatomic variant of the liver known as the Beaver's tail sign is characterized by tail-like elongation of the left lobe coursing through the midline to the left flank, at times partially wrapping the spleen [Figure 1]. Theoretically, it is more prone to trauma and may mimic perisplenic hematoma. In a rarer instance, this liver sliver mimicked pericardial hematoma in a patient with diaphragmatic palsy.[1] For the gastroenterologist, this warrants attention during the placement of percutaneous gastrostomy tube and percutaneous endoscopic necrosectomy. Appendix fibrosa hepatis (AFH) a closely related variant, is a fibrous band from the left edge of the liver that connects to the left triangular ligament[2] AFH contains bile ducts and portal tracts, and care is needed during surgery especially total gastrectomy.
Figure 1: Tail like elongation of left lobe of liver, partly encircling the spleen

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patients have given their consent for their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Jose JV, Rajesh GN, Jayakumar H. A rare case of left diaphragmatic palsy with beaver tail anomaly of liver mimicking pericardial hematoma. IHJ Cardiovasc Case Rep 2021;5:29-32.  Back to cited text no. 1
Kogure K, Kojima I, Kuwano H, Matsuzaki T, Yorifuji H, Takata K, et al. Reconfirmation of the anatomy of the left triangular ligament and the appendix fibrosa hepatis in human livers, and its implication in abdominal surgery. J Hepatobiliary Pancreat Sci 2014;21:856-63.  Back to cited text no. 2


  [Figure 1]


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