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| IMAGE OF INTEREST |
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| Year : 2021 | Volume
: 1
| Issue : 4 | Page : 173 |
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Liver Sliver
Kayalvizhi Jayaraman1, D Karthikeyan2
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 Submission | 09-Jun-2021 |
| Date of Acceptance | 09-Jun-2021 |
| Date of Web Publication | 24-Sep-2021 |
Correspondence Address:
Kayalvizhi Jayaraman
No 1, Jawaharlal Nehru Salai, 100 Feet Road, Vadapalani, Chennai - 600 026, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ghep.ghep_27_21
How to cite this article:
Jayaraman K, Karthikeyan D. Liver Sliver. Gastroenterol Hepatol Endosc Pract 2021;1:173 |
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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | 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.  |
| 2. | 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. |
[Figure 1]
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