In utero torsion of an accessory hepatic lobe mimicking a congenital tumor

Pediatr Radiol. 2023 May;53(6):1211-1215. doi: 10.1007/s00247-023-05625-6. Epub 2023 Mar 1.

Abstract

Accessory hepatic lobes are rare anatomic variants connected to the liver by a fibrous stalk or parenchymal attachments. They are usually detected incidentally, but torsion is a rare complication. Here, we report torsion of an accessory hepatic lobe occurring in utero with a focus on the MRI findings. The lesion mimicked a congenital tumor, and we provide potential clues that may have narrowed the differential diagnosis prior to surgical exploration.

Keywords: Abdominal mass; Congenital tumor; Magnetic resonance imaging; Prenatal imaging.

MeSH terms

  • Diagnosis, Differential
  • Humans
  • Liver* / diagnostic imaging
  • Liver* / pathology
  • Magnetic Resonance Imaging
  • Neoplasms*
  • Torsion Abnormality / diagnostic imaging