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AN ABERRANT ANTERIOR LOBE AND UNUSUAL ACCESSORY FISSURE OF THE LEFT LUNG IN HUMAN – ANATOMICAL AND CLINICAL CONSIDERATIONS

Year 2015, Volume: 9 Issue: 3 , 192 - 195 , 01.02.2016
https://izlik.org/JA42KD66GY

Abstract

Accessory fissures that separate aberrant lung lobes are not only interesting anatomical observations, but also have a definite importance as they may cause diagnostic confusion in radiological and pathological evaluations. In the case reported here, a rare type of separation of the left lung by an unusual fissure is described. The left lung of a 67-year-old Caucasian female cadaver showed an accessory fissure that crossed the mediastinal, apical and anterior costal       surfaces. The aberrant fissure separated the organ into a small upper-medial anterior lung lobe (lobus minimus) and a much larger aberrant lobe (lobus magnus). At the pulmonary hilum, the artery, vein and bronchus of the small aberrant lobe were clearly identifiable. During analysis of radiological images such as X-ray and computed tomography, the existence of such aberrant fissures and lobes have to be known in detail in order to separate between simple anatomic variation of the lungs and a number of lung pathologies including scar, pulmonary bulla, atelectasis or even mediastinal mass.

References

  • Clemente CD, editor. Anatomy of the human body. 30th ed. Philadelphia (PA): Lea and Febiger; 1985. p. 1385–401.
  • Godwin JD, Tarver RD. Accessory fissures of the lung. AJR Am J Roentgenol 1985;144:39–47.
  • Foster-Carter AF. Broncho-pulmonary abnormalities. Br J Tuberc Dis Chest 1946;40:111–24.
  • Ariyurek OM, Gulsun M, Demirkazik FB. Accessory fissures of the lung: evaluation by high-resolution computed tomography. Eur Radiol 2001;11:2449–53.
  • Mata J, Cáceres J, Alegret X, Coscojuela P, De Marcos JA. Imaging of the azygos lobe: normal anatomy and variations. AJR Am J Roentgenol 1991;156:931–7.
  • Shields TW. Surgical anatomy of the lungs. In: Shields TW, editor. General Thoracic Surgery. 5th ed. Philadelphia: Lippincott Williams and Wilkins; 2000. p. 63–75.
  • Berkmen T, Berkmen YM, Austin JH. Accessory fissures of the
  • upper lobe of the left lung: CT and plain film appearance. AJR Am
  • J Roentgenol 1994;162:1287–93.
  • Cronin P, Gross BH, Kelly AM, Patel S, Kazerooni EA, Carlos RC.
  • Normal and accessory fissures of the lung: evaluation with contiguous
  • volumetric thin-section multidetector CT. Eur J Radiol 2010;75: e1–8.
  • Schünke M, Schulte E, Schumacher U, editors. Prometheus. Lernatlas der Anatomie. Hals und Innere Organe. Stuttgart: Georg Theime Verlag; 2005. p. 84–5.

Year 2015, Volume: 9 Issue: 3 , 192 - 195 , 01.02.2016
https://izlik.org/JA42KD66GY

Abstract

References

  • Clemente CD, editor. Anatomy of the human body. 30th ed. Philadelphia (PA): Lea and Febiger; 1985. p. 1385–401.
  • Godwin JD, Tarver RD. Accessory fissures of the lung. AJR Am J Roentgenol 1985;144:39–47.
  • Foster-Carter AF. Broncho-pulmonary abnormalities. Br J Tuberc Dis Chest 1946;40:111–24.
  • Ariyurek OM, Gulsun M, Demirkazik FB. Accessory fissures of the lung: evaluation by high-resolution computed tomography. Eur Radiol 2001;11:2449–53.
  • Mata J, Cáceres J, Alegret X, Coscojuela P, De Marcos JA. Imaging of the azygos lobe: normal anatomy and variations. AJR Am J Roentgenol 1991;156:931–7.
  • Shields TW. Surgical anatomy of the lungs. In: Shields TW, editor. General Thoracic Surgery. 5th ed. Philadelphia: Lippincott Williams and Wilkins; 2000. p. 63–75.
  • Berkmen T, Berkmen YM, Austin JH. Accessory fissures of the
  • upper lobe of the left lung: CT and plain film appearance. AJR Am
  • J Roentgenol 1994;162:1287–93.
  • Cronin P, Gross BH, Kelly AM, Patel S, Kazerooni EA, Carlos RC.
  • Normal and accessory fissures of the lung: evaluation with contiguous
  • volumetric thin-section multidetector CT. Eur J Radiol 2010;75: e1–8.
  • Schünke M, Schulte E, Schumacher U, editors. Prometheus. Lernatlas der Anatomie. Hals und Innere Organe. Stuttgart: Georg Theime Verlag; 2005. p. 84–5.
There are 13 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Lazar Jelev This is me

Dimka Hinova-palova This is me

Wladimir Ovtscharoff This is me

Publication Date February 1, 2016
IZ https://izlik.org/JA42KD66GY
Published in Issue Year 2015 Volume: 9 Issue: 3

Cite

APA Jelev, L., Hinova-palova, D., & Ovtscharoff, W. (2016). AN ABERRANT ANTERIOR LOBE AND UNUSUAL ACCESSORY FISSURE OF THE LEFT LUNG IN HUMAN – ANATOMICAL AND CLINICAL CONSIDERATIONS. Anatomy, 9(3), 192-195. https://izlik.org/JA42KD66GY
AMA 1.Jelev L, Hinova-palova D, Ovtscharoff W. AN ABERRANT ANTERIOR LOBE AND UNUSUAL ACCESSORY FISSURE OF THE LEFT LUNG IN HUMAN – ANATOMICAL AND CLINICAL CONSIDERATIONS. Anatomy. 2016;9(3):192-195. https://izlik.org/JA42KD66GY
Chicago Jelev, Lazar, Dimka Hinova-palova, and Wladimir Ovtscharoff. 2016. “AN ABERRANT ANTERIOR LOBE AND UNUSUAL ACCESSORY FISSURE OF THE LEFT LUNG IN HUMAN – ANATOMICAL AND CLINICAL CONSIDERATIONS”. Anatomy 9 (3): 192-95. https://izlik.org/JA42KD66GY.
EndNote Jelev L, Hinova-palova D, Ovtscharoff W (February 1, 2016) AN ABERRANT ANTERIOR LOBE AND UNUSUAL ACCESSORY FISSURE OF THE LEFT LUNG IN HUMAN – ANATOMICAL AND CLINICAL CONSIDERATIONS. Anatomy 9 3 192–195.
IEEE [1]L. Jelev, D. Hinova-palova, and W. Ovtscharoff, “AN ABERRANT ANTERIOR LOBE AND UNUSUAL ACCESSORY FISSURE OF THE LEFT LUNG IN HUMAN – ANATOMICAL AND CLINICAL CONSIDERATIONS”, Anatomy, vol. 9, no. 3, pp. 192–195, Feb. 2016, [Online]. Available: https://izlik.org/JA42KD66GY
ISNAD Jelev, Lazar - Hinova-palova, Dimka - Ovtscharoff, Wladimir. “AN ABERRANT ANTERIOR LOBE AND UNUSUAL ACCESSORY FISSURE OF THE LEFT LUNG IN HUMAN – ANATOMICAL AND CLINICAL CONSIDERATIONS”. Anatomy 9/3 (February 1, 2016): 192-195. https://izlik.org/JA42KD66GY.
JAMA 1.Jelev L, Hinova-palova D, Ovtscharoff W. AN ABERRANT ANTERIOR LOBE AND UNUSUAL ACCESSORY FISSURE OF THE LEFT LUNG IN HUMAN – ANATOMICAL AND CLINICAL CONSIDERATIONS. Anatomy. 2016;9:192–195.
MLA Jelev, Lazar, et al. “AN ABERRANT ANTERIOR LOBE AND UNUSUAL ACCESSORY FISSURE OF THE LEFT LUNG IN HUMAN – ANATOMICAL AND CLINICAL CONSIDERATIONS”. Anatomy, vol. 9, no. 3, Feb. 2016, pp. 192-5, https://izlik.org/JA42KD66GY.
Vancouver 1.Lazar Jelev, Dimka Hinova-palova, Wladimir Ovtscharoff. AN ABERRANT ANTERIOR LOBE AND UNUSUAL ACCESSORY FISSURE OF THE LEFT LUNG IN HUMAN – ANATOMICAL AND CLINICAL CONSIDERATIONS. Anatomy [Internet]. 2016 Feb. 1;9(3):192-5. Available from: https://izlik.org/JA42KD66GY

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