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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

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

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 Case Reports
Authors

Lazar Jelev This is me

Dimka Hinova-palova This is me

Wladimir Ovtscharoff This is me

Publication Date February 1, 2016
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.
AMA 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. February 2016;9(3):192-195.
Chicago Jelev, Lazar, Dimka Hinova-palova, and Wladimir Ovtscharoff. “AN ABERRANT ANTERIOR LOBE AND UNUSUAL ACCESSORY FISSURE OF THE LEFT LUNG IN HUMAN – ANATOMICAL AND CLINICAL CONSIDERATIONS”. Anatomy 9, no. 3 (February 2016): 192-95.
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 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, 2016.
ISNAD Jelev, Lazar et al. “AN ABERRANT ANTERIOR LOBE AND UNUSUAL ACCESSORY FISSURE OF THE LEFT LUNG IN HUMAN – ANATOMICAL AND CLINICAL CONSIDERATIONS”. Anatomy 9/3 (February 2016), 192-195.
JAMA 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, 2016, pp. 192-5.
Vancouver 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):192-5.

Anatomy is the official journal of Turkish Society of Anatomy and Clinical Anatomy (TSACA).