Wandering liver

Case contributed by Dr Luis Fernando

Presentation

Patient with abdominal pain in right hypochondrium and mesogastrium of 3 months of evolution. There are no previous studies.

Patient Data

Age: 35 years
Gender: Male
CT

There is a displacement to the left of the liver, maintaining its normal configuration. Note that the spleen and pancreas remain in their usual position.

The gallbladder maintains its position with reference to the liver, but the bile duct presents an anomalous direction due to lateral displacement.

The ascending and transverse colon, as well as ileal loops are located to the right of the liver in the right hypochondrium.

Heart apex is to the left. 

Case Discussion

These findings are usually associated with intestinal malrotation and in some cases with the formation of volvulus. In the differential diagnosis, situs inversus must be taken into account but other organs will also change position not only the liver. 

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