Deaver retractor is used in cholecystectomy for the retraction of right lobe of liver
and in truncal vagotomy for retraction of left lobe of liver.
Thus, our study is comparable & comes to a conclusion that the Right lobe of liver
is more commonly involved in hydatid disease of liver.
Patient was advised antibiotics and a repeat CT scan after four weeks which showed infiltrative mass in the gallbladder fundus involving right lobe of liver
and hepatic flexure of colon.
A 6.0 cm x 4.5 cm x 3.2 cm well-defined, dark-red space-occupying nodule was seen in the right lobe of liver
and protruded on the enlarged liver surface [Figure 1]e.
Intraoperatively, there were multiple micronodular lesions on the liver surface with marked swelling ofthe liver parenchyma and diffuse devitalized liver tissue in the right lobe of liver
with necrosis and in the left lobe peripheral zone accounting for about 70%-80 % of the total liver volume (Figures 6 and 7).
In all the cases, the right lobe of liver
was affected with well-defined hypoechoic lesions.
Other V-shape type of inferior right hepatic vein (arrows) is located at posteroinferior portion of the right lobe of liver
The mass was abutting the right lobe of liver
with possible invasion of liver parenchyma (Figure 1).
Mesenchymal hamartoma of the liver is more common in the left liver lobe in children, while in adults it is equally common in the left (about 40%) and the right lobe of liver
(40%), and in about 20% of cases, tumor is in both lobes .
Results: With increasing age, portal vein diameter and right lobe of liver
increased significantly (p value Less than 0.001).
T1-weighted MR images showed the tumor as a hypointense area and T2-weighted images showed it as a slightly hyperintense area with contrast enhancement of peripheral zone being liable to confluent multiple lesions in right lobe of liver
with retrocaval and aortocaval multiple metastatic lymphadenopathy and metastatic lesions on right iliac and right femoral bones (Figure 1(b)).
Ultrasonography examination showed an abnormal heterogeneous cystic mass of size 65 x 52 mm in the right lobe of liver
(Fig.1) Because of the traffic accident and the unclear ultrasound imaging, the abdominal computed tomography (CT) was performed.