[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.211.179.232. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
May 1977

Intermittent Dislocation of the LiverA Syndrome Associated With Volvulus of the Transverse Colon and Stomach and Obstructive Jaundice

Author Affiliations

From the Department of Surgery, Section of General Surgery, University of Michigan Medical Center, Ann Arbor.

Arch Surg. 1977;112(5):658-662. doi:10.1001/archsurg.1977.01370050118023
Abstract

• Displacement of the right lobe of the liver into the left upper abdominal quadrant can occur only if the diaphragmatic attachments are congenitally absent or traumatically disrupted. To our knowledge, the former situation has not been previously described in an adult patient. A young man with a lifelong history of unexplained intermittent, bizarre upper abdominal pain was found to have a freely movable right lobe of the liver that was attached only to the inferior vena cava. When this lobe was intermittently displaced into the left upper abdomen, volvuli of both the stomach and transverse colon developed. Stretching and tension of the common bile duct on the round ligament resulted in intermittent jaundice. At operation, these findings were confirmed, and the right liver lobe was secured to the diaphragm in its normal position. In addition, the mesenteric attachments of the liver, stomach, and colon were plicated. The patient has had complete relief of all symptoms for the two years since his operation.

(Arch Surg 112:658-662, 1977)

×