Perioperative Identification of an Accessory Fissure of the Right Lung

Anatomical variations of lungs are common in clinical practice; however, they are sometimes overlooked in routine imaging. Surgical anatomy of the lung is complex and many variations are known to occur. A defective pulmonary development gives rise to variations in lobes and fissures. Morphological p...

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Main Authors: Yannick Taverne, Gert-Jan Kleinrensink, Peter de Rooij
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2015/954769
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author Yannick Taverne
Gert-Jan Kleinrensink
Peter de Rooij
author_facet Yannick Taverne
Gert-Jan Kleinrensink
Peter de Rooij
author_sort Yannick Taverne
collection DOAJ
description Anatomical variations of lungs are common in clinical practice; however, they are sometimes overlooked in routine imaging. Surgical anatomy of the lung is complex and many variations are known to occur. A defective pulmonary development gives rise to variations in lobes and fissures. Morphological presentation is of clinical importance and profound knowledge of the organogenesis and functional anatomy is imperative for the interpretation and evaluation of lung pathophysiology and subsequent surgical intervention. However, appreciating them on radiographs and CT scans is difficult and they are therefore often either not identified or completely misinterpreted. As presented in this case report, an accessory fissure separating the superior segment of the right lower lobe from its native lobe was seen perioperatively and could only retrospectively be defined on X-rays and CT scan. It is imperative to keep in mind that accessory fissures can be missed on imaging studies and thus can make the surgical procedure more challenging.
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series Case Reports in Pulmonology
spelling doaj-art-6309e9be6bfd48f68cf33c940c85c7792025-02-03T05:57:52ZengWileyCase Reports in Pulmonology2090-68462090-68542015-01-01201510.1155/2015/954769954769Perioperative Identification of an Accessory Fissure of the Right LungYannick Taverne0Gert-Jan Kleinrensink1Peter de Rooij2Department of Cardiothoracic Surgery, Erasmus Medical Center, ’s-Gravendijkwal 230, 3015 CE Rotterdam, NetherlandsDepartment of Anatomy (ERCATHAN), Erasmus Medical Center, ’s-Gravendijkwal 230, 3015 CE Rotterdam, NetherlandsDepartment of General Surgery, Maasstad Hospital, Olympiaweg 350, 3078 RT Rotterdam, NetherlandsAnatomical variations of lungs are common in clinical practice; however, they are sometimes overlooked in routine imaging. Surgical anatomy of the lung is complex and many variations are known to occur. A defective pulmonary development gives rise to variations in lobes and fissures. Morphological presentation is of clinical importance and profound knowledge of the organogenesis and functional anatomy is imperative for the interpretation and evaluation of lung pathophysiology and subsequent surgical intervention. However, appreciating them on radiographs and CT scans is difficult and they are therefore often either not identified or completely misinterpreted. As presented in this case report, an accessory fissure separating the superior segment of the right lower lobe from its native lobe was seen perioperatively and could only retrospectively be defined on X-rays and CT scan. It is imperative to keep in mind that accessory fissures can be missed on imaging studies and thus can make the surgical procedure more challenging.http://dx.doi.org/10.1155/2015/954769
spellingShingle Yannick Taverne
Gert-Jan Kleinrensink
Peter de Rooij
Perioperative Identification of an Accessory Fissure of the Right Lung
Case Reports in Pulmonology
title Perioperative Identification of an Accessory Fissure of the Right Lung
title_full Perioperative Identification of an Accessory Fissure of the Right Lung
title_fullStr Perioperative Identification of an Accessory Fissure of the Right Lung
title_full_unstemmed Perioperative Identification of an Accessory Fissure of the Right Lung
title_short Perioperative Identification of an Accessory Fissure of the Right Lung
title_sort perioperative identification of an accessory fissure of the right lung
url http://dx.doi.org/10.1155/2015/954769
work_keys_str_mv AT yannicktaverne perioperativeidentificationofanaccessoryfissureoftherightlung
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