“Wandering liver” describes an excessive mobility of the liver caused by abnormalities of hepatic fixation that could lead to hepatic pedicle torsion or bowel obstruction. It is considered a rare entity, but because of the evolution in medical imaging techniques, this unusual condition is being identified more often. We report 2 cases presenting with chronic vague abdominal pain, diagnosed by abdominal ultrasonography and the use of cine–magnetic resonance imaging sequences with dynamic maneuvers. We tried to correlate our ultrasound and magnetic resonance imaging findings to peroperative findings and insist on the usefulness of dynamic maneuvers when confronted with atypical symptoms and a normal abdominal ultrasound scan finding.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of Pediatric Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- “Wandering liver” in a neonate: case report and review of the literature.J Pediatr Surg. 2010; 45: 635-638
- Pelvic ectopia of the liver in an adult associated with omphalocele repair as a neonate.AJR Am J Roentgenol. 2001; 177: 1113-1115
- Terrier and Auvray on floating liver (hepatoptosis) and its surgical treatment.Ann Surg. 1898; 27: 115-123
- Wandering liver: multidetector CT features and the importance of multiplanar reformations.Emerg Radiol. 2009; 16: 155-157
- A wandering liver.Pediatr Radiol. 2010; 40: 1443-1445
- Intermittent dislocation of the liver. A syndrome associated with volvulus of the transverse colon and stomach and obstructive jaundice.Arch Surg. 1977; 112: 658-662
- Wandering liver and tachycardia.Am Heart J. 1958; 55: 252-254
- “Wandering liver” in an infant.Pediatr Radiol. 1997; 27: 287
- Hepatic torsion and dislocation with hypotension and colonic obstruction.Am Surg. 1993; 59: 455-458
- Hepatocolonic vagrancy: a rare or under recognized entity?.AJR Am J Roentgenol. 2007; 188: 331-333
- Laparoscopic hepatopexy: a new surgical approach to hepatoptosis in an 11-year-old boy.J Laparoendosc Adv Surg Tech. 2011; 21: 567-569
- Mobile liver and colonic volvulus. A case report.Radiologica. 2007; 49 (article in Spanish): 430-432
Accepted: July 1, 2012
Received in revised form: June 19, 2012
Received: March 19, 2012
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.