For citation purposes: Baruah P, Choudhury PR. Tongue-like elongation of the left lobe of liver. OA Case Reports 2013 Dec 24;2(17):161.

Case series


Tongue-like elongation of the left lobe of liver

P Baruah, PR Choudhury

Authors affiliations

Department of Anatomy, Fakhruddin Ali Ahmed Medical College, Barpeta, Assam, India

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The liver is the largest gland in our body. Liver normally has a larger right lobe and a smaller left lobe. Though the tongue-like projection of the right lobe of the liver, i.e., Riedel’s lobe, is commonly found in literature, the left lobe has very few literature. In foetal life, the left lobe is nearly as large as its right and as the haematopoietic activity of the liver is assumed by the spleen and bone marrow, the left lobe undergoes some degeneration. This paper discusses the tongue-like elongation of the left lobe of the liver.

Case series

Three livers with tongue-like elongation of the left lobe were found during routine dissections of 20 cadavers in the Department of Anatomy, Gauhati Medical College, Guwahati. On examination, the colour, consistency, and texture of the elongated parts were found to be similar to normal livers and histological examination showed normal liver tissue. There was absence of fibrous tissue, so the elongated parts were not the appendix of the liver. Other parts of the liver were normal.


This type of elongation of the left lobe of the liver may cause symptoms like pressure, pulling and pain in the epigastrium. Moreover, knowledge of this type of liver anomalies will be helpful for surgeons in planning hepato-biliary surgeries.

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