总结8种肝变异，最后一种最容易误诊！谨记！

獭尾肝/包围肝，见于5%的成人

獭尾肝/包围肝

利德尔叶（Riedel’s Lobe）

肝的右下部向下如舌状突出生长的舌叶。

乳头状突

肝尾状叶结构，常误认为肿大淋巴结。

肝左叶缺如

右叶发育不全

内脏反转

咳纹肝

女性多见，由慢性咳嗽膈肌紧勒肝脏所致，也可见于过度束腰的妇女。

镰旁肝假病灶

多位于左叶内侧段或（和）左叶外侧段前缘镰状韧带旁。

机制：1、镰旁肝局部特殊血供因素；2、镰旁肝局部脂肪浸润。

参考文献目录及地址：
1.Traditional Surgical Viewpoint of Liver Anatomy and Definition of the Couinaud Segments3-D tutorials of the Division of Physiologic Imaging, Dept. of Radiology, Univ. of Iowa
2.Portal venous and segmental anatomy of the right hemiliver: observations based on

threedimensional spiral CT renderingsMS van Leeuwen, J Noordzij, MA Fernandez, A Hennipman, MA Feldberg and EH Dillon Department of Radiology, University Hospital Utrecht, The Netherlands
3.Planning of liver surgery using three dimensional imaging techniques.van Leeuwen MS, Noordzij J, Hennipman A, Feldberg MA.Department of Radiology and Surgery, University Hospital Utrecht, The Netherlands.
4.Clinical and anatomical basis for the classification of the structural parts of liver
Saulius Rutkauskas et al.Clinic of Radiology, Institute of Anatomy, Clinic of Surgery, Kaunas University of Medicine, Lithuania

5.http://wenku.baidu.com/view/afb03e306edb6f1aff001fa1.html?from=search

6.http://www.radiologyassistant.nl/en/p4375bb8dc241d/anatomy-of-the-liver-segments.html

来源：医学影像笔记