1.A rare additional lobe of cerebellum, projecting from its superior surface
Satheesha Badagabettu NAYAK ; Suhani SUMALATHA ; Surekha Devadasa SHETTY
Anatomy & Cell Biology 2022;55(3):376-379
Human cerebellum plays a vital role in motor coordination, regulation of muscle tone and maintaining the equilibrium of the body. It seldom shows anatomical/morphological variations. Herein, we report the presence of a small additional lobe projecting out on the superior surface of the right cerebellar hemisphere in the para-vermal area in an adult male cadaver. There was a notch on the tentorial surface of the occipital lobe of the right cerebral hemisphere, corresponding to the additional lobe of cerebellum. The additional lobe was histologically normal, with no evidence of any tumour cells. Knowledge of this variation is of importance to radiologists, neuroanatomists and neurosurgeons.
2.Double gallbladder completely enclosed in a cystogastric fold of peritoneum.
Satheesha B NAYAK ; Surekha Devadasa SHETTY ; Sudarshan SURENDRAN ; Raghu JETTI ; Naveen KUMAR ; Srinivasa Rao SIRASANAGANDLA
Anatomy & Cell Biology 2014;47(2):132-134
Double gallbladder is one of the rare congenital anomalies of the gallbladder. Failure to detect an accessory gallbladder hampers diagnosis and treatment of cholecystitis, which might result in recurrent attacks of cholecystitis. In addition, presence of peritoneal folds extending from the stomach and duodenum to the gallbladder is very rare. Here we report the presence of a double gallbladder enclosed in a cystogastric fold of the peritoneum. During cadaveric dissection, we observed a cystogastric peritoneal fold that extended from the lesser curvature of the stomach and the first part of the duodenum to the gallbladder. The left end of the peritoneal fold merged with the lesser omentum. It enclosed two gallbladders: the main gallbladder and a small accessory gallbladder. The accessory gallbladder was a small pouch with its fundus attached to the main gallbladder by fibrous tissue, and its duct opened into the main cystic duct.
Cadaver
;
Cholecystitis
;
Cystic Duct
;
Diagnosis
;
Duodenum
;
Gallbladder*
;
Omentum
;
Peritoneum*
;
Stomach
3.Double gallbladder completely enclosed in a cystogastric fold of peritoneum.
Satheesha B NAYAK ; Surekha Devadasa SHETTY ; Sudarshan SURENDRAN ; Raghu JETTI ; Naveen KUMAR ; Srinivasa Rao SIRASANAGANDLA
Anatomy & Cell Biology 2014;47(2):132-134
Double gallbladder is one of the rare congenital anomalies of the gallbladder. Failure to detect an accessory gallbladder hampers diagnosis and treatment of cholecystitis, which might result in recurrent attacks of cholecystitis. In addition, presence of peritoneal folds extending from the stomach and duodenum to the gallbladder is very rare. Here we report the presence of a double gallbladder enclosed in a cystogastric fold of the peritoneum. During cadaveric dissection, we observed a cystogastric peritoneal fold that extended from the lesser curvature of the stomach and the first part of the duodenum to the gallbladder. The left end of the peritoneal fold merged with the lesser omentum. It enclosed two gallbladders: the main gallbladder and a small accessory gallbladder. The accessory gallbladder was a small pouch with its fundus attached to the main gallbladder by fibrous tissue, and its duct opened into the main cystic duct.
Cadaver
;
Cholecystitis
;
Cystic Duct
;
Diagnosis
;
Duodenum
;
Gallbladder*
;
Omentum
;
Peritoneum*
;
Stomach
4.Sessile ileum, subhepatic cecum, and uncinate appendix that might lead to a diagnostic dilemma.
Satheesha B NAYAK ; Bincy Muthukattu GEORGE ; Snigdha MISHRA ; Sudarshan SURENDRAN ; Prakashchandra SHETTY ; Surekha Devadasa SHETTY
Anatomy & Cell Biology 2013;46(4):296-298
The subhepatic position of the cecum and appendix is a result of embryological reasons. Subhepatic appendicitis can cause diagnostic dilemmas. During the dissection of an adult male cadaver aged approximately 70 years, the subhepatic position of the cecum and appendix was noted. The appendix made a "U"-shaped bend and its tip was located in the paracolic position. The cecum had appendices epiploicae, and the terminal part of the ileum was retroperitoneal and had ascended vertically to the cecum from the right iliac fossa. Functionally, the sessile part of the ileum might restrict its peristaltic movements. The abnormal position of the terminal ileum might be mistaken for an ascending colon during laparoscopic surgery. The subhepatic position of the cecum and appendix might cause confusion in the diagnosis of acute appendicitis because the tenderness in such cases is not located at the McBurney's point.
Adult
;
Appendicitis
;
Appendix*
;
Cadaver
;
Cecum*
;
Colon, Ascending
;
Diagnosis
;
Humans
;
Ileum*
;
Laparoscopy
;
Male