1.Accessory Pulmonary Ligament? A Case Report of LingulaDiaphragmatic Anatomy Variation
Sivakumar Krishnasamy ; Justin Kok Shao Loong ; Muhammad Afiq Ismanizan ; Nur Samiha Othman ; Shamala Devi Subramaniam ; Razif Abas
Malaysian Journal of Medicine and Health Sciences 2024;20(No.1):404-406
		                        		
		                        			
		                        			This case report presents a groundbreaking discovery of a hitherto undocumented ligament connecting the lingula 
lobe of the left lung to the diaphragm. The study involved a routine dissection of an adult Asian cadaver during a 
respiratory module practical session. The cord-like structure, approximately 7 cm in length and 2 cm in diameter, 
showed ligamentous features and was firmly attached to the upper surface of the left diaphragm without any vascular connections. This finding holds potential clinical significance, particularly during anatomical resections of the 
lung, as the ligament may need to be freed in surgeries such as lingulectomy, left upper lobectomy, or left lower 
lobectomy. However, the ligament’s relevance differs from the well-known inferior pulmonary ligament, which aids 
in accessing crucial lymph nodes during left lower lobectomy. The absence of vascular structures suggests a lack 
of mediastinal lymph nodes associated with this newly identified ligament. Further research is warranted to fully 
understand its clinical implications.
		                        		
		                        		
		                        		
		                        	
            

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