ANALYSIS OF SPLENIC NOTCHES IN HUMAN CADAVERS AND ITS CLINICAL RAMIFICATIONS: A CROSS-SECTIONAL STUDY

Gopabandhu  Mishra; Duryodhan  Sahoo; Lipsita  Dash

doi:10.51168/sjhrafrica.v5i9.1379

Authors

Gopabandhu Mishra Associate Professor, Department of Anatomy, Dharanidhar Medical College and Hospital, Keonjhar, Odisha, India
Duryodhan Sahoo Assistant Professor, Department of Biochemistry, Dharanidhar Medical College and Hospital, Keonjhar, Odisha, India
Lipsita Dash Assistant Professor, Department of Biochemistry, Dharnidhar Medical College, Keonjhar, Odisha, India,

DOI:

https://doi.org/10.51168/sjhrafrica.v5i9.1379

Keywords:

Spleen, Abnormalities, Congenital Abnormalities, Anatomic Variation

Abstract

Introduction

Understanding the exterior shape of the spleen anatomically is crucial for both radiological and surgical diagnosis. The superior border splenic notches are a defining trait of the spleen, yet they hardly ever go into detail to be regarded as fissures or divide the spleen into several lobes. There aren't many splenic fissures cadaveric reports to date. To determine the frequency and clinical importance of splenic notches, lobation, and fissures, this study looked at the morphological structure and anatomy of spleens removed from cadavers.

Methods

This cross-sectional study was conducted at the Department of Anatomy, Medical College and Hospital, Keonjhar, over one year. A total of 100 spleens were obtained from cadavers, dissected, and preserved in 10% formalin. The spleens were analyzed for notches, lobation, and fissures, and their morphological characteristics were documented.

Results

Of the 100 spleens studied, 40% showed notches on the superior border, while 10% exhibited notches on the inferior border. The remaining 50% had no notches on either border. Fissures were observed in 10% of the spleens. Among these, six (6%) had incomplete fissures, while four (4%) had complete fissures that divided the spleen into two lobes. The complete fissures resulted in bilobed spleens, with distinct hila for each lobe. In cases where fissures were present, they varied in depth and width, with incomplete fissures reaching depths of 0.5-1 cm without leading to lobation.

Conclusion

The results of this investigation shed important light on the morphology and frequency of bilobed spleens and splenic fissures. Different from other recognized splenic defects, a bilobed spleen is an uncommon congenital abnormality. When performing conservatory splenectomy procedures, surgeons might use the splenic fissures in bilobed spleens as guidance.

Recommendation

To lower the risk of surgical complications, we recommend a procedure of partial splenectomy in less severe cases.