Accessory pulmonary ligament? a case report of lingula-diaphragmatic attachment
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, approximat...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Universiti Putra Malaysia Press
2024
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| Online Access: | http://psasir.upm.edu.my/id/eprint/106378/ http://psasir.upm.edu.my/id/eprint/106378/1/2024012412154353_MJMHS_0822.pdf |
| _version_ | 1848864756125925376 |
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| author | Krishnasamy, Sivakumar Kok, Justin Shao Loong Ismanizan, Muhammad Afiq Othman, Nur Samiha Subramaniam, Shamala Devi Razif Abas, Razif |
| author_facet | Krishnasamy, Sivakumar Kok, Justin Shao Loong Ismanizan, Muhammad Afiq Othman, Nur Samiha Subramaniam, Shamala Devi Razif Abas, Razif |
| author_sort | Krishnasamy, Sivakumar |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-15T13:53:52Z |
| format | Article |
| id | upm-106378 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T13:53:52Z |
| publishDate | 2024 |
| publisher | Universiti Putra Malaysia Press |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1063782024-09-26T07:57:32Z http://psasir.upm.edu.my/id/eprint/106378/ Accessory pulmonary ligament? a case report of lingula-diaphragmatic attachment Krishnasamy, Sivakumar Kok, Justin Shao Loong Ismanizan, Muhammad Afiq Othman, Nur Samiha Subramaniam, Shamala Devi Razif Abas, Razif 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. Universiti Putra Malaysia Press 2024 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/106378/1/2024012412154353_MJMHS_0822.pdf Krishnasamy, Sivakumar and Kok, Justin Shao Loong and Ismanizan, Muhammad Afiq and Othman, Nur Samiha and Subramaniam, Shamala Devi and Razif Abas, Razif (2024) Accessory pulmonary ligament? a case report of lingula-diaphragmatic attachment. Malaysian Journal of Medicine and Health Sciences, 20 (1). pp. 404-406. ISSN 1675-8544; ESSN: 2636-9346 https://medic.upm.edu.my/jurnal_kami/volume_20_2024/mjmhs_vol20_no_1_january_2024-77509 10.47836/mjmhs.20.1.54 |
| spellingShingle | Krishnasamy, Sivakumar Kok, Justin Shao Loong Ismanizan, Muhammad Afiq Othman, Nur Samiha Subramaniam, Shamala Devi Razif Abas, Razif Accessory pulmonary ligament? a case report of lingula-diaphragmatic attachment |
| title | Accessory pulmonary ligament? a case report of lingula-diaphragmatic attachment |
| title_full | Accessory pulmonary ligament? a case report of lingula-diaphragmatic attachment |
| title_fullStr | Accessory pulmonary ligament? a case report of lingula-diaphragmatic attachment |
| title_full_unstemmed | Accessory pulmonary ligament? a case report of lingula-diaphragmatic attachment |
| title_short | Accessory pulmonary ligament? a case report of lingula-diaphragmatic attachment |
| title_sort | accessory pulmonary ligament? a case report of lingula-diaphragmatic attachment |
| url | http://psasir.upm.edu.my/id/eprint/106378/ http://psasir.upm.edu.my/id/eprint/106378/ http://psasir.upm.edu.my/id/eprint/106378/ http://psasir.upm.edu.my/id/eprint/106378/1/2024012412154353_MJMHS_0822.pdf |