Accessory liver lobe attached to the gallbladder wall preoperatively detected by ultrasonography: A case report

Ito, Shingo; Takeda, Ryohei; Kokubo, Ritsuo; Kojima, Yutaka; Goto, Michitoshi; Tomiki, Yuichi; Sakamoto, Kazuhiro

doi:10.1016/j.ijscr.2016.07.056

Cited by 5 publications

(7 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Regarding treatment, given the scarcity of cases in the literature, it is difficult to establish a management protocol and hence treatment should be individualized in each case. Most authors recommend surgical resection to prevent complications, such as hepatic ischaemia caused by pedicle torsion or a malignant degeneration [1,5,6]. Although most cases reported in the literature were treated via the thoracic route, in our case we opted for a laparoscopic approach.…”

Section: Discussionmentioning

confidence: 94%

“…[3,5,6]. However, thanks to radiological advances, more and more cases are being diagnosed preoperatively [1,2]. Supradiaphragmatic liver tissue can mimic any space-occupying lesion found at this site, such as tumors, bronchopulmonary sequestration, or hydatid cysts [5,6,8].…”

Section: Discussionmentioning

confidence: 99%

“…Abnormally positioned liver tissues are of low prevalence and are usually incidental findings diagnosed during imaging studies or surgical procedures [1]. Typically, they are located in the abdominal cavity, close to the orthotopic liver, and a supradiaphragmatic location is extremely rare [2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Segment VIII-Dependent Intrathoracic Accessory Liver

LC¹,

JF²,

Eslava-Cea³

et al. 2021

SCR

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Segment VIII-Dependent Intrathoracic Accessory Liver

LC¹,

JF²,

Eslava-Cea³

et al. 2021

SCR

View full text Add to dashboard Cite

show abstract

“…In most cases, an ALL will be an accidental finding during some form of radiological imaging or during abdomnial surgery. Rare cases of liver function impairment, abdominal pain, bleeding, obstruction of the portal vein or malignancy have been reported [ 3 , 4 , 7 , 16 ]. If patients are found to be asymptomatic and without underlying conditions, such as hepatic disease, liver cirrhosis or malignancy, surgical treatment should not be obligatory.…”

Section: Resultsmentioning

confidence: 99%

Pediculated Accessory Liver Lobe with Gallbladder in a Preterm with Umbilical Cord Hernia

et al. 2022

View full text Add to dashboard Cite

(1) Background: Accessory liver lobes are a rare finding and only a few case reports of accessory liver lobes in abdominal wall defects have been reported so far. In the case of a congenital wall defect including liver parenchyma, there is still an ongoing debate on the definition of the abdominal wall defect and best care practice. Even though congenital abdominal wall defects are frequently diagnosed in prenatal screenings, controversy on the underlying etiology, embryology and underlying anatomy remains. Prenatal distinction between omphalocele and hernia into the cord cannot always be obtained; however, due to its clinical relevance for postnatal management and counseling of parents, accurate diagnosis is essential. (2) Case Presentation: We describe the uncommon postnatal finding of a pediculated accessory liver lobe with gallbladder in a preterm with umbilical cord hernia, which was prenatally diagnosed as omphalocele. Postnatal examination revealed an amniotic sac with a diameter of six and a small abdominal wall defect of three centimeters in diameter. Postnatal management included resection of the accessory liver lobe and gallbladder and closure of the defect. (3) Results and (4) Conclusions: Throughout the literature, the distinction between umbilical cord hernia and omphalocele has been variable. This has led to confusion and difficulties regarding postnatal treatment options. In order to achieve an accurate prenatal and/or postnatal diagnosis, the morphological differences and clinical manifestation of umbilical cord hernia and omphalocele need to be assessed. Further embryological studies are warranted to understand the underlying embryological pathology of omphalocele and umbilical cord hernia and offer appropriate treatment. In consideration of possibly severe complications in the case of the torsion of a pedunculated accessory liver lobe, we strongly recommend primary removal once pre- or intraoperative identification has been made.

show abstract

“…Ectopic liver tissue is most commonly found in the gallbladder. In one reported case, the ectopic liver tissue attached to the gallbladder was detected during cholecystectomy for cholelithiasis and resected [ 9 ]. Other common sites include the greater omentum, adrenal gland, round ligament of the liver, and spleen, that is, regions around the liver [ 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

A case of simultaneous abdominal wall metastasis of hepatocellular carcinoma with long-term relapse-free survival after laparoscopic resection

et al. 2021

Self Cite

View full text Add to dashboard Cite

We report our experience of an extremely rare case of a simultaneous extrahepatic metastasis of hepatocellular carcinoma (HCC) with long-term relapse-free survival, treated by laparoscopic resection of an abdominal wall tumor and subsequent radiofrequency ablation (RFA) of an intrahepatic lesion. A 76-year-old man visited a local clinic for right lower abdominal pain. He was treated with antibiotics and the symptom resolved. However, a mass was detected in the same region and he was referred to our hospital for further evaluation. Computed tomography (CT) of the abdomen showed a mass 5 cm in diameter, raising suspicions of an intra-abdominal tumor. Laparoscopic surgery was performed, and the tumor was found in the abdominal wall and completely resected. Histopathological examination yielded a diagnosis of extrahepatic HCC. Post-operative positron emission tomography (PET)-CT showed increased uptake of fluorodeoxyglucose in segment 3 (S3) of the liver. On performing a liver biopsy, HCC was diagnosed. Subsequently, the S3 lesion was treated with radiofrequency ablation. The patient has remained relapse-free for 6 years without further treatments.

show abstract

Accessory liver lobe attached to the gallbladder wall preoperatively detected by ultrasonography: A case report

Cited by 5 publications

References 11 publications

Segment VIII-Dependent Intrathoracic Accessory Liver

Segment VIII-Dependent Intrathoracic Accessory Liver

Pediculated Accessory Liver Lobe with Gallbladder in a Preterm with Umbilical Cord Hernia

A case of simultaneous abdominal wall metastasis of hepatocellular carcinoma with long-term relapse-free survival after laparoscopic resection

Contact Info

Product

Resources

About