Agénésie du foie droit avec ectopie vésiculaire et empierrement cholédocien

Boufettal, Rachid; Khaiz, D.; Jai, Saâd Rifki; Chehab, Farid; Bouzidi, A.

doi:10.1016/j.gcb.2008.01.039

Cited by 9 publications

(5 citation statements)

References 5 publications

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“…No caso do nosso paciente, a vesícula intra-hepática não era uma condição conhecida previamente pois o exame realizado não demonstrou alteração na anatomia da vesícula biliar. Caso a vesícula biliar não seja visualizada durante o procedimento cirúrgico é importante que não se confunda a situação com uma possível agenesia de vesícula biliar 9 . Uma alternativa a ser realizada em casos semelhantes é a investigação por meio da colangiografia intra-operatória, como executado no nosso caso descrito, para verificar se existe algum tipo de anormalidade na anatomia da vesícula e vias biliares.…”

Section: Discussionunclassified

Vesícula biliar intra-hepática com abscesso hepático em colecistectomia

Lima

Medrei

2021

Com. Ciências Saúde

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Introdução: A vesícula biliar pode apresentar vários locais de ectopia e sua identificação corresponde a uma alteração anatômica rara. Objetivo: Apresentar um caso clínico sobre vesícula biliar intra-hepática associado a complicação, uma condição clínica rara, e demonstrar o tratamento utilizado. Método: estudo descritivo, por meio de relato de caso, de um paciente submetido a colecistectomia em que foi verificado a presença de vesícula biliar intra-hepática associada a abscesso hepático. Conclusão: O diagnóstico pré-operatório da vesícula biliar ectópica é de extrema importância, devido aos riscos de complicações caso a anomalia seja negligenciada durante a cirurgia. Declaramos que não houve conflito de interesses na concepção deste trabalho.

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Section: Discussionunclassified

Vesícula biliar intra-hepática com abscesso hepático em colecistectomia

Lima

Medrei

2021

Com. Ciências Saúde

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“…Ectopic gallbladders are a very rare finding [4] but are found in various locations:left lobe intrahepatic, transverse, retroplaced and ‘floating’ gallbladders have all been identified. There have also been some even more uncommon case reports of a gallbladder in the falciform ligament and in the anterior abdominal wall [5,6] . The intrahepatic location is the second most common location for ectopic gallbladders [7] .…”

Section: Discussionmentioning

confidence: 99%

“…Despite its rarity, awareness of the possibility of an ectopic gallbladder is important pre-operatively. Ectopic gallbladders can have significant complications, including an increased incidence of co-existent cholelithiasis [6] due to biliary stasis, risk of torsion if it is suspended on a mesentery, or even herniation through the foramen of Winslow. A significant number of such cases will therefore progress to surgery.…”

Section: Discussionmentioning

confidence: 99%

Intrahepatic Gallbladder

Monib

Mahapatra

Habashy

2019

European Journal of Case Reports in Internal Medicine

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Gallbladders have been reported in various ectopic locations. An intrahepatic gallbladder is one where the gallbladder lies within the liver parenchyma or has a subcapsular location along the anterior inferior right lobe of the liver. Intrahepatic gallbladders can have impaired function leading to the formation of gallbladder stones. We present the case of a 57-year-old man who was found to have an intrahepatic gallbladder which was not detected before a retrograde open cholecystectomy was carried out without intra-operative or postoperative complications. Awareness of ectopic gallbladders and their recognition allows proper intra-operative planning. LEARNING POINTS Gallbladder disease in intrahepatic gallbladders poses an additional surgical risk for patients and complicates cholecystectomy or other biliary procedures. Awareness of this rare entity as well as optimum management will prevent patient morbidity and improve outcome. Preoperative MR cholangiopancreatographyis recommended if an intrahepatic gallbladder is identified on ultrasound or CT. Expert hepatobiliary surgeon involvement as well as an intra-operative cholangiogram is recommended in complex cases with abnormal biliary or hepatic vascular anatomy.

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“…They correspond to variations in the distribution of liver territories [2]. Conversely, anomalies of hepatic morphology are rare and correspond to developmental defects during embryogenesis [5]. According to Pages et al [6], anomalies of morphology related to developmental defects can be categorized as follows: agenesis (absence of a lobe that is replaced by fibrous tissue); aplasia (one of the lobes is small and its structure is abnormal, with few hepatic trabeculae, numerous bile ducts, and abnormal blood vessels); or hypoplasia (one of the lobes is small but is normal in structure) [6].…”

Section: Discussionmentioning

confidence: 99%

Agenesis of the Right Hepatic Lobe

Nacif

Buscariolli

D’Albuquerque

et al. 2012

Case Reports in Medicine

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Introduction. Agenesis of the right lobe of the liver is a rare finding and was defined as the absence of liver tissue on the right side, with preservation of the middle hepatic vein, without previous disease or surgery. It is usually an incident finding reveled by imaging exams or during abdominal surgery. Case Report. A 32-year-old male patient was admitted to the hospital for abdominal discomfort and loss of appetite. Imaging studies revealed the absence of the right hepatic lobe and hypertrophied left hepatic segments. Discussion. Anomalies of hepatic morphology are rare and correspond to developmental defects during embryogenesis, are a rare diagnosis, and are generally diagnosed incidentally based on imaging. Agenesis or hypoplasia of the right lobe may predispose the patient to the development of portal hypertension and esophageal varices. Surgical knowledge of such anatomical agenesis is necessary for surgical planning, for the appropriate identification of intraoperative surgical findings, and for the design of the postoperative approach to therapy. Conclusion. Agenesis of the right hepatic lobe is a rare condition. We want to highlight the importance of understanding the condition. Surgeons must recognize the entity in order to deal appropriately with the findings.

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Agénésie du foie droit avec ectopie vésiculaire et empierrement cholédocien

Cited by 9 publications

References 5 publications

Vesícula biliar intra-hepática com abscesso hepático em colecistectomia

Vesícula biliar intra-hepática com abscesso hepático em colecistectomia

Intrahepatic Gallbladder

Agenesis of the Right Hepatic Lobe

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