Ectopic Liver Tissue Attached to the Gallbladder Wall: a case report

Triantafyllidis, Ioannis; Papapavlou, Leonidas; Nikoloudis, Nikolaos; Economou, A. S.; Andreadis, Efstathios; Chrissidou, Maria; Georgakis, Konstantinos; Chrissidis, Thomas

doi:10.1186/1757-1626-2-6786

Cited by 24 publications

(27 citation statements)

References 11 publications

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“…Thus, ectopic liver tissue usually show normal histological architecture and are subject to the same risk factors and pathological processes as native liver tissue [17] . Fatty infiltration and alpha-1-antitrypsin deficiency have been described in ectopic liver [18] . However, the development of HCC in a hepatic choristoma is of utmost significance.…”

Section: Discussionmentioning

confidence: 99%

Gallbladder-associated symptomatic hepatic choristoma: Should you resect?

Termos

AlDuwaisan

Alali

et al. 2017

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Gallbladder-associated symptomatic hepatic choristoma: Should you resect?

Termos

AlDuwaisan

Alali

et al. 2017

International Journal of Surgery Case Reports

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“…Failure of the fi rst phase of intestinal rotation participates at the development of omphalocele (5). Return of the physiological embryonic hernia is incomplete and the intestinal loop remains in the umbilical coelom.…”

Section: Discussionmentioning

confidence: 99%

Omphalocele with ectopic liver forming a mesodermal cyst

Horn¹,

Kubíková²,

Dubravova³

et al. 2013

BLL

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Abstract:Background: Congenital anomalies of the abdominal wall are classifi ed as anomalies with the abdominal wall defect (omphalocele, gastroschisis) and without the defect (umbilical hernia, persistent ductus omphaloentericus or urachus). Clinical presentations of these conditions are different, and so is the timing of surgical intervention and approach with or without the exploration of the peritoneal cavity. Case: The presented case report refers to a rare fi nding of ectopic liver forming mesodermal cyst within the umbilical region. Full term neonate girl with 5 cm spheroid tumor in umbilicus was otherwise without problems. Ultrasonography (USG) of the lesion detected a tissue with good vascularization and a cystic cavity. There was no fl ow in the umbilical vessels and no evidence of intestinal loop in the sac. USG of the liver was normal. During surgery an additional narrow canaliculus was identifi ed connecting the spheroid along with umbilical vessels to the liver. The whole spheroid together with the canaliculus was surgically removed without exploration of the abdominal cavity. Histological evaluation of the surgical specimen discovered liver tissue with a mesodermal cyst in the center. The sphere was connected to the liver by a bile duct. Six months after the operation the child is in a good clinical condition. Conclusion: In conclusion omphalocele may contain liver. Ectopic liver is an extremely rare condition. Surgical treatment in the presented case focused only on umbilicus without exploration of the abdominal cavity and appeared to be suffi cient. Long-term postoperative follow up typical in pediatrics will be applied also in this patient (Fig. 3, Ref. 25). Full Text in PDF www.elis.sk.

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“…The incidence of ELT is debated and widely felt to be underestimated. ELT rarely presents symptomatically and is often diagnosed at autopsy or following surgery for another reason [ 4 ]. However, because of the increased risk of hepatocellular carcinoma associated with ELT, we believe it to be an important congenital abnormality.…”

Section: Introductionmentioning

confidence: 99%

A case of ectopic liver tissue adherent to the gallbladder

Burke

Harkins

Arih

et al. 2018

Journal of Surgical Case Reports

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We report a case of a 30-year-old lady who presented to the emergency department with a 1 day history of severe epigastric pain which radiated to the back. Focused history, physical exam findings, haematological and radiological investigations, including ultrasound scanning of the abdomen, supported the diagnosis of acute gallstone pancreatitis. She was managed conservatively and underwent elective laparoscopic cholecystectomy at a later date. Intraoperatively, there was noted to be a small nodule loosely adherent to the gallbladder serosa. Histology from this nodule revealed it to be a portion of anatomically normal liver parenchyma also referred to as ectopic liver tissue (ELT). ELT is a rare developmental abnormality in which normally functioning liver tissue develops at an extra-hepatic site. ELT is known to have an increased risk of neoplastic transformation and so we believe it to be of clinical importance.

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Ectopic Liver Tissue Attached to the Gallbladder Wall: a case report

Cited by 24 publications

References 11 publications

Gallbladder-associated symptomatic hepatic choristoma: Should you resect?

Gallbladder-associated symptomatic hepatic choristoma: Should you resect?

Omphalocele with ectopic liver forming a mesodermal cyst

A case of ectopic liver tissue adherent to the gallbladder

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