The dilemma of incidental findings in abdominal surgery: A cross-sectional study

Shebli, Baraa; Rahmeh, Ahmad Rami; Khalili, Joud; Sawas, Joudi; Fares, Hala Mohamed; Ayoub, Kusay

doi:10.1016/j.amsu.2022.104470

Cited by 3 publications

(6 citation statements)

References 9 publications

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“…The incidence of incidental findings in abdominal surgery is estimated to be 1.1% [1]. When dealing with incidental findings, it is important to consider not only the immediate surgical implications but also the potential long-term effect it can have on the patient's health and quality of life [1]. In our case, the ectopic liver mass was an incidental finding.…”

Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

“…Laparoscopic cholecystectomy is the most commonly performed surgical procedure [4] and is also the most likely to have incidental findings [1]. The incidence of incidental findings in abdominal surgery is estimated to be 1.1% [1]. When dealing with incidental findings, it is important to consider not only the immediate surgical implications but also the potential long-term effect it can have on the patient's health and quality of life [1].…”

Section: Discussionmentioning

confidence: 99%

“…Variations in anatomy often lead to incidental discoveries during surgical procedures [1]. Ectopic liver tissue is defined as liver tissue located outside the liver with no direct connection to the liver [2].…”

Section: Introductionmentioning

confidence: 99%

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Ectopic Liver Tissue Encountered Incidentally During a Laparoscopic Cholecystectomy: A Case Report

Arora¹,

Kalra²

2023

Cureus

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A 60-year-old male patient who presented with right upper quadrant (RUQ) pain was diagnosed with acute cholecystitis after an ultrasound of the abdomen revealed multiple gallstones, gallbladder wall thickening, pericholecystic fluid, and a positive sonographic Murphy sign. The patient was admitted, administered IV fluids, antibiotics, and pain relief, and scheduled for laparoscopic cholecystectomy. During surgery, an incidental finding of ectopic liver tissue attached to the gallbladder was noted. Histopathology confirmed the presence of chronic cholecystitis and multifaceted cholesterol stones. Normal liver tissue was noted in the ectopic mass. Ectopic liver tissue is defined as liver tissue located outside the main liver parenchyma and is usually asymptomatic. They are usually detected at the time of autopsies, incidentally during surgeries, or during imaging done for other etiologies. They can occur at various sites in the body. Ectopic liver tissue can cause potential complications such as hepatocellular carcinoma and torsion, and in the event that they are incidentally detected, it is advised to remove them. The case report highlights the importance of dealing with incidental findings during laparoscopic cholecystectomy and creating awareness about it.

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ectopic Liver Tissue Encountered Incidentally During a Laparoscopic Cholecystectomy: A Case Report

Arora¹,

Kalra²

2023

Cureus

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“…Incidental findings during abdominal surgeries are common, and more information on this matter can help surgeons deal with the unexpected [ 14 ]. Ultimately retrocecal ascending appendicitis should be considered when appendicitis symptoms are atypical and ultrasound findings do not support another diagnosis [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Retrocecal Ascending Appendix Attached to the Hepatic Flexure and Right Intra-abdominal Testis Identified During Open Appendicectomy: A Case Report

Khatoon,

Naeem,

Akmal

et al. 2024

Cureus

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Appendicectomy, or the removal of the appendix, is an emergency procedure following symptomatic acute appendicitis. Diagnosis is made on clinical examination but can be confirmed on imaging if other abnormalities are suspected. A few variants of appendix anatomical position exist that can be difficult to manage. In addition, secondary findings during surgery can come unexpectedly. We report a case of a 14-year-old male, who presented to the emergency department at our government institution with abdominal pain and vomiting. Examination revealed an empty right scrotum, which was unnoticed by the patient and never examined previously due to residence in an area of limited healthcare access. Ultrasound done elsewhere was inconclusive. The surgical intervention showed a retrocecal appendix attached to an ascending colon terminating at hepatic flexure. The procedure was further complicated by the presence of the right intra-abdominal testis located below the cecum. Excised samples were sent for histopathology, and the patient was followed with biopsy reports. This case highlights the challenges encountered during routine appendicectomy with unusual findings.

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Incidental findings during donor liver assessment: Single center experience

González,

Saeed,

Mustafa

et al. 2024

Annals of Diagnostic Pathology

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The dilemma of incidental findings in abdominal surgery: A cross-sectional study

Cited by 3 publications

References 9 publications

Ectopic Liver Tissue Encountered Incidentally During a Laparoscopic Cholecystectomy: A Case Report

Ectopic Liver Tissue Encountered Incidentally During a Laparoscopic Cholecystectomy: A Case Report

Retrocecal Ascending Appendix Attached to the Hepatic Flexure and Right Intra-abdominal Testis Identified During Open Appendicectomy: A Case Report

Incidental findings during donor liver assessment: Single center experience

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