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Case report of ectopic hepatic tissue, a rare finding during a laparoscopic cholecystectomy

INTRODUCTION: Ectopic hepatic tissue is due to an uncommon failure of embryological liver development. The incidence of ectopic liver has been reported to be anywhere from 0.24% to 0.47% and a prevalence rate of 0.47% as diagnosed at laparotomy or laparoscopy. We report a case of Ectopic Hepatic tis...

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Autores principales: Avdaj, Afrim, Namani, Sadie, Cake, Anila, Bytyqi, Agron
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7052068/
https://www.ncbi.nlm.nih.gov/pubmed/32126352
http://dx.doi.org/10.1016/j.ijscr.2020.01.014
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author Avdaj, Afrim
Namani, Sadie
Cake, Anila
Bytyqi, Agron
author_facet Avdaj, Afrim
Namani, Sadie
Cake, Anila
Bytyqi, Agron
author_sort Avdaj, Afrim
collection PubMed
description INTRODUCTION: Ectopic hepatic tissue is due to an uncommon failure of embryological liver development. The incidence of ectopic liver has been reported to be anywhere from 0.24% to 0.47% and a prevalence rate of 0.47% as diagnosed at laparotomy or laparoscopy. We report a case of Ectopic Hepatic tissue attached to the gallbladder wall that was discovered during a laparoscopic cholecystectomy. CASE REPORT: A 47 year-old women presented to the surgery department with abdominal acute pain. The patient was taken for a standard laparoscopic cholecystectomy. The gallbladder was retracted cephalad while Hartmann’s pouch was retracted laterally. It was then noted that an ectopic tissue was present on the gallbladder wall. The patient recovered well after surgery, had no complications and was discharged the day after surgery. DISCUSSION: Ectopic hepatic tissue is a rare condition. The real incidence of ectopic hepatic tissue attached to the gallbladder wall is difficult to assess but is reportedly 0.24–0.47% of the population. Ectopic hepatic tissue attached to the gallbladder usually remains asymptomatic and is occasionally discovered during laparoscopy, as was the case with the patient in the present report. In this case presented, the histopathological examination of specimen was confirmed to be ectopic liver tissue without hepatocellular carcinoma. CONCLUSION: It is important to be vigilant of ectopic hepatic tissue, their complications, and the potential surgical, including increased operative time and the need to follow up on such patients to rule out any possible complications.
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spelling pubmed-70520682020-03-05 Case report of ectopic hepatic tissue, a rare finding during a laparoscopic cholecystectomy Avdaj, Afrim Namani, Sadie Cake, Anila Bytyqi, Agron Int J Surg Case Rep Article INTRODUCTION: Ectopic hepatic tissue is due to an uncommon failure of embryological liver development. The incidence of ectopic liver has been reported to be anywhere from 0.24% to 0.47% and a prevalence rate of 0.47% as diagnosed at laparotomy or laparoscopy. We report a case of Ectopic Hepatic tissue attached to the gallbladder wall that was discovered during a laparoscopic cholecystectomy. CASE REPORT: A 47 year-old women presented to the surgery department with abdominal acute pain. The patient was taken for a standard laparoscopic cholecystectomy. The gallbladder was retracted cephalad while Hartmann’s pouch was retracted laterally. It was then noted that an ectopic tissue was present on the gallbladder wall. The patient recovered well after surgery, had no complications and was discharged the day after surgery. DISCUSSION: Ectopic hepatic tissue is a rare condition. The real incidence of ectopic hepatic tissue attached to the gallbladder wall is difficult to assess but is reportedly 0.24–0.47% of the population. Ectopic hepatic tissue attached to the gallbladder usually remains asymptomatic and is occasionally discovered during laparoscopy, as was the case with the patient in the present report. In this case presented, the histopathological examination of specimen was confirmed to be ectopic liver tissue without hepatocellular carcinoma. CONCLUSION: It is important to be vigilant of ectopic hepatic tissue, their complications, and the potential surgical, including increased operative time and the need to follow up on such patients to rule out any possible complications. Elsevier 2020-01-23 /pmc/articles/PMC7052068/ /pubmed/32126352 http://dx.doi.org/10.1016/j.ijscr.2020.01.014 Text en © 2020 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Avdaj, Afrim
Namani, Sadie
Cake, Anila
Bytyqi, Agron
Case report of ectopic hepatic tissue, a rare finding during a laparoscopic cholecystectomy
title Case report of ectopic hepatic tissue, a rare finding during a laparoscopic cholecystectomy
title_full Case report of ectopic hepatic tissue, a rare finding during a laparoscopic cholecystectomy
title_fullStr Case report of ectopic hepatic tissue, a rare finding during a laparoscopic cholecystectomy
title_full_unstemmed Case report of ectopic hepatic tissue, a rare finding during a laparoscopic cholecystectomy
title_short Case report of ectopic hepatic tissue, a rare finding during a laparoscopic cholecystectomy
title_sort case report of ectopic hepatic tissue, a rare finding during a laparoscopic cholecystectomy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7052068/
https://www.ncbi.nlm.nih.gov/pubmed/32126352
http://dx.doi.org/10.1016/j.ijscr.2020.01.014
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