Abstract
Ektopik karaciğer; hepatik koristoma veya hepar succenturiatum olarak da bilinen ana karaciğere bağlı olmayan karaciğer dokusudur. Genellikle otopsi ve ameliyat esnasında tesadüfen saptanan nadir bir gelişimsel anomalidir. İnsidansının %0.24 ile %0.47 arasında değiştiği bildirilmiştir. En sık safra kesesinde görülmekle birlikte daha az oranda diğer organlarda da görülebilir. Karın ağrısı şikayeti ile polikliniğimize başvuran 38 yaşında kadın hastanın yapılan ultrasonografisinde multıpl kolelitiazis tespit edildi. Elektif laparoskopik kolesistektomi esnasında safra kesesi üzerinde tesadüfen saptanan ve nadir görülen ilginç bir ektopik karaciğer olgusunu sunuyoruz. Safra kesesi içerisinde ve üzerinde yer işgal eden kitlelerin ayırıcı tanısında ektopik karaciğer dokusu akılda tutulması gereken bir anomalidir. Genellikle klinik olarak sessizdir ve tesadüfen bulunur. Eğer safra kesesinde patoloji varsa safra kesesi ile beraber rezeksiyonu, safra kesesi dışında ise artmış hepatoselüler malignite riski nedeniyle cerrahi tedavi önerilmektedir.
Supporting Institution
yoktur
References
- Kachi A, Bou Rached C, El-Helou E, Kanj M, Kansoun AH. Incidental finding of ectopic liver during laparoscopic cholecystectomy. Am J Case Rep. 2020; 3(21): e921410.
- Karaca G, Özden H, Pehlivanlı F, Pekcici MR, Yıldırım Y. Ectopic liver tissue on the gallbladder: An incidental mass in laparoscopy. Arch Iran Med. 2016; 19(1): 78-79.
- Martinez CA, de Resende HC Jr, Rodrigues MR, Sato DT, Brunialti CV, Palma RT. Gallbladder associated ectopic liver: A rare finding during a laparoscopic cholecystectomy. Int J Surg Case Rep. 2013; 4(3): 312-315. doi: 10.1016/j.ijscr.2013.01.006
- Vaideeswar P, Yewatkar D, Nanavati R, Bhuiyan P. Ectopic liver tissue in umbilical cord. J Postgrad Med. 2011; 57(3): 229-230.
- Watanabe M, Matsura T, Takatori Y, et al. Five cases of ectopic liver and a case of accessory lobe of the liver. Endoscopy. 1989; 21(1): 39-42.
- Sato S, Watanabe M, Nagasawa S, Niigaki M, S12akai S, Akagi S. Laparoscopic observations of congenital anomalies of the liver. Gastrointest Endosc. 1998; 47(2): 136-140.
- Akbulut S, Demyati K, Ciftci F ve ark. Ectopic liver tissue (choristoma) on the gallbladder: A comprehensive literature review. World J Gastrointest Surg. 2020; 12(12): 534-548.
- Thorsness ET. The relationship of True Luschke Ducts, adenoma and aberrant liver tissue in the wall of the human gallbladder. Am J Clin Pathol. 1941; 11(12): 878-881.
- Lundy J, Johnson E, Edwards K, Rivera D. Laparoscopic management of gallbladder-associated ectopic liver. JSLS. 2005; 9(4): 485-487.
- Koh CE, Hunt R. Encountered during laparoscopic cholecystectomy. Asian Surg. 2007; 30(3): 227-230.
- Hamdani SD, Baron RL. Ectopic liver simulating a mass in the gallbladder wall: Imaging findings. ARJ. 1994;162(3):647-648.
Abstract
Ectopic liver is a liver tissue that is not connected to the main liver, also known as a hepatic choristoma or hepar succenturiatum. It’s a rare developmental anomaly that is usually detected incidentally during autopsy and surgery. It’s incidence has been reported to range from 0.24%-0.47%. It’s most commonly seen in the gallbladder, but less frequently in other organs. Multiple cholelithiasis was detected in the ultrasonography of a 38-year-old female patient who applied to our outpatient clinic with the complaint of abdominal pain. We presented an interesting and rare case of ectopic liver incidentally detected on the gallbladder during elective laparoscopic cholecystectomy. Ectopic liver tissue is an abnormality that should be kept in mind in the differential diagnosis of masses occupying space in the gallbladder. It’s usually clinically silent and found by chance. If there is pathology in the gallbladder, surgical treatment is recommended due to the risk of resection with the gallbladder and increased risk of hepatocellular malignancy if it’s outside the gallbladder.
References
- Kachi A, Bou Rached C, El-Helou E, Kanj M, Kansoun AH. Incidental finding of ectopic liver during laparoscopic cholecystectomy. Am J Case Rep. 2020; 3(21): e921410.
- Karaca G, Özden H, Pehlivanlı F, Pekcici MR, Yıldırım Y. Ectopic liver tissue on the gallbladder: An incidental mass in laparoscopy. Arch Iran Med. 2016; 19(1): 78-79.
- Martinez CA, de Resende HC Jr, Rodrigues MR, Sato DT, Brunialti CV, Palma RT. Gallbladder associated ectopic liver: A rare finding during a laparoscopic cholecystectomy. Int J Surg Case Rep. 2013; 4(3): 312-315. doi: 10.1016/j.ijscr.2013.01.006
- Vaideeswar P, Yewatkar D, Nanavati R, Bhuiyan P. Ectopic liver tissue in umbilical cord. J Postgrad Med. 2011; 57(3): 229-230.
- Watanabe M, Matsura T, Takatori Y, et al. Five cases of ectopic liver and a case of accessory lobe of the liver. Endoscopy. 1989; 21(1): 39-42.
- Sato S, Watanabe M, Nagasawa S, Niigaki M, S12akai S, Akagi S. Laparoscopic observations of congenital anomalies of the liver. Gastrointest Endosc. 1998; 47(2): 136-140.
- Akbulut S, Demyati K, Ciftci F ve ark. Ectopic liver tissue (choristoma) on the gallbladder: A comprehensive literature review. World J Gastrointest Surg. 2020; 12(12): 534-548.
- Thorsness ET. The relationship of True Luschke Ducts, adenoma and aberrant liver tissue in the wall of the human gallbladder. Am J Clin Pathol. 1941; 11(12): 878-881.
- Lundy J, Johnson E, Edwards K, Rivera D. Laparoscopic management of gallbladder-associated ectopic liver. JSLS. 2005; 9(4): 485-487.
- Koh CE, Hunt R. Encountered during laparoscopic cholecystectomy. Asian Surg. 2007; 30(3): 227-230.
- Hamdani SD, Baron RL. Ectopic liver simulating a mass in the gallbladder wall: Imaging findings. ARJ. 1994;162(3):647-648.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | August 31, 2022 |
| Submission Date | February 1, 2022 |
| Acceptance Date | May 16, 2022 |
| Published in Issue | Year 2022 Volume: 15 Issue: 2 |
Cite
MEU Journal of Health Sciences Assoc was began to the publishing process in 2008 under the supervision of Assoc. Prof. Gönül Aslan, Editor-in-Chief, and affiliated to Mersin University Institute of Health Sciences. In March 2015, Prof. Dr. Caferi Tayyar Şaşmaz undertook the Editor-in Chief position and since then he has been in charge.
Publishing in three issues per year (April - August - December), it is a multisectoral refereed scientific journal. In addition to research articles, scientific articles such as reviews, case reports and letters to the editor are published in the journal. Our journal, which has been published via e-mail since its inception, has been published both online and in print. Following the Participation Agreement signed with TÜBİTAK-ULAKBİM Dergi Park in April 2015, it has started to accept and evaluate online publications.
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