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03 February 2020 : Case report  Lebanon

Incidental Finding of Ectopic Liver during Laparoscopic Cholecystectomy

Challenging differential diagnosis, Diagnostic / therapeutic accidents, Unusual setting of medical care, Educational Purpose (only if useful for a systematic review or synthesis), Rare coexistence of disease or pathology

Antoine Kachi12ADG, Charbel Bou Rached1A, Etienne El-Helou1A, Mouhammad Kanj1AB, Alaa H. Kansoun1ABCDEF*

DOI: 10.12659/AJCR.921410

Am J Case Rep 2020; 21:e921410

Abstract

BACKGROUND: Incidental finding of ectopic liver is gaining more attention especially during laparoscopic cholecystectomy. It is reported to be found in different locations as gallbladder, stomach, spleen, umbilical ligament and other intra-peritoneal and intra-thoracic sites.

CASE REPORT: We present 2 cases of ectopic liver found on gallbladder during elective laparoscopic cholecystectomy for 2 Lebanese females. Our findings were consistent with previous reports. The ectopic liver tissues measured 0.9 cm and 0.5 cm respectively, which were smaller than other reports. The liver tissue lacked a biliary system, which was similar to what has been previously reported in the literature. However, no malignant histological signs were seen when excised.

CONCLUSIONS: These 2 cases highlight the fact that ectopic liver tissue may be encountered on the gallbladder during laparoscopic cholecystectomy. Awareness of this potential entity is beneficial to widen the differential diagnosis when identified on imaging studies pre-operatively or when found incidentally during surgery as in this case.

Keywords: Cholecystectomy, Laparoscopic, Hepatocytes, Laparoscopy, Adult, Choristoma, gallbladder diseases, Incidental Findings, Liver, Middle Aged

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923