scholarly journals A Case of Hemorrhagic Necrosis of Ectopic Liver Tissue within the Gallbladder Wall

HPB Surgery ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Sapna Nagar ◽  
Alan Koffron ◽  
Vandad Raofi
Keyword(s):  
Liver Tissue ◽  
Epigastric Pain ◽  
Gallbladder Wall ◽  
Acute Onset ◽  
Rare Clinical Entity ◽  
Acute Hemorrhage ◽  
Postoperative Course ◽  
Hemorrhagic Necrosis ◽  
Laparoscopic Excision ◽  
Ectopic Liver

Ectopic liver tissue is a rare clinical entity that is mostly asymptomatic and found incidentally. In certain situations, however, patients may present with symptoms of abdominal pain secondary to torsion, compression, obstruction of adjacent organs, or rupture secondary to malignant transformation. Herein, we report a case of a 25-year-old female that presented with acute onset of epigastric pain found to have ectopic liver tissue near the gallbladder complicated by acute hemorrhage necessitating operative intervention in the way of laparoscopic excision and cholecystectomy. The patient's postoperative course was uneventful. Gross pathology demonstrated a  cm firm purple ovoid structure that histologically revealed extensive hemorrhagic necrosis of benign ectopic liver tissue.

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

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
Author(s):  
Ioannis Triantafyllidis ◽  
Leonidas Papapavlou ◽  
Nikolaos Nikoloudis ◽  
Athanasios Economou ◽  
Efstathios Andreadis ◽  
...  
Keyword(s):  
Case Report ◽  
Liver Tissue ◽  
Gallbladder Wall ◽  
Ectopic Liver

Ectopic liver tissue attached to the gallbladder wall: a case report

Cases Journal ◽  
2009 ◽  
Vol 2 ◽  
Author(s):  
Ioannis Triantafyllidis ◽  
Leonidas Papapavlou ◽  
Nikolaos Nikoloudis ◽  
Athanasios Economou ◽  
Efstathios Andreadis ◽  
...  
Keyword(s):  
Case Report ◽  
Liver Tissue ◽  
Gallbladder Wall ◽  
Ectopic Liver

scholarly journals Case Report on a Rare Intraoperative Finding of Ectopic Liver Tissue Attached to Gallbladder Wall during Laparoscopic Cholecystectomy

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Mohamed Isa ◽  
Hussain Al-Mulla ◽  
Amal Al-Rayes ◽  
Raed Al-Marzooq ◽  
Roopa Arora
Keyword(s):  
Hepatocellular Carcinoma ◽  
Laparoscopic Cholecystectomy ◽  
Liver Tissue ◽  
Recurrent Abdominal Pain ◽  
Gallbladder Wall ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
Elective Laparoscopic Cholecystectomy ◽  
Ectopic Liver

Introduction. Ectopic liver is a rare finding (Corsy, 1922; Kubota et al., 2007) that is usually discovered intraoperatively or during an autopsy (Bassis and Izenstark, 1956). Preoperative diagnosis of ectopic liver is also uncommon. The most common site of ectopic liver is on the gall bladder, although there are reports of other sites such as the adrenal glands and esophagus. The management of ectopic liver is en-bloc resection due to the high risk of hepatocellular carcinoma. Case Presentation. We describe the case of a 42-year-old female who presented with recurrent abdominal pain. She was found to have a smooth fragment of a reddish brown tissue attached to the anterior surface of the gallbladder during an elective laparoscopic cholecystectomy. The tissue was removed with the gallbladder, and histopathology showed normal ectopic liver tissue. Conclusion. Due to the possibility of malignant transformation into hepatocellular carcinoma, en-bloc resection is the choice of management.

scholarly journals Ectopic liver tissue in the gallbladder wall

Pathology ◽  
2021 ◽  
Vol 53 ◽  
pp. S54
Author(s):  
S. Healy ◽  
H. Harris
Keyword(s):  
Liver Tissue ◽  
Gallbladder Wall ◽  
Ectopic Liver

scholarly journals Eosinophilic Cholecystitis Associated with Eosinophilic Granulomatosis with Polyangiitis

2020 ◽  
Vol 14 (3) ◽  
pp. 668-674
Author(s):  
Hiroyuki Ito ◽  
Yusuke Mishima ◽  
Tsubomi Cho ◽  
Naoki Ogiwara ◽  
Yoshimasa Shinma ◽  
...  
Keyword(s):  
Cerebral Hemorrhage ◽  
Granulomatosis With Polyangiitis ◽  
Epigastric Pain ◽  
White Blood Cells ◽  
Gallbladder Wall ◽  
Antineutrophil Cytoplasmic Antibodies ◽  
Eosinophilic Granulomatosis With Polyangiitis ◽  
Test Results ◽  
Laboratory Investigations ◽  
Eosinophilic Granulomatosis

We report a case of eosinophilic cholecystitis associated with eosinophilic granulomatosis with polyangiitis (EGPA) complicated by cerebral hemorrhage. A 60-year-old man presented to a local hospital with a diagnosis of acute cholecystitis, with persistent fever and epigastric pain for 2 weeks. His symptoms persisted despite 3-week hospitalization; therefore, he was transferred to our hospital for further evaluation. Laboratory investigations upon admission showed white blood cells 26,300/µL and significant eosinophilia (eosinophils 61%). Abdominal computed tomography revealed no gallbladder enlargement but a circumferentially edematous gallbladder wall. Additional blood test results were negative for antineutrophil cytoplasmic and perinuclear antineutrophil cytoplasmic antibodies; however, immunoglobulin (Ig)G and IgE levels were high at 1,953 mg/dL and 3,040/IU/mL, respectively. He improved following endoscopic transnasal gallbladder drainage for cholecystitis and was diagnosed with EGPA and received corticosteroid and immunosuppressant combination therapy. The eosinophil count decreased immediately after treatment, and abdominal pain and numbness resolved. He returned with left-sided suboccipital hemorrhage likely attributed to EGPA 6 months after discharge. EGPA is characterized by inflammation of small blood vessels and clinically manifests with an allergic presentation of bronchial asthma, as well as renal dysfunction, interstitial pneumonia, enteritis, and cerebral hemorrhage. Few reports have described cholecystitis as a presenting symptom of EGPA. We report a rare case of such a presentation with added considerations.

scholarly journals Spontaneous Uterine Rupture in a Preterm Pregnancy following Myomectomy

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Claire Sutton ◽  
Prue Standen ◽  
Jade Acton ◽  
Christopher Griffin
Keyword(s):  
Abdominal Pain ◽  
Caesarean Section ◽  
Uterine Rupture ◽  
Good Condition ◽  
Acute Onset ◽  
Uterine Wall ◽  
Unusual Presentation ◽  
Postoperative Course ◽  
Spontaneous Uterine Rupture ◽  
History Of

A 44-year-old nulliparous woman was transferred to a tertiary obstetric hospital for investigation of acute onset abdominal pain. She was at gestation of 32 weeks and 2 days with a history of previous laparoscopic fundal myomectomy. An initial bedside ultrasound demonstrated oligohydramnios. Following an episode of increased pain early the following morning, a formal ultrasound diagnosed a uterine rupture with the fetal arm extending through a uterine rent. An uncomplicated classical caesarean section was performed and the neonate was delivered in good condition but with a bruised and oedematous right arm. The neonate was transferred to the Special Care Nursery for neonatal care. The patient had an uncomplicated postoperative course and was discharged home three days following delivery. This is an unusual presentation of uterine rupture following myomectomy where the fetal arm had protruded through the uterine wall.

scholarly journals Drainage or Packing of the Sella? Transsphenoidal Surgery for Primary Pituitary Abscess: Report of Two Cases

2009 ◽  
Vol 2009 ◽  
pp. 1-3
Author(s):  
Soichi Oya ◽  
Junichiro Kumai ◽  
Taku Shigeno
Keyword(s):  
Cerebrospinal Fluid ◽  
Transsphenoidal Surgery ◽  
Sella Turcica ◽  
Cerebrospinal Fluid Leak ◽  
Anterior Wall ◽  
Rare Clinical Entity ◽  
Pituitary Abscess ◽  
Abscess Drainage ◽  
Postoperative Course ◽  
Fluid Leak

The detailed surgical procedure of the transsphenoidal surgery for pituitary abscess has scarcely been described previously because it is a very rare clinical entity. The authors reported two cases of primary pituitary abscess. In case 1, the anterior wall of the sella turcica was reconstructed with the vomer bone after irrigating the abscess cavity, but the sella was not packed by fat for fear of the persistent infection by devascularized tissues. This led to the postoperative meningocele, the cerebrospinal fluid leak, and bacterial meningitis despite the successful abscess drainage. In case 2, tight sellar packing and reconstruction of the sellar wall were performed to avoid these postoperative complications, which resulted in complete drainage and uneventful postoperative course. Although accumulation of more cases is obviously needed to establish the definitive surgical technique in pituitary abscess surgery, our experience might suggest that packing of the sella is not impeditive for postoperative sufficient drainage.

scholarly journals Perforated Carcinoma in the Gastric Remnant: A Case of Conservative Treatment Prior to Successful Curative R0 Resection

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Ken Yuu ◽  
Hiroshi Kawashima ◽  
Sho Toyoda ◽  
Satoshi Okumura ◽  
Kansuke Yamamoto ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Conservative Treatment ◽  
Epigastric Pain ◽  
Acute Onset ◽  
Gastric Remnant ◽  
R0 Resection ◽  
Upper Gastrointestinal Endoscopy ◽  
Remnant Gastric Cancer ◽  
Lesser Curvature ◽  
Nasogastric Tube Insertion

An 80-year-old man who had undergone distal gastrectomy and Billroth-II gastrojejunostomy 38 years previously, for a benign gastric ulcer, was diagnosed with remnant gastric cancer based on upper gastrointestinal endoscopy findings. He presented at our emergency department with acute-onset epigastric pain due to perforated remnant gastric cancer. Conservative medical management was selected, including nasogastric tube insertion, antibiotics, and proton pump inhibitors, because his peritonitis was limited to his epigastrium and his general condition was stable. Twenty-one days after the perforation occurred, curative total remnant gastrectomy and D2 lymphadenectomy were performed. Adhesion between the lateral segment of the liver and the dissected lesser curvature of the gastric remnant may have contributed to the peritonitis in this case, which was limited to the epigastrium. This is the first report of perforated remnant gastric cancer in which conservative treatment was effective prior to curative resection. The protocol reported here may be of use to other clinicians who may encounter this clinical entity in their practices.

scholarly journals Ectopic liver tissue in umbilical cord

2011 ◽  
Vol 57 (3) ◽  
pp. 229 ◽  
Author(s):  
P Vaideeswar ◽  
R Nanavati ◽  
D Yewatkar ◽  
P Bhuiyan
Keyword(s):  
Umbilical Cord ◽  
Liver Tissue ◽  
Ectopic Liver

scholarly journals A right atrial myxoma presenting with misleading features of acalculous cholecystitis

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
Ioannis G Lempesis ◽  
Anna Naxaki ◽  
Eirini Koukoufiki ◽  
Ioanna Karagkouni ◽  
Amalia Tzanatou ◽  
...  
Keyword(s):  
Clinical Laboratory ◽  
Epigastric Pain ◽  
Acalculous Cholecystitis ◽  
Gallbladder Wall ◽  
Atrial Myxoma ◽  
Right Atrial ◽  
Imaging Findings ◽  
Markers Of Inflammation ◽  
Upper Abdominal ◽  
The Right

Abstract Diffuse thickening, a layered appearance of the gallbladder wall and the accumulation of surrounding fluid are considered as sensitive and relatively specific imaging findings of gallbladder inflammation. In the absence of gallstones, the diagnosis of acalculous cholecystitis can be further supported by the presence of fever, epigastric pain, right upper abdominal quadrant (RUQ) tenderness on inspiration and elevated markers of inflammation. In this report, we describe a 35-year-old schoolteacher who presented with all of the above clinical, laboratory and imaging findings that were eventually attributed to gallbladder oedema and liver congestion (abdominal imaging and RUQ tenderness) caused by an atrial myxoma interfering, with the atrioventricular circulation of the right heart and causing constitutional manifestations (fever and elevated markers of inflammation).

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