Case Report
Copyright ©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 16, 2014; 2(12): 924-926
Published online Dec 16, 2014. doi: 10.12998/wjcc.v2.i12.924
Rare entity: Ectopic liver tissue in the wall of the gallbladder - A case report
Yusuf Arslan, Fatih Altintoprak, Kursat R Serin, Taner Kivilcim, Omer Yalkin, Orhan V Ozkan, Fehmi Celebi
Yusuf Arslan, Fatih Altintoprak, Taner Kivilcim, Omer Yalkin, Orhan V Ozkan, Fehmi Celebi, Department of General Surgery, Faculty of Medicine, Sakarya University, 54100 Sakarya, Turkey
Kursat R Serin, Department of General Surgery, LIV Hospital, 34340 Istanbul, Turkey
Author contributions: Arslan Y, Altintoprak F, Kivilcim T and Yalkin O designed the report; Arslan Y, Serin KR and Ozkan OV collected the patient’s clinical data; Arslan Y, Altintoprak F and Ozkan OV analyzed the data and wrote the paper.
Correspondence to: Orhan V Ozkan, Associate Professor of General Surgery, Department of General Surgery, Faculty of Medicine, Sakarya University, Adnan Menderes Caddesi, Saglik Sokak No:193, 54100 Sakarya, Turkey. veliorhan@hotmail.com
Telephone: +90-264-2552106 Fax: +90-264-2552106
Received: May 2, 2014
Revised: August 30, 2014
Accepted: September 23, 2014
Published online: December 16, 2014
Processing time: 230 Days and 8.7 Hours
Abstract

Ectopic liver tissue (ELT) is a rare condition, which is usually not diagnosed preoperatively, but coincidentally during abdominal surgery. While the location of ELT can vary, it is usually localized on the gallbladder wall or in close proximity. ELT is associated with various complications, a major complication being extrahepatic hepatocellular carcinoma. A 59-year-old female underwent elective surgery for chronic cholecystitis with stones. During laparoscopic exploration, a 2-cm-diameter ELT was detected in the anterior gallbladder wall and a laparoscopic cholecystectomy was performed. The case is presented due to the rare nature of ELT and as a reminder of ELT-related complications.

Keywords: Ectopic liver tissue; Laparoscopic cholecystectomy; Hepatocellular carcinoma

Core tip: Ectopic hepatic tissue is a rare condition and it has been reported in several sites, such as the gallbladder, gastrohepatic ligament, adrenal glands, and esophagus. It is usually clinically silent and found incidentally. Ectopic hepatic tissue carries an increased risk of malignant degeneration to hepatocellular carcinoma. It should be discovered and removed by the surgeon to prevent a higher risk of complications and malignant transformation.