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[Accessory liver in gallbladder. Apropos of a case report]
G A Castro Viera1, M E Sanuy, H A Cámara
1Servicio de Cirugía General, Policlínico Privado Dr. Rodríguez Justiniano Posse, Córdoba, Argentina.
Revista Espanola De Enfermedades Digestivas
|April 1, 1990
Summary
A rare case of accessory liver tissue found within the gallbladder was incidentally discovered. This congenital anomaly typically has no pathological significance and requires no treatment unless complicated by gallstones or developing cancer.
Area of Science:
- Gastroenterology and Hepatology
- Surgical Pathology
- Congenital Abnormalities
Background:
- Accessory liver tissue is a rare congenital anomaly where ectopic liver tissue is found outside the normal liver parenchyma.
- These anomalies are often asymptomatic and discovered incidentally during abdominal imaging or surgery for other conditions.
Observation:
- A case of accessory liver tissue located within the gallbladder is presented.
- The lesion was incidentally discovered in a 35-year-old female undergoing surgery for cholecystitis and cholelithiasis.
- The accessory liver tissue exhibited signs of cholangitis and congestion secondary to the gallbladder pathology.
Findings:
- Accessory liver tissue in the gallbladder, while rare, is generally considered a benign condition.
- In this case, the accessory liver tissue showed secondary inflammation due to concomitant gallbladder disease.
- The presence of gallstones necessitated surgical intervention for the gallbladder pathology.
Implications:
- This rare anomaly typically holds no pathological significance and does not necessitate surgical treatment on its own.
- Surgical intervention for accessory liver tissue is only indicated if there are coincidental conditions like cholelithiasis or if the ectopic tissue becomes a site for malignant transformation (hepatoma or cholangiocarcinoma).
- Awareness of this anomaly is important for accurate diagnosis and appropriate management to avoid unnecessary procedures.