Unusual finding during laparoscopic cholecystectomy: liver choristoma in the gallbladder wall
DOI:
https://doi.org/10.18203/2320-6012.ijrms20240852Keywords:
Hepatic choristoma, Heterotopia, Ectopia, GallbladderAbstract
Hepatic choristomas or ectopic livers are rare developmental anomalies and are usually located in the abdomen, retroperitoneum and thorax. A 34-year-old male patient underwent a scheduled laparoscopic cholecystectomy, the findings during surgery were a gallbladder with multiple lithiasis inside, with a smooth fragment of reddish-brown tissue attached to the anterolateral surface of the gallbladder. The patient evolved satisfactorily and was discharged 24 hours after surgery. Objective was to describe a clinical case of hepatic choristoma adhered to the anterolateral wall of the gallbladder, as well as its etiology, clinical picture and therapeutic conduct. Hepatic choristoma in the gallbladder is due to an anomaly in the embryologic development of the liver, due to its potential for malignant degeneration, it should be resected as soon as it is detected, being laparoscopic cholecystectomy an adequate approach.
References
Beltran MA, Barria C, Pujado B, Barrera R, Mendez P, Pozo C. Hepatic heterototopic tissue on the gallbladder wall: an incidental finding with pathological potential. J Gastrointest Liver Dis. 2007;16:347-9.
Akbulut S, Demyati K, Ciftci F, Koc C, Tuncer A, Sahin E, et al. Ectopic liver tissue (choristoma) on the gallbladder: A comprehensive literature review. World J Gastrointest Surg. 2020;12(12):534-48.
Termos S, Alduwaisan A, Alali M, Faour H, Al Homoud H, Alsaleh A. Gallbladder-associated symptomatic hepatic choristoma: should you resect? Int J Surg Case Rep. 2017;41:243-6.
Weber-Alvarez P, Weber-Sánchez LA, Carbó-Romano R, Garteiz-Martínez D. Laparoscopic treatment of hepatic choristoma in the gallbladder wall: a clinical case presentation and literature review. Rev Gastroenterol Mex. 2017;82:189-90.
Sato S, Watanabe M, Nagasawa S, Niigaki I, Sakai S, Akagi S. Laparoscopic observations of congenital anomalies of the liver. Gastrointest Endosc. 1998;47:136-40.
Castro-Viera GA, Sanuy ME, Camara HA, Cordoba OC. Accessory liver in gallbladder: A propos of a case report. Rev Esp Enferm Dig. 1990;77:295- 6.
Leone N, De Paolis P, Carrera M, Carucci P, Musso A, David E, et al. Ectopic liver and hepatocarcinogenesis: report of three cases with four year’s follow-up. Eur J Gastroenterol Hepatol. 2004;16:731-5.
Caygill CP, Gatenby PA. Ectopic liver and hepatocarcinogenesis. Eur J Gastroenterol Hepatol. 2004;16:727-9.
Zhou YZ, Chen J, Liu Z, Wang K, Wang C, Huan T, et al. Why does Ectopic Liver Tissue on the Gallbladder rarely have malignant transformation: Case Series. Rev Esp Enferm Dig. 1995;79:115-9.
Sánchez GR, Patricio GVL, Vázquez RJA. Coristoma hepático: Reporte de caso en intervención quirúrgica laparoscópica en el Hospital General de Zona Número 2 del Instituto Mexicano del Seguro Social, Tuxtla Gutiérrez Chiapas. Rev Mex Cir Endoscop. 2009;10(3):130-2.
Hamdani S, Baron R. Ectopic liver simulating a mass in the gallbladder wall: Imaging findings. Am J Roentgenol. 1994;162:647-8.
Natori T, Hawkin S, Aizawa M, Asai T, Kameda Y, Ikuyohashi K. Intra-cholecystic ectopic liver. Acta Pathol Jpn. 1986;36:1213-6.
Watanabe M, Matsura T, Takatori Y, Ueki K, Koba-take T, Hidaka M, et al. Five cases of ectopic liver and a case of accessory lobe of the liver. Endoscopy. 1989;21:39-42.
Lundy J, Johnson E, Edwards K, Rivera D. Laparoscopic management of gallbladder-associated ectopic liver. J Soc Laparoendosc Surg. 2005;9:485-7.
Lemus-Gómez JL, Barba-Valadez LA, Márquez-Betanzos A, Ramírez-Gaona A, Uehara-Navarrete J. Coristoma hepático, hallazgo en colecistectomía laparoscópica. Rep Caso Cir Gen. 2019;41(2):111-4.