Tejada E, Danielson C
Laboratory Service, Richard L. Roudebush Veterans Administration Medical Center, Indianapolis, IN 46202.
Arch Pathol Lab Med. 1989 Aug;113(8):950-2.
A 43-year-old man with a history and symptomatology of hereditary spherocytosis underwent splenectomy and cholecystectomy for treatment of his underlying disease and of cholelithiasis. The removed gallbladder showed a serosal encapsulated nodule, supported by a short mesentery, measuring 11 x 6 x 4 mm, that histologically was an ectopic or heterotopic functioning liver. This nodule did not have any connection with the main liver. It is because of the comparative rarity of this anatomic anomaly that we are presenting a new case; a simple classification of these aberrant liver tissues, which are found in the wall of the gallbladder; the embryological development; and a complete review of the literature. We also stress the need to restore the term choristoma, now in disuse.
一名43岁患有遗传性球形红细胞增多症病史及症状的男性,因治疗基础疾病和胆结石接受了脾切除术和胆囊切除术。切除的胆囊显示一个浆膜包裹的结节,由短系膜支撑,大小为11×6×4毫米,组织学检查为异位或迷走功能性肝脏。该结节与主肝脏无任何连接。正是由于这种解剖学异常相对罕见,我们在此呈现一例新病例;对这些在胆囊壁中发现的异常肝组织进行简单分类;胚胎学发育;以及对文献的全面回顾。我们还强调恢复目前已不再使用的术语“迷离瘤”的必要性。