Kundu Nikhilesh, Chattoraj Ashok Kumar
Department of Surgery, Tata Main Hospital, Jamshedpur, Jharkhand, India.
J Family Med Prim Care. 2022 Jan;11(1):363-365. doi: 10.4103/jfmpc.jfmpc_923_21. Epub 2022 Jan 31.
Accessory liver lobe (AL) is a very rare congenital anomaly found during surgery incidentally and not usually possible to diagnose preoperatively. Here, we are reporting this rare case in which the accessory liver was diagnosed at the time of surgery and was ectopically connected to the gallbladder wall.
A 71-y-old woman, attended our outpatient department (OPD) with pain in the epigastrium. She was diagnosed early having gallstone disease. Ultrasound abdomen was advised, which revealed cholelithiasis. Laparoscopic cholecystectomy was performed and we discovered a small liver-looking tissue stuck to the anterior wall of the gall bladder, which was removed along with the gall bladder. Subsequently, the tissue was confirmed to be liver tissue.
It is a rare variation of the accessory lobe of the liver attached to the gall bladder. It remains asymptomatic clinically and may pose a danger of transforming to hepatocellular carcinoma; hence, total excision of the lobe should be considered.
副肝叶是一种非常罕见的先天性异常，通常在手术中偶然发现，术前一般无法诊断。在此，我们报告这一罕见病例，该病例中副肝在手术时被诊断出来，且异位连接至胆囊壁。
一名71岁女性因上腹部疼痛前来我院门诊就诊。她早期被诊断患有胆结石病。建议进行腹部超声检查，结果显示有胆结石。遂进行了腹腔镜胆囊切除术，术中我们发现一个小的类似肝脏的组织附着在胆囊前壁，该组织与胆囊一并被切除。随后，该组织被证实为肝组织。
这是一种罕见的副肝叶变异，其附着于胆囊。临床上它通常无症状，但可能有转变为肝细胞癌的风险；因此，应考虑将该叶完全切除。
