Incidental Finding of Ectopic Liver Lobule During Laparoscopic Cholecystectomy: A Case Report

Hadeel Hamed, Reem Al-shaikh, Maha Alajmi, Mawadda Fallatta

Abstract

An Accessory or ectopic liver lobule is a rare finding with different variations.  In this case: we are presenting a case of a 20-year-old lady who was investigated for recurrent abdominal pain and was diagnosed with chronic calcular cholecystitis with an ultrasonography. There was whatsoever no radiological evidence of ectopic liver lobule. Intraoperatively, an ectopic liver lobule was seen adherent to the gallbladder wall without connection to the actual liver, and uneventful laparoscopic cholecystectomy with removal of the ectopic liver was successfully achieved. The patient was discharged home on the same day, The final histopathology of the specimen showed liver tissue without evidence of malignancy.

In conclusion: an ectopic or accessory liver lobule could missed during preoperative investigations and it should be removed along with the gallbladder if found adherent to its wall during laparoscopic cholecystectomy to prevent related complications. 

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