Laparoscopic resection of a hepatocellular carcinoma arising from an ectopic liver

U. Hyoung Seo, Hyun Joo Lee, Woo Sang Ryu, Jung-Myun Kwak, Bong Kyung Shin, Wan-Bae Kim, Sun Il Lee, Sungsoo Park, Jae Woong Choi, Seon Hahn Kim, Sang Yong Choi, Young Jae Mok

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13 Citations (Scopus)

Abstract

Ectopic livers are rarely seen intra-abdominal lesions. Ectopic hepatocellular carcinoma (HCC) can be defined as an HCC arising from hepatic parenchyma located in an extrahepatic organ or tissue. The authors report a case of a primary, well-differentiated HCC arising from ectopic liver tissue in the left subphrenic space at the upper portion of the gastrorenal ligament that was successfully treated by laparoscopic resection. A 59-year-old man was referred to our department for the management of an intra-abdominal mass, which was incidentally found in a follow-up abdominal computed tomography scan for splenic laceration. The preoperative diagnosis suggested that it was a nonspecific stomach mass of maximal diameter 4.5 cm, such as, a gastrointestinal stromal tumor, located between the diaphragm and spleen. A computed tomography scan identified no mass in the liver. Laparoscopic resection was performed, and the final pathologic result confirmed that it was a HCC. The patient?s postoperative course was unremarkable. This is the first reported case of a laparoscopically treated ectopic HCC. Moreover, laparoscopic resection was found to be safe and reliable in this case.

Original languageEnglish
Pages (from-to)508-510
Number of pages3
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume18
Issue number5
DOIs
Publication statusPublished - 2008 Oct 1

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Hepatocellular Carcinoma
Liver
Tomography
Choristoma
Gastrointestinal Stromal Tumors
Lacerations
Diaphragm
Ligaments
Stomach
Spleen

Keywords

  • Ectopic liver
  • HCC
  • Hepatocelluar carcinoma
  • Laparoscopy

ASJC Scopus subject areas

  • Surgery

Cite this

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AU - Seo, U. Hyoung

AU - Lee, Hyun Joo

AU - Ryu, Woo Sang

AU - Kwak, Jung-Myun

AU - Shin, Bong Kyung

AU - Kim, Wan-Bae

AU - Lee, Sun Il

AU - Park, Sungsoo

AU - Choi, Jae Woong

AU - Kim, Seon Hahn

AU - Choi, Sang Yong

AU - Mok, Young Jae

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AB - Ectopic livers are rarely seen intra-abdominal lesions. Ectopic hepatocellular carcinoma (HCC) can be defined as an HCC arising from hepatic parenchyma located in an extrahepatic organ or tissue. The authors report a case of a primary, well-differentiated HCC arising from ectopic liver tissue in the left subphrenic space at the upper portion of the gastrorenal ligament that was successfully treated by laparoscopic resection. A 59-year-old man was referred to our department for the management of an intra-abdominal mass, which was incidentally found in a follow-up abdominal computed tomography scan for splenic laceration. The preoperative diagnosis suggested that it was a nonspecific stomach mass of maximal diameter 4.5 cm, such as, a gastrointestinal stromal tumor, located between the diaphragm and spleen. A computed tomography scan identified no mass in the liver. Laparoscopic resection was performed, and the final pathologic result confirmed that it was a HCC. The patient?s postoperative course was unremarkable. This is the first reported case of a laparoscopically treated ectopic HCC. Moreover, laparoscopic resection was found to be safe and reliable in this case.

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