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, Sung Soo Park, Jae Woong Choi, Seon Hahn Kim, Sang Yong Choi, Young Jae Mok

Research output: Contribution to journalArticle

14 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

Keywords

  • Ectopic liver
  • HCC
  • Hepatocelluar carcinoma
  • Laparoscopy

ASJC Scopus subject areas

  • Surgery

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