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HPB Surgery
Volume 2011 (2011), Article ID 389381, 3 pages
http://dx.doi.org/10.1155/2011/389381
Case Report

A Case of Hemorrhagic Necrosis of Ectopic Liver Tissue within the Gallbladder Wall

Department of Surgery, William Beaumont Hospital, Royal Oak, MI 48073, USA

Received 22 February 2011; Accepted 22 June 2011

Academic Editor: Olivier Farges

Copyright © 2011 Sapna Nagar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ectopic liver tissue is a rare clinical entity that is mostly asymptomatic and found incidentally. In certain situations, however, patients may present with symptoms of abdominal pain secondary to torsion, compression, obstruction of adjacent organs, or rupture secondary to malignant transformation. Herein, we report a case of a 25-year-old female that presented with acute onset of epigastric pain found to have ectopic liver tissue near the gallbladder complicated by acute hemorrhage necessitating operative intervention in the way of laparoscopic excision and cholecystectomy. The patient's postoperative course was uneventful. Gross pathology demonstrated a 1 . 2 × 2 . 8 × 4 . 5  cm firm purple ovoid structure that histologically revealed extensive hemorrhagic necrosis of benign ectopic liver tissue.