A First Report of Synchronous Intracapsular and Extracapsular Hepatic Adenoma

• Published in: Case reports in surgery Vol. 2017; no. 2017; pp. 1 - 3
• Main Authors: Ozen, Necati, Danaci, Murat, Meydan, Bilge Can, Lap, Gokhan, Yuruker, Savas, Karabıçak, İlhan, Derebey, Murat, Karabulut, Kagan
• Format: Journal Article
• Language: English
• Published: Cairo, Egypt Hindawi Publishing Corporation 01-01-2017; Hindawi; John Wiley & Sons, Inc; Hindawi Limited
• Subjects: Abdomen; Adenoma; Adrenal glands; Carcinogenesis; Carcinogens; Case Report; Case reports; Cholecystectomy; Cholestasis; Cirrhosis; Esophagus; Gallbladder; Gallbladder diseases; Gastroenterology; Hemangioma; Hemosiderosis; Hepatocytes; Hospitals; Hyperplasia; Kidneys; Laparoscopy; Liver; Liver cancer; Liver cirrhosis; Lungs; Mediastinum; Omentum; Organs; Pain; Pancreas; Pathology; Risk factors; Stomach; Surgery; Tumors
• ISSN: 2090-6900; 2090-6919
• DOI: 10.1155/2017/9053568

Although the gallbladder is the most common site of ectopic liver, it has been reported in many other organs, such as kidney, adrenal glands, pancreas, omentum, stomach, esophagus, mediastinum, lungs, and heart. Hepatocytes in an ectopic liver behave like normal hepatocytes; furthermore, they can be associated with the same pathological findings as those in the main liver. Ectopic liver in the gallbladder can undergo fatty change, hemosiderosis, cholestasis, cirrhosis, hemangioma, focal nodular hyperplasia, adenoma, and even carcinogenesis. The incidence of extracapsular hepatic adenoma is not known, but only two cases have been reported. Here, we provide the first case report of synchronous multiple intracapsular and extracapsular hepatic adenomas. A 60-year-old woman with multiple hepatic adenomas and one 7 × 5 × 5 cm ectopic hepatic adenoma attached to the gallbladder fundus complicated with abdominal pain is presented.