Ectopic liver tissue in the esophagus

Zhang, Zili; Wang, Jinliang; Guo, Chunguang; Li, Qi; Li, Lin; Pang, Yi; Meng, Xiangchao

doi:10.1097/md.0000000000015260

Cited by 5 publications

(6 citation statements)

References 13 publications

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“…Ectopic liver tissue and accessory liver lobes are often asymptomatic, and detection of ectopic liver tissue before surgical intervention or autopsy imaging studies is rare[ 8 , 11 , 20 , 34 ]. However, ectopic livers on rare occasions have been reported to cause recurrent abdominal pain due to torsion[ 78 - 80 ], intraperitoneal bleeding[ 81 , 82 ], hemorrhagic necrosis[ 83 ], compression of adjacent organs[ 84 ], as well as obstruction of the esophagus[ 85 ], portal vein[ 86 ], and neonatal gastric outlet[ 87 ].…”

Section: Discussionmentioning

confidence: 99%

Ectopic liver tissue (choristoma) on the gallbladder: A comprehensive literature review

Akbulut¹,

Demyati²,

Ciftci³

et al. 2020

WJGS

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Section: Discussionmentioning

confidence: 99%

Ectopic liver tissue (choristoma) on the gallbladder: A comprehensive literature review

Akbulut¹,

Demyati²,

Ciftci³

et al. 2020

WJGS

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“…The prevalence of esophageal pathologies also may influence the severity of mucosal damage. [5,6] Acids usually cause coagulation necrosis with denaturation of superficial proteins and formation of eschar. Although eschar may prevent from further tissue damage, it may also work destructively by leading to obstruction and increasing the risk of perforation or bleeding.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic findings and outcome in caustic ingestion of acidic and alkaline agents in adults

Hollenbach¹,

Tünnemann²,

Struck

et al. 2019

Medicine

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Caustic ingestion in adults is a rare but potentially life-threatening problem. It remains controversial whether endoscopic findings and mortality differ between acid and alkali ingestion. We compared ingestion of these agents and evaluated prediction parameters for survival and complications.Adult patients who presented with caustic ingestion were analyzed from 2005 to 2016. Mucosal injury was graded endoscopically by Zargar's score. Age, gender, intent of ingestion, caustic agents, comorbidities, management, complications, and mortality were examined.Thirty-one patients met inclusion criteria and were divided into acid (n = 10) and alkali group (n = 21). Ingestion of alkali resulted in higher grades (≥III) of esophageal (56% vs 24%, P = .01) and stomach injuries (43% vs 13%, P = .05) and was mostly done with suicidal intent (76% vs 30%, P = .003). Patients in the alkali group received more often surgical interventions, mechanical ventilation and tracheotomy. Overall complications including Zargar's-score ≥ grade III, mediastinitis, and aspiration pneumonia were higher in alkali group but all showed no statistical significance (P = .73). Mortality (acid: 1 (10%), alkali: 4 (19%), P = .52), age, gender, comorbidities, and intensive care management did not differ significantly between the groups. Chronic renal failure and mediastinitis were promising prediction parameters for mortality but did not reach statistical significance. No independent risk factors for the development of esophageal stenosis were identified.Alkaline agents caused a higher mucosal injury severity and were more often used in suicidal intent. Mediastinitis and chronic renal failure might be potential prediction parameters for survival but need to be evaluated in larger studies.

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“…Ectopic hepatic tissue is almost always clinically silent, and only a few patients were reported in literature representing symptoms such as recurrent abdominal pain due to torsion, compression of adjacent organs, intraperitoneal bleeding, obstruction of the oesophagus, portal vein, neonatal gastric outlet, and pylorus 1 . Ectopic liver tissue is affected by the same risk factors that affect the normal liver, such as; fatty infiltration, cirrhosis, chronic active hepatitis, hemosiderosis, and metastatic tumour 6 , 8 . In a few cases, ELT may be related to other congenital anomalies such as biliary atresia, omphalocele, cardiac anomalies, and caudate lobe agenesis 9 .…”

Section: Discussionmentioning

confidence: 99%

Ectopic liver tissue adherent to the gallbladder serosa: two cases report from Syria

Al-janabi

Kenaan

Sulaiman

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction and importance: Ectopic liver tissue is an exceedingly rare anomaly in which the hepatic tissue is present extrahepatic site and has no connection to the true liver. Most cases of ectopic liver tissue were asymptomatic and discovered by an accident during abdominal surgery or autopsy. Case presentation: Case 1 involved a 52-year-old man who was admitted to the hospital due to an abdominal grip in the right hypochondrium and epigastrium for 1 month. The patient underwent laparoscopic cholecystectomy. During the gross examination, a well-circumscribed brownish nodule with a smooth outer surface, located at the fundus region was found. Case 2 involved a 40-year-old man with 2 months history of epigastric pain radiating to the right shoulder. Calculus chronic cholecystitis was diagnosed by ultrasound. The patient undergoes elective laparoscopic cholecystectomy. A gross inspection showed a small nodule attached to the serosa of the gallbladder. Microscopically, both cases revealed ectopic liver tissue. Clinical discussion: Ectopic liver tissue is an uncommon entity that occurs during the embryological development of the liver and can be found below and above the diaphragm, especially the gallbladder. Histologically, it usually has the normal architecture of the liver. Although ectopic liver tissue is an exceptional finding, pathologists should be aware of it because it has a high risk of transformation into malignancy. Conclusion: Hepatic choristoma is a rare failure of embryological liver development. It should be removed when recognized and examined histologically to rule out malignancy.

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Ectopic liver tissue in the esophagus

Cited by 5 publications

References 13 publications

Ectopic liver tissue (choristoma) on the gallbladder: A comprehensive literature review

Ectopic liver tissue (choristoma) on the gallbladder: A comprehensive literature review

Endoscopic findings and outcome in caustic ingestion of acidic and alkaline agents in adults

Ectopic liver tissue adherent to the gallbladder serosa: two cases report from Syria

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