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The Korean Journal of Pathology 1987;21(4): 274-277.
Pedunculated Gallbladder Encircled by Accessory Liver: A case report.
Woo Ho Kim, Cheol Keun Park, Kyung Hyuck Ko
Department of Pathology, College of Medicine, Gyeong-Sang National University, Chinju, Korea.
The authors presented a case of gastroschisis with a pedunculated gallbladder embedded in hepatic tissue. The patient was born after fullterm gestation. Due to extensive abdominal wall defect, she succumbed 3 days after birth. There was a pedunculated mass measuring 2.5x1.5x1.5 cm between the liver and distended stomach without any attachment to the liver. The pedicle of the mass was connected to the common bile duct. Cut surface revealed that the mass was an accessory hepatic lobe encircling the gallbladder. The histologic feature of both accessory liver and gallbladder was markedly altered probably due to vascular obstruction. We could find only a single similar case in literlature. That case was associated with Beckwith syndrome and ours was associated with large atrial spetal defect, large patent ductus arteriosus, accessory spleen as well as gastroschisis. The common feature of abdominal wall defect might be a predisposing factor.
Key Words: Accessory liver; Torsion of gallbladder; Gastroschisis