‘Away from home’ extra hepatic hepatocellular adenocarcinoma in gastric fundal submucosa


  • Mohd Helmi Mohd Samathani Department of Surgery, Hospital Tengku Ampuan Rahimah, Klang, Malaysia
  • Azuddin Bin Mohd Khairy Department of Surgery, Hospital Tengku Ampuan Rahimah, Klang, Malaysia




Extra hepatic hepatocecular carcinoma


Patient presented with upper gastrointestinal bleeding which was scoped and diagnosed as bleeding gastrointestinal tumour intra procedure, subjected to laparotomy and wedge resection with unchanged postoperative diagnosis. Only later to find out the tissue was interpreted as metastases hepatoid adenocarcinoma without primary liver pathology. Thus likely point towards malignancy changes of undiagnosed ectopic liver tissue on gastric wall.


Watanabe M, Matsura T, Takatori Y, Ueki K, Kobatake T, Hidaka M, Hirakawa H, Fukumoto S, Shimada Y. Five cases of ectopic liver and a case of accessory lobe of the liver. Endoscopy. 1989;21:39-42.

Seo UH, Lee HJ, Ryu WS, Kwak JM, Shin BK, Kim WB et al Laparoscopic resection of a hepatocellular carcinoma arising from an ectopic liver. Surg Laparosc Endosc Percutan Tech. 2008;18:508-10.

Ferro F, Lais A, Boldrini R, DePeppo F, Federici G, Bosman C. Hepatogonadal fusion. J Pediatr Surg. 1996;31:435-6.

Ferro F, Lais A, Boldrini R, De Peppo F, G. Federici, and C. Bosman, “Hepatogonadal fusion,” Journal of Pediatric Surgery. 1996;31;3:435-6.

Hamdani SD, Baron RL. Ectopic liver simulating a mass in the gallbladder wall: Imaging findings. AJR. 1994;162:647-8.

Martinez CAR, Júnior dRHC, Rodrigues MR, Sato DT, Brunialti CV, Palma RT. Gallbladder-associated ectopic liver: a rare finding during a laparoscopic cholecystectomy. International Journal of Surgery Case Reports. 2013;4(3):312-5.

Arakawa M, Kimura Y, Sakata K, Kubo Y, Fukushima T, Okuda K. Propensit of ectopic liver to hepatocarcinogenesis: case reports and a review of the literature. Hepatology. 1999;29:57-61.

Collan Y, Hakkiluoto A, Hastbacka J. Ectopic liver. Ann Chir Gynaecol. 1978;67:27-9.

Ectopic hepatocellular carcinoma mimicking a retroperitoneal tumor: A case report. 2020.






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