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INTRODUCTION: Ectopic hepatic tissue is due to an uncommon failure of embryological liver development. The incidence of ectopic liver has been reported to be anywhere from 0.24% to 0.47% and a prevalence rate of 0.47% as diagnosed at laparotomy or laparoscopy. We report a case of Ectopic Hepatic tissue attached to the gallbladder wall that was discovered during a laparoscopic cholecystectomy. CASE REPORT: A 47 year-old women presented to the surgery department with abdominal acute pain. The patient was taken for a standard laparoscopic cholecystectomy. The gallbladder was retracted cephalad while Hartmann's pouch was retracted laterally. It was then noted that an ectopic tissue was present on the gallbladder wall. The patient recovered well after surgery, had no complications and was discharged the day after surgery. DISCUSSION: Ectopic hepatic tissue is a rare condition. The real incidence of ectopic hepatic tissue attached to the gallbladder wall is difficult to assess but is reportedly 0.24-0.47% of the population. Ectopic hepatic tissue attached to the gallbladder usually remains asymptomatic and is occasionally discovered during laparoscopy, as was the case with the patient in the present report. In this case presented, the histopathological examination of specimen was confirmed to be ectopic liver tissue without hepatocellular carcinoma. CONCLUSION: It is important to be vigilant of ectopic hepatic tissue, their complications, and the potential surgical, including increased operative time and the need to follow up on such patients to rule out any possible complications.
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BACKGROUND: Healthcare workers have a high risk of professional exposure, especially in developing countries. AIM: This paper aims to determine whether there is a link between knowledge and HIV prophylaxis on HIV prevention in Albanian healthcare system employees. MATERIAL AND METHODS: This study was attended by professionals of the Albanian health care system who also attended second cycle studies at the Faculty of Medical Sciences (FMS) at the University of Medicine, Tirana. The study was conducted through a standard questionnaire with 24 questions, previously created by the Vojvodina Institute of Public Health in Serbia. RESULTS: A group of 219 respondents participated in the study, of which 83.3% were women and 16.7% males. The risk of HIV transmission from syringe injection is > 75%, for 55.9% of the respondents. This result is statistically significant compared to other categories (p < 0.01). There is an increase in awareness of the use of gloves before manipulation and use of syringes, with increased work experience (p = 0.01). The use of specific containers for the elimination of syringes after manipulation is a more common practice by the most experienced professionals at work and results in a significant change (p = 0.02). CONCLUSION: This study showed that there is not enough information from health professionals about potentially infectious fluids for HIV transmission. Younger professionals are less informed about HIV transmission and prophylaxis. These data indicate that there is a need for deepening of university curricula about the risks and exposure to biologically infectious fluids.
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INTRODUCTION: Patients with type 1 Gaucher disease have been reported to be more likely to have cholelithiasis. PRESENTATION OF CASE: A case of cholelithiasis in a patient with type 1 Gaucher disease; which is very intriguing to show this comorbidity. The case was the only known case with this pathology in time of diagnosis in our country (Kosovo). The patient is a 21-year old girl a known case of type 1 Gaucher disease, at the age of 8 years. The patient underwent elective laparoscopic cholecystectomy. Chronic inflammatory changes and adhesions were obvious during surgery. DISCUSSION: Type 1 Gaucher disease patients have several risk factors for gallstone formation: increased biliary excretion of glucosylceramide, advanced liver disease and cirrhosis, splenomegaly, inborn error of metabolism, chronic systemic inflammation, T cell dysfunction, and insulin resistance" to risk factors. CONCLUSION: Gallstones and cholecystitis should be considered when abdominal symptoms and liver dysfunctions are seen in these patients. More studies are needed in especially Kosovo.
