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Case Report
 
A mass in the porta hepatis: A rare presentation of ectopic thyroid
Hoylan T. Fernandez1, Peter T. W. Kim1, Michael Cimo2, Robert M. Goldstein1
1MD, Annette C. and Harold C. Simmons Transplant Institute, Baylor University Medical Center, Dallas, Texas.
2MD, Baylor All Saints Medical Center, Fort Worth, Texas.

Article ID: 100048IJHPDHF2016
doi:10.5348/ijhpd-2016-48-CR-4

Address correspondence to:
Hoylan T. Fernandez
MD, Annette C. and Harold C. Simmons Transplant Institute
Baylor University Medical Center
3500 Gaston Avenue, Dallas
U S, TX 75246

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How to cite this article:
Fernandez HT, Kim PTW, Cimo M, Goldstein RM. A mass in the porta hepatis: A rare presentation of ectopic thyroid. Int J Hepatobiliary Pancreat Dis 2016;6:14–17.


Abstract
Introduction: The neck and chest are the most common sites of ectopic thyroid tissues. Ectopic thyroid tissue is infrequently encountered in the liver or gallbladder. This is a rare presentation of an incidental portal hepatis mass consistent with ectopic thyroid.
Case Report: A 69-year-old female with a medical history significant for hypothyroidism and multiple thyroid nodules, had undergone a total thyroidectomy. On subsequent ultrasound an incidental 3.6 cm porta hepatis mass was noted, with enlargement on Computed tomography (CT) scan and magnetic resonance imaging (MRI) scan to 4.6 cm. A complete resection of the porta hepatis mass was performed. Pathology of the porta hepatis mass was consistent with benign ectopic thyroid tissue with nodular hyperplasia.
Conclusion: This case describes the rare presentation of a porta hepatis mass consistent with an ectopic thyroid. The presence of ectopic thyroid in the porta hepatis is especially rare, and required surgical resection due to increasing size.

Keywords: Ectopic thyroid, Porta hepatis mass, Thyroid nodular hyperplasia


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Author Contributions
Hoylan T. Fernandez – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Peter T. W. Kim – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Michael Cimo – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Robert M. Goldstein – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Hoylan T. Fernandez et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.