A 77 year old man with gangrenous cholecystitis and incidental findings of multiple bilobar liver lipomatosis
Danilo Coco, Silvana Leanza
Corresponding author: Danilo Coco, Department of General Surgery, Ospedali Riuniti Marche Nord, Pesaro, Italy
Received: 24 Apr 2020 - Accepted: 04 May 2020 - Published: 08 Sep 2020
Domain: General surgery
Keywords: Old man, liver-disease, steato-hepatitis, Madelung´s disease
©Danilo Coco et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Danilo Coco et al. A 77 year old man with gangrenous cholecystitis and incidental findings of multiple bilobar liver lipomatosis. Pan African Medical Journal. 2020;37:31. [doi: 10.11604/pamj.2020.37.31.23071]
Available online at: https://www.panafrican-med-journal.com//content/article/37/31/full
Images in clinical medicine
A 77 year old man with gangrenous cholecystitis and incidental findings of multiple bilobar liver lipomatosis
A 77 year old man with gangrenous cholecystitis and incidental findings of multiple bilobar liver lipomatosis
Danilo Coco1,&, Silvana Leanza2
1Department of General Surgery, Ospedali Riuniti Marche Nord, Pesaro, Italy, 2Department of General Surgery, Carlo Urbani Hospital, Jesi, Ancona, Italy
&Corresponding author
Danilo Coco, Department of General Surgery, Ospedali Riuniti Marche Nord, Pesaro, Italy
A 77-year-old man was evaluated at the hospital because of fever, vomiting and upper right quadrant pain. CT evaluation revealed acute cholecystitis with peri-cholecystic fluid. The patient was admitted in the operating room where an emergency laparoscopic cholecystectomy was performed. During laparoscopy an incidental finding of bilobar liver lipomatosis was found. Non-Alcoholic-Fatty-Liver-Disease (NAFLD) or Non-Alcoholic-Steato-Hepatitis (NASH) or Madelung's disease. A diagnosis was not made.
Figure 1: incidental findings of multiple bilobar liver lipomatosis during laparoscopic cholecystectomy