A 77 year old man with gangrenous cholecystitis and incidental findings of multiple bilobar liver lipomatosis

Danilo Coco, Silvana Leanza

PAMJ. 2020; 37:31. Published 08 Sep 2020 | doi:10.11604/pamj.2020.37.31.23071

A 77-year-old man was evaluated at the hospital because of fever, vomiting and upper right quadrant pain. CT scan evaluation found an acute cholecysthitis with peri-cholecystic fluid. The patient was admitted in the operating room where an emergerncy laparoscopic cholecystectomy was performed. During laparoscopy an incidental finding of bilobar liver lypomatosis was found. Non-alcoholic-fatty-liver-disease (NAFLD) or non-alcoholic-steato-hepatitis (NASH) or Madelung´s disease. A diagnosis was not made.
Corresponding author
Danilo Coco, Department of General Surgery, Ospedali Riuniti Marche Nord, Pesaro, Italy (webcostruction@msn.com)
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