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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

 

 

Image in medicine

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