Images in clinical medicine | Volume 37, Article 31, 08 Sep 2020 | 10.11604/pamj.2020.37.31.23071

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

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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

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

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

Images in clinical medicine

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

Images in clinical medicine

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

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Key words

Old man

Liver-disease

Steato-hepatitis

Madelung´s disease

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