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

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&acutes disease. A diagnosis was not made.