title: Hepatic evisceration after cholecystectomy in a super obese patient.
abstract: Gallbladder pathology in general and cholelithiasis in particular are more common in the morbidly obese. Obesity is a risk factor for conversion to open surgery in laparoscopic cholecystectomy. Obesity is also a risk factor for evisceration after laparotomy in adults. Hepatic evisceration after cholecystectomy is rare. We describe a case of right liver lobe evisceration diagnosed by abdominal computed tomography (CT) in a super obese patient (BMI 57 kg/m2) after emergency laparoscopic surgery for acute calculous cholecystitis converted to open surgery.
authors.affiliation: Bariatric Surgery Section, Department of Surgery, University Hospital Dr Josep Trueta, Avda. França, s/n. 17007 Girona, Spain. joserod@eresmas.net
authors.forename: José Ignacio
authors.initials: JI
authors.lastname: Rodríguez-Hermosa
authors.forename: Bartomeu
authors.initials: B
authors.lastname: Ruiz-Feliú
authors.forename: Josep
authors.initials: J
authors.lastname: Roig-García
authors.forename: Jordi
authors.initials: J
authors.lastname: Gironès-Vilà
authors.forename: Pere
authors.initials: P
authors.lastname: Planellas-Giné
authors.forename: Pedro
authors.initials: P
authors.lastname: Ortuño-Muro
authors.forename: Antoni
authors.initials: A
authors.lastname: Codina-Cazador
mesh_terms: D000368:Aged; D002763:Cholecystectomy / Q000009:adverse effects* / Q000379:methods; D002764:Cholecystitis / Q000150:complications / Q000601:surgery*; D005260:Female; D046449:Hernia, Abdominal / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008107:Liver Diseases / Q000209:etiology* / Q000601:surgery; D009767:Obesity, Morbid / Q000150:complications*; D012086:Reoperation