Hepatic evisceration after cholecystectomy in a superobese patient.
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 in a superobese patient (body mass index 57 kg/m(2)) after emergency laparoscopic surgery for acute calculous cholecystitis converted to open surgery.
Rodríguez-Hermosa
José Ignacio
JI
Department of Surgery, Section of Bariatric Surgery, University Hospital Dr Josep Trueta, Avda. França, s/n. 17007 Gerona, Spain. joserod@eresmas.net
Ruiz-Feliú
Bartomeu
B
Roig-García
Josep
J
Gironès-Vilà
Jordi
J
Planellas-Giné
Pere
P
Ortuño-Muro
Pedro
P
Codina-Cazador
Antoni
A
D034861:Abdominal Wall / Q000473:pathology / Q000601:surgery; D000368:Aged; D002763:Cholecystectomy; D041881:Cholecystitis, Acute / Q000601:surgery*; D005260:Female; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging; D009767:Obesity, Morbid / Q000150:complications*; D011183:Postoperative Complications / Q000209:etiology*; D013529:Surgical Wound Dehiscence / Q000150:complications*; D014057:Tomography, X-Ray Computed