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Published in: Obesity Surgery 2/2008

01-02-2008 | Case Report

Hepatic Evisceration After Cholecystectomy in a Superobese Patient

Authors: José Ignacio Rodríguez-Hermosa, Bartomeu Ruiz-Feliú, Josep Roig-García, Jordi Gironès-Vilà, Pere Planellas-Giné, Pedro Ortuño-Muro, Antoni Codina-Cazador

Published in: Obesity Surgery | Issue 2/2008

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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 superobese patient (BMI 57 kg/m2) after emergency laparoscopic surgery for acute calculous cholecystitis converted to open surgery.
Literature
1.
go back to reference Formiguera X, Cantón A. Obesity: epidemiology and clinical aspects. Best Pract Res Clin Gastroenterol 2004;18:1125–46.PubMed Formiguera X, Cantón A. Obesity: epidemiology and clinical aspects. Best Pract Res Clin Gastroenterol 2004;18:1125–46.PubMed
2.
go back to reference Rubenstein AH. Obesity: a modern epidemic. Trans Am Clin Climatol Assoc 2005;116:103–13.PubMed Rubenstein AH. Obesity: a modern epidemic. Trans Am Clin Climatol Assoc 2005;116:103–13.PubMed
3.
go back to reference Shaffer EA. Epidemiology and risk factors for gallstone disease: has the paradigm changed in the 21st century? Curr Gastroenterol Rep 2005;7:132–40.PubMedCrossRef Shaffer EA. Epidemiology and risk factors for gallstone disease: has the paradigm changed in the 21st century? Curr Gastroenterol Rep 2005;7:132–40.PubMedCrossRef
4.
go back to reference Dittrick GW, Thompson JS, Campos D, Bremers D, Sudan D. Gallbladder pathology in morbid obesity. Obes Surg 2005;15:238–42.PubMedCrossRef Dittrick GW, Thompson JS, Campos D, Bremers D, Sudan D. Gallbladder pathology in morbid obesity. Obes Surg 2005;15:238–42.PubMedCrossRef
5.
go back to reference Ibrahim S, Hean TK, Ho LS, Ravintharan Y, Chye TN, Chee CH. Risk factors for conversion to open surgery in patients undergoing laparoscopic cholecystectomy. World J Surg 2006;30:1698–704.PubMedCrossRef Ibrahim S, Hean TK, Ho LS, Ravintharan Y, Chye TN, Chee CH. Risk factors for conversion to open surgery in patients undergoing laparoscopic cholecystectomy. World J Surg 2006;30:1698–704.PubMedCrossRef
6.
go back to reference Rodríguez-Hermosa JI, Codina-Cazador A, Ruiz B, Roig J, Gironès J, Pujadas M, et al. Risk factors for acute abdominal wall dehiscence after laparotomy in adults. Cir Esp 2005;77:280–6.PubMedCrossRef Rodríguez-Hermosa JI, Codina-Cazador A, Ruiz B, Roig J, Gironès J, Pujadas M, et al. Risk factors for acute abdominal wall dehiscence after laparotomy in adults. Cir Esp 2005;77:280–6.PubMedCrossRef
8.
go back to reference Pavlidis TE, Galatianos IN, Papaziogas BT, Lazaridis CN, Atmatzidis KS, Makris JG, et al. Complete dehiscence of the abdominal wound and incriminating factors. Eur J Surg 2001;167:351–5.PubMedCrossRef Pavlidis TE, Galatianos IN, Papaziogas BT, Lazaridis CN, Atmatzidis KS, Makris JG, et al. Complete dehiscence of the abdominal wound and incriminating factors. Eur J Surg 2001;167:351–5.PubMedCrossRef
9.
10.
go back to reference Ianora AA, Midiri M, Vinci R, Rotondo A, Angelelli G. Abdominal wall hernias: imaging with spiral CT. Eur Radiol 2000;10:914–9.PubMedCrossRef Ianora AA, Midiri M, Vinci R, Rotondo A, Angelelli G. Abdominal wall hernias: imaging with spiral CT. Eur Radiol 2000;10:914–9.PubMedCrossRef
11.
go back to reference Rose M, Eliakim R, Bar-Ziv Y, Vromen A, Rachmilewitz D. Abdominal wall hernias. The value of computed tomography diagnosis in the obese patient. J Clin Gastroenterol 1994;19:94–6.PubMedCrossRef Rose M, Eliakim R, Bar-Ziv Y, Vromen A, Rachmilewitz D. Abdominal wall hernias. The value of computed tomography diagnosis in the obese patient. J Clin Gastroenterol 1994;19:94–6.PubMedCrossRef
12.
go back to reference Sidhu RS, Raj PK, Treat RC, Scarpino MA, Tarr SM. Obesity as a factor in laparoscopic cholecystectomy. Surg Endosc 2007;21:774–6.PubMedCrossRef Sidhu RS, Raj PK, Treat RC, Scarpino MA, Tarr SM. Obesity as a factor in laparoscopic cholecystectomy. Surg Endosc 2007;21:774–6.PubMedCrossRef
13.
go back to reference Bingener-Casey J, Richards ML, Strodel WE, Schwesinger WH, Sirinek KR. Reasons for conversion from laparoscopic to open cholecystectomy: a 10-year review. J Gastrointest Surg 2002;6:800–5.PubMedCrossRef Bingener-Casey J, Richards ML, Strodel WE, Schwesinger WH, Sirinek KR. Reasons for conversion from laparoscopic to open cholecystectomy: a 10-year review. J Gastrointest Surg 2002;6:800–5.PubMedCrossRef
14.
go back to reference Simopoulos C, Polychronidis A, Botaitis S, Perente S, Pitiakoudis M. Laparoscopic cholecystectomy in obese patients. Obes Surg 2005;15:243–6.PubMedCrossRef Simopoulos C, Polychronidis A, Botaitis S, Perente S, Pitiakoudis M. Laparoscopic cholecystectomy in obese patients. Obes Surg 2005;15:243–6.PubMedCrossRef
15.
go back to reference Helling TS. Operative experience and follow-up in a cohort of patients with a BMI > or =70 kg/m2. Obes Surg 2005;15:482–5.PubMedCrossRef Helling TS. Operative experience and follow-up in a cohort of patients with a BMI > or =70 kg/m2. Obes Surg 2005;15:482–5.PubMedCrossRef
16.
go back to reference Wolf AM, Kotner B, Kuhlmann HW. Results of bariatric surgery. Int J Obes Relat Metab Disord 2001;25 Suppl 1:S113–4.PubMed Wolf AM, Kotner B, Kuhlmann HW. Results of bariatric surgery. Int J Obes Relat Metab Disord 2001;25 Suppl 1:S113–4.PubMed
Metadata
Title
Hepatic Evisceration After Cholecystectomy in a Superobese Patient
Authors
José Ignacio Rodríguez-Hermosa
Bartomeu Ruiz-Feliú
Josep Roig-García
Jordi Gironès-Vilà
Pere Planellas-Giné
Pedro Ortuño-Muro
Antoni Codina-Cazador
Publication date
01-02-2008
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 2/2008
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-007-9325-6

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