Hepatic evisceration after cholecystectomy in a super obese patient
José Ignacio Rodríguez-Hermosa1, Bartomeu Ruiz-Feliú, Josep Roig-García
1Bariatric Surgery Section, Department of Surgery, University Hospital Dr Josep Trueta, Avda. França, s/n. 17007 Girona, Spain. joserod@eresmas.net
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.

