An obese patient with acute cholecystitis, nonalcoholic steatohepatitis and cirrhosis: A case report.
Acute cholecystitis
Laparoscopic cholecystostomy
Liver cirrhosis
Low-carbohydrate diet
Nonalcoholic steatohepatitis
Obesity
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
2020
2020
Historique:
received:
09
12
2019
revised:
13
01
2020
accepted:
20
01
2020
pubmed:
3
2
2020
medline:
3
2
2020
entrez:
3
2
2020
Statut:
ppublish
Résumé
Laparoscopic cholecystectomy for patients with acute cholecystitis and liver cirrhosis is associated with increased risk. We present an obese patient with acute cholecystitis and liver cirrhosis caused by nonalcoholic steatohepatitis (NASH), who was successfully managed with laparoscopic cholecystostomy and a low-carbohydrate diet with exercise. A 61-year-old woman presented with right upper quadrant abdominal pain. Ultrasonography and computed tomography were consistent with acute cholecystitis with multiple stones and cirrhosis. The patient had no history of alcohol intake, and serologic tests were negative. The patient's body mass index was 39 kg/m Laparoscopic cholecystostomy is a reasonable temporary alternative to cholecystectomy in patients with acute cholecystitis and increased surgical risk. Weight loss with diet and exercise can be effective in patients with NASH. A low-carbohydrate diet is a reasonable treatment for NASH, because glucose is converted to triglycerides and stored as lipid in the liver. Laparoscopic cholecystostomy was effective in this obese patient with acute cholecystitis and NASH cirrhosis. Using a low-carbohydrate diet with exercise, her weight decreased, and subsequent open cholecystectomy was uneventful.
Identifiants
pubmed: 32007863
pii: S2210-2612(20)30039-0
doi: 10.1016/j.ijscr.2020.01.028
pmc: PMC6997644
pii:
doi:
Types de publication
Case Reports
Langues
eng
Pagination
45-50Informations de copyright
Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest All authors declare that they have no competing interests.
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