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NON‐ALCOHOLIC STEATOHEPATITIS MIMICKING LIVER METASTASIS IN OBESITY SURGERY
Author(s) -
MANSOUR SAMI,
HOU DAVID,
RATTAN RYAN,
WAN ANDREW
Publication year - 2011
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.2011.01128.x
Subject(s) - medicine , steatohepatitis , steatosis , gastroenterology , alanine transaminase , insulin resistance , weight loss , body mass index , fatty liver , liver function , histology , surgery , obesity , disease
We describe a case of non‐alcoholic steatohepatitis detected incidentally during laparoscopic Roux‐en‐Y gastric bypass (LRYGBP). A 51‐year‐old female patient was scheduled for elective LRYGBP. Her weight was 144.9 kg and her body mass index was 56. Liver function tests showed mild elevation in alanine transaminase. The patient had a history of hypertension and insulin resistance and had no history of alcohol abuse. During LRYGBP, the gross appearance of the liver resembled metastatic lesions but the histology confirmed the diagnosis of non‐alcoholic steatohepatitis. The appearance of the liver necessitated taking biopsies, which showed Von Meyenburg complexes and moderate macrovesicular steatosis. This patient made an uneventful recovery and was discharged 2 days postoperatively.