Sleeve Gastrectomy And Liver Cyst Unroofing In Morbid Obesity With Multiple Liver Cysts: A Case Report

Authors

  • Abdul Mughni Doctoral Program of Medical and Health Science, Faculty of Medicine, Diponegoro University/Kariadi Hospital Semarang, Department of Surgery, Faculty of Medicine, Diponegoro University/ Kariadi Hospital Semarang, Indonesia
  • Bella Renata Department of Surgery, Faculty of Medicine, Diponegoro University/ Kariadi Hospital Semarang, Indonesia
  • Dimas Erlangga Nugrahadi Department of Surgery, Faculty of Medicine, Diponegoro University/ Kariadi Hospital Semarang, Indonesia
  • Tjokorda Gde Dalem Pemayun Department of Internal Medicine, Faculty of Medicine, Diponegoro University/ Kariadi Hospital Semarang, Indonesia
  • Reno Rudiman Department of Surgery, Faculty of Medicine, Padjadjaran University, Bandung, Indonesia
  • Ignatius Riwanto Doctoral Program of Medical and Health Science, Faculty of Medicine, Diponegoro University/Kariadi Hospital Semarang, Department of Surgery, Faculty of Medicine, Diponegoro University/ Kariadi Hospital Semarang, Indonesia

DOI:

https://doi.org/10.36408/mhjcm.v11i2.1110

Keywords:

obesity, morbid obesity, sleeve gastrectomy, liver cyst

Abstract

Background: Obesity has become a major global health issue which leads to various complications, including hepatic diseases. However, we found a rare case of morbid obesity and symptomatic multiple liver cysts.

Aim: This article aims to represent a rare case of morbid obesity and multiple liver cysts surgically managed by sleeve gastrectomy and liver cyst unroofing which were performed in a single surgery.

Case report: 41-year-old female presented with morbid obesity and blunt intermittent abdominal pain in the right upper quadrant. Stage II hypertension, tenderness on the right upper quadrant of the abdomen and epigastrium were found in clinical assessment. Lipid profiles were shown to be elevated. Abdominal CT revealed fatty liver and multiple cystic lesions in all hepatic segments.

Discussion: Non-parasitic liver cysts affect 2-18% of the global population, with a higher prevalence in females possibly due to hormonal factors. Obesity is associated with hormonal alterations, potentially leading to increased secretion of FSH and LH.

Conclusion: Sleeve gastrectomy and liver cyst unroofing may be considered as a treatment strategy for patients with morbid obesity and multiple liver cysts.

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Additional Files

Published

2024-07-31

How to Cite

1.
Mughni A, Renata B, Nugrahadi DE, Pemayun TGD, Rudiman R, Riwanto I. Sleeve Gastrectomy And Liver Cyst Unroofing In Morbid Obesity With Multiple Liver Cysts: A Case Report. Medica Hospitalia J. Clin. Med. [Internet]. 2024 Jul. 31 [cited 2024 Sep. 19];11(2):231-5. Available from: http://medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/1110

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