Shintaro Chiba, MD, Antony Delliturri, Ryan R Bird, Mohammad Hamshow, MD, Maryanne Ruggiero, MD, Herbert Wasserman, MD, Danny Sherwinter, MD, Winnick Aaron, MD. Maimonides Medical Center
This is a case of a 67-year-old female with no surgical history who presented to the emergency room with 2 days of dull right upper quadrant pain. CT scan right liver lobe adjacent to segment 5 had evidence of beaking and swirling. Due to persistent pain, the patient was taken to the operating room for diagnostic laparoscopy. Upon exploration of the abdomen, an accessory liver lobe from segment 5 was noted to be torsed and necrotic. The necrotic accessory lobe of the liver was detorsed and resected with Ligasure. Although the gallbladder was in close proximity to the necrotic segment, it showed no signs of ischemia. The gallbladder was preserved. The patient was discharged on post operative day 2 without any complication. At 2 week follow up, the patient had resolution of her pain. This patient presentation exhibits rare laparoscopic detorsion and resection of accessory hepatic lobe torsion.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 77959
Program Number: V197
Presentation Session: Video Loop
Presentation Type: VideoLoop