Abstract
A 54-year-old man underwent laparoscopic-assisted cholecystectomy for acalculous cholecystitis in July 2012, when swelling and fragility of the liver were pointed out and deposits of amyloids were noted in the resected gallbladder. Postoperative bleeding occurred. Abdominal CT scan revealed a swollen liver and findings of subcapsular hemorrhage of the spleen, however, the patient was asymptomatic. So the patient had been followed until September of the year, when he was seen at the hospital because of the abrupt onset of abdominal pain and anemia. Emergency operation was performed with a diagnosis of hemorrhage due to rupture of the spleen. Upon laparotomy, intra-abdominal hemorrhage and the swollen spleen were seen. Partially ruptured capsule of the spleen and bleeding from the splenic parenchyma was identified. The liver was yellowish and was felt hard. Postoperative pathology showed amyloid deposits of the liver and the spleen.
We report a case in which rapid progress of amyloidosis after the operation was suspected and progressing of amyloidosis was observed by macroscopic findings, together with bibliographic comments.
