Rapid orbital lipolysis associated with critical illness and colectomy

Autor: Jessica R. Chang, Anuj Rajput, Sari Umekawa, Joy Li, Vishal Patel, David Kosoy, Aikta Rajput
Rok vydání: 2021
Předmět:
Zdroj: Radiology Case Reports
Radiology Case Reports, Vol 16, Iss 9, Pp 2347-2350 (2021)
ISSN: 1930-0433
DOI: 10.1016/j.radcr.2021.06.001
Popis: Orbital lipolysis typically develops in the setting of a chronic catabolic state. The acute development and rapid progression of orbital lipolysis are much less commonly described. In this report, we present a rare case of a 64-year-old male who progressed from normal orbital fat content to marked orbital lipolysis in less than one month following episodes of undifferentiated shock, colonic perforation, and total colectomy. We outline the clinical course, describe the characteristic imaging findings, and provide a review of the cellular mechanisms underlying lipolysis. Our case suggests that multiple concurrent illnesses can combine to produce an extreme metabolic demand that may contribute to the uncommon development of rapidly-progressing orbital lipolysis.
Databáze: OpenAIRE