Laparoscopic Findings in Wilson’s Disease without Cirrhosis

Figure 1A 25-year-old man was referred to our hospital because of liver dysfunction with abnormal copper metabolism. Laparoscopic findings revealed a mild yellowish liver with smooth surface. There were multiple dark-bluish round spots 1-2 mm in diameter on the surface of both lobes, indicating uneven distribution of copper deposition. The patient was diagnosed as having the early stage of Wilson’s disease.^_stand_item=F587-1

Figure 2Histological findings revealed regenerative lobules with thin fibrous septa. In the parenchyma, fatty change was irregularly distributed, compatible with Wilson’s disease (hematoxylin and eosin, original magnification × 100).^_stand_item=F587-2