A case of linea alba hernia with impaction of the falciform ligament of liver

Miyaso, Hideaki; Nishie, Manabu; Ishibashi, Hiromi; Ishii, Hisanari; Fujita, Isao; Tomoda, Jun

doi:10.4044/joma.122.125

Cited by 1 publication

(2 citation statements)

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“…Intraoperatively, the hernia’s development was considered to be primarily due to the abnormal proliferation of pre-peritoneal adipose tissue and resultant defect in the linea alba, rather than obesity or pregnancy history. Linea alba hernias contain the pre-peritoneal fat, omentum, and small intestine in 30.6% of cases, colon in 11.8%, stomach in 7.1%, and falciform ligament in 2.4% [ 4 ]. Multiple hernial orifices have been reported in approximately 20% of patients with linea alba hernias [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

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A rare presentation of linea alba hernia involving fibrolipoma of the hepatic round ligament: a case report and literature review

et al. 2023

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Background Linea alba hernias are relatively rare types of hernias. They manifest as small protrusions situated in the linea alba between the umbilicus and xiphoid cartilage. Usually, hernia contents comprise the pre-peritoneal fat, omentum, and gastrointestinal tract. However, very few cases of linea alba hernias involving the hepatic round ligament have been reported, to date. Case presentation An 80-year-old woman presented with upper abdominal pain and a 1-week history of a mass in the upper midline. Abdominal computed tomography revealed adipose tissue protruding from the abdominal wall contiguous with the hepatic round ligament, suggesting a linea alba hernia. During surgery, the hernial sac content was found to be a mass, which was resected. A linea alba hernia defect measuring 20 mm was repaired using a mesh. Histopathological findings revealed that the mass included mature adipocyte proliferation with broad fibrous septa, which was diagnosed as fibrolipoma of the hepatic round ligament. Conclusions We report the first case of a linea alba hernia involving fibrolipoma of the hepatic round ligament worldwide and describe the clinical features, diagnosis, and surgical procedure with a literature review.

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Section: Discussionmentioning

confidence: 99%

“…In Japan, there have been nine cases [4,[6][7][8][9][10][11][12] in which the hernia contents included the hepatic round ligament, including our case (Table 1); the average age was 68.4 years and eight patients were female. The average size of the hernial orifice was 19.4 mm.…”

Section: Discussionmentioning

confidence: 99%