Anterior Hepatic Herniation: An Unusual Presentation of Abdominal Incisional Hernia

Abstract

Hepatic herniation through an abdominal incisional hernia is a rare phenomenon that has been seldom reported in the medical literature. When present, this may cause patients significant distress and is associated with complications such as hepatic encephalopathy and Budd-Chiari syndrome. Most cases can be managed conservatively through observation, but many cases require surgical intervention to preserve hepatic function. Our case consists of a 54-year-old man who presented with asymptomatic herniation of the left hepatic lobe through an abdominal incisional hernia.

Incarcerated primary anterior liver hernia: A case report

“…Hepatic hernias should be suspected when a patient presents with epigastric bulging, but adequate diagnosis requires imaging studies such as a CT scan [12] .…”

“…Currently, there are no guidelines that dictate treatment, and most cases can be managed conservatively, as in our case. If any of the aforementioned complications occur, surgical correction should be pursued given the favorable outcomes [12] .…”

Spontaneous Non-Traumatic Abdominal Wall Herniation of Liver

“…Around six cases of herniation of the liver through abdominal wall has been rarely reported and all are acquired through a prior surgical scar or trauma. 1 There are few published reports of lateral abdominal wall hernia secondary to abdominal wall defects in new born without any prior abdominal surgeries. 2 One study presented a case of right lumbar incision hernia with herniation of the right lobe of the liver.…”

Incidencia y factores de riesgo de eventración abdominal postincisional en postoperados de laparotomía exploradora

“…20,21 La técnica por laparoscopia no siempre es posible debido al tamaño de la hernia (mayor a 7 cm). [22][23][24][25] El objetivo de este estudio es definir la incidencia de las hernias ventrales postincisionales en pacientes postoperados de laparotomía exploradora en el Hospital Central del Estado, y encontrar una relación con los factores de riesgo y material de sutura utilizado para el cierre.…”