2011
DOI: 10.1093/jscr/2011.4.3
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Herniation of the gallbladder within a hernia of the abdominal wall associated with Mirizzi Syndrome

Abstract: A gallbladder incarcerated hernia associated with Mirizzi syndrome is a very rare entity and to our knowledge this is the first case ever described in literature. An 85-year-old man presented at the emergency department with a tender right upper quadrant mass. Computed Tomography (CT) revealed the presence of a gallbladder lithiasis with signs of acute cholecystitis, herniated through the abdominal wall with an associated Mirizzi syndrome. Laparoscopic cholecystectomy and repair of the abdominal wall defect we… Show more

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Cited by 9 publications
(7 citation statements)
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“…A gallbladder hernia is a rare event with only a small number of published case reports. The gallbladder has been reported to herniate spontaneously through a ventral defect in the abdominal wall [ 3 , 4 ], or through a parastomal [ 5 – 7 ], incisional [ 8 10 ] or epigastric [ 11 ] hernia site. A review of these case reports is able to elicit patterns of presentation and management (Table 1 ).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…A gallbladder hernia is a rare event with only a small number of published case reports. The gallbladder has been reported to herniate spontaneously through a ventral defect in the abdominal wall [ 3 , 4 ], or through a parastomal [ 5 – 7 ], incisional [ 8 10 ] or epigastric [ 11 ] hernia site. A review of these case reports is able to elicit patterns of presentation and management (Table 1 ).…”
Section: Discussionmentioning
confidence: 99%
“…This was not performed in this present case report to not risk the blood supply to the ileoconduit. Some reported primary closure of the defect [ 3 , 6 , 10 ] and others performed a mesh closure [ 4 , 7 ], either of which do not report significant complications. Of note, one case report was able to reduce the hernia and complete the cholecystectomy laparoscopically [ 4 ].…”
Section: Discussionmentioning
confidence: 99%
“…It is possible that features characteristic of elderly people are responsible for this rare condition, such as a decreased amount of adipose tissue, connective tissue transformation, and the ptotic nature of the gallbladder as a result of the elongation of the peritoneal lining [8]. Based on the literature on the herniation of the gallbladder in PubMed, we can conclude that the mean age of the patients was high (between 40 and 96 years) and the majority of the patients were female [4,[9][10][11][12][13][14][15][16][17][18], as in our case.…”
Section: Discussionmentioning
confidence: 99%
“…Epigastric hernia is a frequent surgical procedure and most of the time hernial sac contains pre-peritonial fat, omentum and bowel. 1 Hernial sac containing gall bladder is a rare entity. 2 Its symptoms may include intermittent or recurrent epigastric pain, abdominal distention, fever but their diagnosis is often an incidental finding.…”
Section: Introductionmentioning
confidence: 99%