Incarceration of the hepatic lobe in incisional hernia: A case report

Abstract

IntroductionIncisional hernias are abnormal peritoneal outward pouch-like protrusions that develop due to defects that arise as a result of the disruption of the fascia's continuity after abdominal surgery.Presentation of caseA 77-year-old female patient presented to the emergency department of our hospital with complaints of abdominal swelling, abdominal pain, nausea and vomiting. The patient was recommended for surgery. It was decided that the primary fascia closure and onlay patch was the most appropriate approach.DiscussionWhen the defect in the abdominal wall grows, the functionality of the related abdominal wall is disrupted thereby eliminating the dynamic structure of the abdominal wall. Incisional hernias lead to a significant number of job losses and morbidity and negatively affect quality of life. Moreover, the formations in the hernia pouch might lead to higher risk of strangulation and dysfunction.ConclusionSubcutaneous herniation of the left lobe of the liver passing through the abdominal wall is a very rare condition.

Laparoscopic repair of hepatic herniation through a ventral incisional hernia: a case report

“…Although it causes nausea and epigastric pain, it rarely leads to serious clinical manifestations. However, of note, there have been reports of a patient with incarceration of the left hepatic lobe causing acute liver failure and hepatic encephalopathy, and a patient with incarceration of the right hepatic lobe causing Budd-Chiari syndrome [ 8 , 9 ].…”

Hernie sus ombilicale étranglée à contenu hépatique: à propos d´un cas

“…En revanche, Eken et al . [ 9 ] avaient rapporté le cas d'une femme de 77 ans nécessitant une fermeture primaire du défect pariétal et un patch onlay pour l´incarcération d´un segment II/III du foie dans une éventration post opératoire, avec une insuffisance hépatique aiguë.…”

Anterior Hepatic Herniation: An Unusual Presentation of Abdominal Incisional Hernia

“…Herniation of the left hepatic lobe has been associated with incarceration of the liver within the hernial sac that can lead to hepatic encephalopathy and liver failure. In one reported case, the afflicted patient presented with increased hepatic transaminases, which manifested as flapping tremors and hepatic encephalopathy [10]. Herniation of the right hepatic lobe in contrast has been linked to Budd-Chiari syndrome .…”