Herniation of the liver via an incisional abdominal wall defect

Herniation of the liver through an anterior abdominal wall incisional defect has rarely been described. An 81-year-old man presented to our surgical team with acute right upper quadrant abdominal pain. He had undergone coronary artery bypass grafting via a median sternotomy 7 years previously. Exami...

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Bibliographic Details
Published in:BMJ case reports 2012-11, Vol.2012, p.bcr2012007355
Main Authors: Warbrick-Smith, James, Chana, Prem, Hewes, James
Format: Article
Language:English
Subjects:
80 years
Abdomen
Aged, 80 and over
Cholecystectomy
Cicatrix - diagnosis
Coronary Artery Bypass
Defects
Fatal Outcome
Follow-Up Studies
Hernia, Abdominal - diagnosis
Hernias
Humans
Liver
Male
Pain
Postoperative Complications - diagnosis
Rare Disease
Sternotomy
Tomography, X-Ray Computed
Transplants & implants
United Kingdom
White
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Description
Summary:Herniation of the liver through an anterior abdominal wall incisional defect has rarely been described. An 81-year-old man presented to our surgical team with acute right upper quadrant abdominal pain. He had undergone coronary artery bypass grafting via a median sternotomy 7 years previously. Examination revealed gallbladder tenderness and a non-tender incisional epigastric hernia. Cholecystitis was confirmed on ultrasound. A CT scan revealed a knuckle of liver (segment II/III) herniating through an upper midline anterior abdominal wall incisional defect.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2012-007355