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Case Reports
. 2021 May 31:2021:6698361.
doi: 10.1155/2021/6698361. eCollection 2021.

Ventral Primary Hernia with Liver Content

Inès Dufour #  1 , Lancelot Marique #  2 , Thomas Valembois  3 , Arnaud Ghilain  1 , Gabriela Beniuga  4 , Nicolas Tinton  3 , Sabrina Urso  1 , Benoît Colinet  1
Affiliations
Case Reports

Ventral Primary Hernia with Liver Content

Inès Dufour et al. Case Rep Surg. .

Abstract

Background: Herniation of the liver through the anterior abdominal wall is an extremely rare phenomenon. Most cases occur within an incisional hernia (mostly upper abdomen surgery or cardiac surgery). Only two reports mentioned liver herniation without previous abdominal incision. Case Presentation. We report the case of a 70-year-old woman presenting an epigastric swelling. Radiological findings showed a liver herniation in a primary ventral hernia. This case is the first to have been described requiring semiurgent hernia repair associated with partial liver resection.

Conclusion: This case is, to the best of our knowledge, the first case of primary ventral hernia with liver content necessitating wedge resection of the left liver lobe.

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Conflict of interest statement

There is no competing interest.

Figures

Figure 1
Figure 1
Sagittal section of noninjected CT abdominal scanner demonstrating herniation of liver segment III through the linea alba.
Figure 2
Figure 2
Axial section of injected CT abdominal scanner demonstrating herniation of liver segment III through the linea alba.
Figure 3
Figure 3
Preoperative view showing the hernia tightening ring on the left liver lobe.
Figure 4
Figure 4
Inflammatory remodeling and microabscesses of the liver parenchyma.
See this image and copyright information in PMC

References

    1. Sabbah-Briffaut E., Houfflin-Debarge V., Sfeir R., et al. Liver hernia: prognosis and report of 11 cases. Journal de Gynecologie, Obstetrique et Biologie de la Reproduction. 2008;37(4):379–384. doi: 10.1016/j.jgyn.2007.10.003. - DOI - PubMed
    1. Nuño-Guzmán C. M., Arróniz-Jáuregui J., Espejo I., et al. Left hepatic lobe herniation through an incisional anterior abdominal wall hernia and right adrenal myelolipoma: a case report and review of the literature. Journal of Medical Case Reports. 2012;6(1):p. 4. doi: 10.1186/1752-1947-6-4. - DOI - PMC - PubMed
    1. Warbrick-Smith J., Chana P., Hewes J. Herniation of the liver via an incisional abdominal wall defect. BMJ Case Rep. 2012;2012(2):p. bcr2012007355. doi: 10.1136/bcr-2012-007355. - DOI - PMC - PubMed
    1. Adeonigbagbe O., Ali K., Bradnock H. Herniation of the liver through the rectus muscle presenting as persistent abdominal pain. The American Journal of Gastroenterology. 2000;95(7):1841–1842. doi: 10.1111/j.1572-0241.2000.02151.x. - DOI - PubMed
    1. Strul H., Carmiel M., Konikoff F. An unusual cause of abdominal discomfort. The Israel Medical Association Journal. 2001;3(4):p. 303. - PubMed

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