Incisional hernia by liver cysts

Abstract

Autosomal dominant polycystic kidney disease (ADPKD) is the most commonly inherited kidney disease and is associated with cystic manifestation in the liver. Patients with ADPKD are at higher risk for hernias, here we present an image of an incisional hernia full of multiple liver cysts.

Keywords: abdominal hernia; autosomal dominant polycystic kidney disease; hernia; incisional hernia; liver cysts.

FIGURE 1

Axial (A) and sagittal (B) CT images showed an incisional hernia of the anterior abdominal wall. Through the narrow neck, there is herniation of multiple liver cysts with irregular septa (arrows) forming a subcutaneous mass of 14 × 14 × 4 cm. Of notice, the right liver almost completely substituted by multiple cysts with irregular septa and calcification. The patient presented also an omental umbilical hernia.