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Case Report
Ventral incisional hernia with herniation of the left hepatic lobe: A case report
1 MD, Resident, General Surgery Department, ULSAM, Viana do Castelo, Portugal
2 MD, Attending, General Surgery Department, ULSAM, Viana do Castelo, Portugal
3 MD, Chief of the Surgery Department, ULSAM, Viana do Castelo, Portugal
Address correspondence to:
Cristina Silva
Estrada de Santa Luzia, nº50, 4900, Viana do Castelo,
Portugal
Message to Corresponding Author
Article ID: 101285Z01CS2022
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How to cite this article
Silva C, Leite M, Monteiro C, Lima BC, Midões A. Ventral incisional hernia with herniation of the left hepatic lobe: A case report. Int J Case Rep Images 2022;13:101285Z01CS2022.ABSTRACT
Incisional hernias are a very common complication of abdominal surgery, reaching form 5–20% to around 69% in the case of high-risk patients with prospective long-term follow-up. Herniation of the liver, however, is extremely rare and there are only a handful of cases reported. Here we present a case concerning a complex incisional defect of the abdominal wall involving liver herniation with mild ischemia that required extensive surgery to repair in a patient with previous history of ovarian cancer with incomplete resection surgery. The treatment choice was manual reduction of the hernia at the moment of presentation and delayed elective surgery for definite correction, aiming at full functional recovery of the abdominal wall muscles and to a better outcome regarding quality of life when compared to mesh repair without closure of the defect. As hernias involving left hepatic lobe are rare and mostly occur in patients with comorbidities, conservative management should be considered. However, depending on the effect they have in quality of life, preoperative conditions should be optimized aiming for a successful abdominal wall reconstruction, despite the patient’s comorbidities.
Keywords: Complex abdominal wall defect, Incisional hernia, Liver herniation
SUPPORTING INFORMATION
Author Contributions
Cristina Silva - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mariana Leite - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Cristina Monteiro - Acquisition of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Bárbara Castro Lima - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Alberto Midões - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Cristina Silva et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
