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CLINICAL IMAGE
Year : 2015  |  Volume : 141  |  Issue : 1  |  Page : 129

Left hepatic lobe herniation through an incisional anterior abdominal wall hernia


1 Department of Chest Medicine, M.S. Ramaiah Medical College, Bengaluru 560 054, Karnataka, India
2 Department of Radiology, M.S. Ramaiah Medical College, Bengaluru 560 054, Karnataka, India

Date of Web Publication2-Apr-2015

Correspondence Address:
H J Gayathri Devi
Department of Chest Medicine, M.S. Ramaiah Medical College, Bengaluru 560 054, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-5916.154521

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How to cite this article:
Gayathri Devi H J, Naik D. Left hepatic lobe herniation through an incisional anterior abdominal wall hernia. Indian J Med Res 2015;141:129

How to cite this URL:
Gayathri Devi H J, Naik D. Left hepatic lobe herniation through an incisional anterior abdominal wall hernia. Indian J Med Res [serial online] 2015 [cited 2019 Sep 21];141:129. Available from: http://www.ijmr.org.in/text.asp?2015/141/1/129/154521

A 65 year old female with bronchial asthma on a regular visit to Chest Medicine department at M.S. Ramaiah memorial hospital, Bengaluru, India, complained of pain in the right hypochondrium in June 2011. She was obese and had huge diffuse swelling in the epigastric region. She had undergone open cholecystectomy about 10 years back. There was no history of trauma. Computed tomography (CT) abdomen revealed herniation of left lobe of the liver through the epigastric region predominantly on right side ([Figure 1]). Obesity and the previous abdominal surgery may have contributed to the incisional hernia formation. Herniation of the liver through an anterior abdominal wall surgical incision is rare. Liver as part of omphalocele content has been described in the neonatal period [1] . o0 nly a few cases of hepatic hernia have been described in the literature [2] . Treatment involves abdominal wall reconstruction and the decision is made on an individual basis. Our patient had no symptoms related to hepatic hernia at two and a half years from the time of diagnosis. She is on regular follow up for bronchial asthma and coronary artery disease.
Figure 1. CT abdomen showing herniation of left lobe of the liver (arrow) through the epigastric region predominantly on the right side.

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   References Top

1.
Sabbah-Briffaut E, Houfflin-Debarge V, Sfeir R, Devisme L, Dubos J-P, Puech F, et al. Liver hernia. Prognosis and report of 11 cases. J Gynecol Obstet Biol Reprod (Paris) 2008; 37 : 379-84.   Back to cited text no. 1
    
2.
Warbrick-Smith J, Chana P, Hewes J. Herniation of the liver via an incisional abdominal wall defect. BMJ Case Rep 2012; November 27; 2012.  Back to cited text no. 2
    


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