A ventral incisional hernia with herniation of the left hepatic lobe and review of the literature. (28th January 2015)

• Record Type: Journal Article
• Authors: Neelamraju Lakshmi, Harish; Saini, Devendra; Om, Prabha; Bagree, Rajendra
• Is Part Of: BMJ case reports. Volume 2015
• Publication Date: 2015-01-28
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2014-207162
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Ventral incisional hernias with hepatic herniation are extremely rare. Only six cases have been reported so far in the literature. We report a case of a ventral incisional hernia with hepatic herniation along with a review of the literature. A 70-year-old female patient with a history of coronary artery bypass graft surgery 6 months earlier, was admitted to our hospital with symptoms of epigastric swelling and discomfort for 3 months. On examination, she had a mild tender 5 cm×5 cm epigastric lump and was diagnosed as ventral incisional hernia. Contrast-enhanced CT of the abdomen revealed a ventral hernia with herniation of omentum and left hepatic lobe. The patient underwent onlay mesh repair and is asymptomatic at 1-month follow-up. There is a need for evaluation of risk factors for this type of ventral incisional hernia and to recognise it as a special entity.