Парцијална хернијација на црниот дроб низ инцизионален дефект на предниот абдоминален ѕид
Journal
Македонски медицински преглед - Macedonian medical review
Date Issued
2016-01
Author(s)
Антонио Глигориевски
Abstract
Introduction. Ventral hernias are quite common, but
liver herniation is an extremely rare case. This type of
abdominal protrusion of part of the liver usually occurs
through incisional weak spots on the abdominal wall.
Incisional herniation of the liver usually occurs 2 to 3
years after an abdominal operation consequently leading
to focal weakness of the abdominal wall.
Case report. We present an extremely rare case of
incisional herniation of part of the left and smaller part
of the right liver lobe in a woman aged 64 years, as a consequence
of a previous open cholecystectomy, creating
a focal abdominal wall weakness. Abdominal CT scan
was performed. Analysis of the CT scans, as well as of
the reconstruction made in the coronal and sagittal
plane was performed. Herniation of the left and the
smaller part of the right liver lobe through an incisive
focal weakness of the right upper quadrant of the abdominal
wall was detected.
Discussion. Incisional hernias are delayed complications
of abdominal surgery. They can occur anywhere
on the abdominal wall and are more frequently encountered
in a vertical than in a transverse incision. Typically,
incisional hernias occur during the first months following
surgery, but later occurrence has been reported as well. Herniation of the liver through the anterior abdominal
wall is an extremely rare condition and usually related
to previous surgery on the upper abdomen. Due to its
rarity it is both a diagnostic and therapeutic challenge.
Conclusion. We can conclude that there is a connection
between liver herniation through the upper abdominal
wall and a previously performed open abdominal surgery.
CT is the method of choice for diagnosis of liver herniation
through the anterior abdominal wall.
liver herniation is an extremely rare case. This type of
abdominal protrusion of part of the liver usually occurs
through incisional weak spots on the abdominal wall.
Incisional herniation of the liver usually occurs 2 to 3
years after an abdominal operation consequently leading
to focal weakness of the abdominal wall.
Case report. We present an extremely rare case of
incisional herniation of part of the left and smaller part
of the right liver lobe in a woman aged 64 years, as a consequence
of a previous open cholecystectomy, creating
a focal abdominal wall weakness. Abdominal CT scan
was performed. Analysis of the CT scans, as well as of
the reconstruction made in the coronal and sagittal
plane was performed. Herniation of the left and the
smaller part of the right liver lobe through an incisive
focal weakness of the right upper quadrant of the abdominal
wall was detected.
Discussion. Incisional hernias are delayed complications
of abdominal surgery. They can occur anywhere
on the abdominal wall and are more frequently encountered
in a vertical than in a transverse incision. Typically,
incisional hernias occur during the first months following
surgery, but later occurrence has been reported as well. Herniation of the liver through the anterior abdominal
wall is an extremely rare condition and usually related
to previous surgery on the upper abdomen. Due to its
rarity it is both a diagnostic and therapeutic challenge.
Conclusion. We can conclude that there is a connection
between liver herniation through the upper abdominal
wall and a previously performed open abdominal surgery.
CT is the method of choice for diagnosis of liver herniation
through the anterior abdominal wall.
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PARTIAL LIVER HERNIATION THROUGH THE INCISIONAL DEFECT ON ANTERIOT.pdf
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