A ventral incisional hernia with herniation of the left hepatic lobe and review of the literature.

Autor:	Neelamraju Lakshmi H; Department of General Surgery, Sawai Man Singh Medical College and Hospital, Guntur, Andhra Pradesh, India., Saini D; Department of General Surgery, Sawai Man Singh Medical College and Hospital, Pilani, Rajasthan, India., Om P; Department of General Surgery, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, India., Bagree R; Department of General Surgery, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, India.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2015 Jan 28; Vol. 2015. Date of Electronic Publication: 2015 Jan 28.
DOI:	10.1136/bcr-2014-207162
Abstrakt:	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. (2015 BMJ Publishing Group Ltd.)
Databáze:	MEDLINE
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