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Annals of Medicine and Surgery 2015-Sep

Incarceration of the hepatic lobe in incisional hernia: A case report.

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Huseyin Eken
Arda Isik
Sercan Buyukakincak
Ismayil Yilmaz
Deniz Firat
Orhan Cimen

Keywords

Abstract

BACKGROUND

Incisional hernias are abnormal peritoneal outward pouch-like protrusions that develop due to defects that arise as a result of the disruption of the fascia's continuity after abdominal surgery.

METHODS

A 77-year-old female patient presented to the emergency department of our hospital with complaints of abdominal swelling, abdominal pain, nausea and vomiting. The patient was recommended for surgery. It was decided that the primary fascia closure and onlay patch was the most appropriate approach.

CONCLUSIONS

When the defect in the abdominal wall grows, the functionality of the related abdominal wall is disrupted thereby eliminating the dynamic structure of the abdominal wall. Incisional hernias lead to a significant number of job losses and morbidity and negatively affect quality of life. Moreover, the formations in the hernia pouch might lead to higher risk of strangulation and dysfunction.

CONCLUSIONS

Subcutaneous herniation of the left lobe of the liver passing through the abdominal wall is a very rare condition.

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