Volume : VI, Issue : IX, September - 2017

PARTIAL INTERCOSTAL HERNIATION OF THE LIVER, A CASE REPORT

Gligorievski Antonio

Abstract :

 Introduction: An intercostal hernia, defined as an acquired herniation of abdominal contents through disrupted intercostal muscles, is a rarely reported entity, but extremely rare is liver herniation. Liver herniation through the intercostal defect or through the lateral abdominal wall usually is incisional. Incisional herniation of the liver usually occurs 2 to 3 years after the previous operation of the abdomen which consequently leads to weakness of the abdominal wall.

Case report: We present an extremely rare case of an intercostal incisional hernia of the right lobe of the liver, segment V between 11th and 12th rib due to preceding lumbar incision for tumor nephrectomy. Therefore there is a weakness in the intercostal space between 11th and 12th rib at the right midaxillary line through which the herniation of the right lobe of the liver. A CT of the abdomen after an intravenous contrast application, arterial and venous phase was performed to exclude the incarceration of the herniated portion of the liver.

 

Discussion: The intercostal incisional hernia is a delayed complication of abdominal surgery. They can occur anywhere on the abdominal wall and frequently encountered in the vertical than in transverse incisions. Typically, incisional hernia manifest during the first months after surgery but it can occur later. Herniation of the liver through the intercostal defect is a rare condition and usually related to previous major surgery of the abdomen. Due to its rarity, it is, and diagnostic and therapeutic challenge. Abdominal incisional hernia in the intercostal region is rare and therefore easily overlooked.

Conclusion: We can conclude that there is a connection between liver herniation in the intercostal space with a previously performed surgery on the abdomen. CT is the method of choice for diagnosis of liver herniation through the intercostal defect.

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

Gligorievski Antonio, PARTIAL INTERCOSTAL HERNIATION OF THE LIVER, A CASE REPORT, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : VOLUME-6, ISSUE-9, SEPTEMBER-2017


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