title: Segmental liver incarceration through a recurrent incisional lumbar hernia.
abstract: BACKGROUND
  Lumbar hernia is a rare congenital or acquired defect of the posterior abdominal wall. The acquired type is more common and occurs mainly as an incisional defect after flank surgery. Incarceration or strangulation of hernia contents is uncommon.
  
  
  METHODS
  Segmental liver incarceration through a recurrent incisional lumbar defect was diagnosed in a 58 years old woman by magnetic resonance imaging.
  
  
  RESULTS
  The patient underwent an open repair of the complicated hernia. An expanded polytetraflouoroethylene (e-PTFE) mesh was fashioned as a sublay prosthesis. She had an uncomplicated postoperative course. Follow-up examinations revealed no evidence of recurrence.
  
  
  CONCLUSIONS
  Although lumbar hernia rarely results in incarceration or strangulation, early repair is necessary because of the risks of complications and the increasing difficulty in repairment as it enlarges. Surgical repair is often difficult and challenging.
authors: Second Department of Surgery, Army Veterans General Hospital, Athens, Greece. nikos_salemis@hotmail.com
authors: Nikolaos S
authors: NS
authors: Salemis
authors: Konstantinos
authors: K
authors: Nisotakis
authors: Stavros
authors: S
authors: Gourgiotis
authors: Efstathios
authors: E
authors: Tsohataridis
mesh_terms: D005260:Female; D006547:Hernia / Q000175:diagnosis* / Q000473:pathology*; D006801:Humans; D008099:Liver / Q000473:pathology* / Q000601:surgery; D008159:Lumbar Vertebrae / Q000473:pathology*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008875:Middle Aged; D011138:Polytetrafluoroethylene / Q000737:chemistry; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed / Q000379:methods
chemical_list: D011138:Polytetrafluoroethylene