title: Herniation of the liver via an incisional abdominal wall defect.
abstract: Herniation of the liver through an anterior abdominal wall incisional defect has rarely been described. An 81-year-old man presented to our surgical team with acute right upper quadrant abdominal pain. He had undergone coronary artery bypass grafting via a median sternotomy 7&emsp14;years previously. Examination revealed gallbladder tenderness and a non-tender incisional epigastric hernia. Cholecystitis was confirmed on ultrasound. A CT scan revealed a knuckle of liver (segment II/III) herniating through an upper midline anterior abdominal wall incisional defect.
authors.affiliation: Department of Plastic Surgery, Frenchay Hospital, Bristol, UK. james.warbrick-smith@nbt.nhs.uk
authors.forename: James
authors.initials: J
authors.lastname: Warbrick-Smith
authors.forename: Prem
authors.initials: P
authors.lastname: Chana
authors.forename: James
authors.initials: J
authors.lastname: Hewes
mesh_terms: D000369:Aged, 80 and over; D002921:Cicatrix / Q000175:diagnosis*; D001026:Coronary Artery Bypass; D017809:Fatal Outcome; D005500:Follow-Up Studies; D046449:Hernia, Abdominal / Q000175:diagnosis*; D006801:Humans; D008099:Liver; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis*; D056346:Sternotomy; D014057:Tomography, X-Ray Computed