title: A ventral incisional hernia with herniation of the left hepatic lobe and review of the literature.
abstract: 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.
authors: Department of General Surgery, Sawai Man Singh Medical College and Hospital, Guntur, Andhra Pradesh, India.
authors: Harish
authors: http://orcid.org/0000-0001-9558-1335
authors: H
authors: Neelamraju Lakshmi
authors: Department of General Surgery, Sawai Man Singh Medical College and Hospital, Pilani, Rajasthan, India.
authors: Devendra
authors: D
authors: Saini
authors: Department of General Surgery, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, India.
authors: Prabha
authors: P
authors: Om
authors: Department of General Surgery, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, India.
authors: Rajendra
authors: R
authors: Bagree
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D005260:Female; D006555:Hernia, Ventral / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011859:Radiography; D035583:Rare Diseases / Q000209:etiology*; D013526:Surgical Mesh
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