Gligorievski, Antonio (2017) Partial intercostal herniation of the liver, a case report. GJRA - Global Journal for Research Analysis, 6 (9). ISSN 2277-8160
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Abstract
Introduction:An intercostal hernia, dened 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:
th We present an extremely rare case of an intercostal incisional hernia of the rightlobe of the liver, segment V between 11 and
th th 12 rib due to preceding lumbar incision for tumor nephrectomy. Therefore there is a weakness in the intercostal space between 11 and
th 12 rib at the right midaxillary line through which the herniation of the rightlobe 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 adelayed complication of abdominal surgery. They can occur anywhere on the abdominal
wall and frequently encountered in the verticalthan in transverse incisions.Typically, incisional hernia manifest during the rst months
after surgery but it can occur later. Herniation of the liver through the intercostal defectis a rare condition and usually related to previous
majorsurgery of the abdomen. Due to itsrarity, it is, and diagnostic and therapeutic challenge. Abdominal incisional hernia in the
intercostal region is rare and therefore easily overlooked.
Conclusion: We can conclude thatthere 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 herniationthrough the intercostal defect.
KEYWORDS : a liver hernia, incisional hernia, intercostal hernia, intercostal defect,
| Item Type: | Article |
|---|---|
| Impact Factor Value: | 4.547 |
| Subjects: | Medical and Health Sciences > Clinical medicine |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Antonio Gligorievski |
| Date Deposited: | 10 Feb 2021 09:41 |
| Last Modified: | 10 Feb 2021 09:41 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/27674 |
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