Warbrick-Smith James, Chana Prem, Hewes James
Department of Plastic Surgery, Frenchay Hospital, Bristol, UK.
BMJ Case Rep. 2012 Nov 27;2012:bcr2012007355. doi: 10.1136/bcr-2012-007355.
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 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.