Dufour Inès, Marique Lancelot, Valembois Thomas, Ghilain Arnaud, Beniuga Gabriela, Tinton Nicolas, Urso Sabrina, Colinet Benoît
Department of Pneumology, Grand Hôpital de Charleroi, Gilly, Belgium.
Department of Abdominal and Transplantation Surgery, Cliniques Universitaires Saint-Luc, Bruxelles, Belgium.
Case Rep Surg. 2021 May 31;2021:6698361. doi: 10.1155/2021/6698361. eCollection 2021.
Herniation of the liver through the anterior abdominal wall is an extremely rare phenomenon. Most cases occur within an incisional hernia (mostly upper abdomen surgery or cardiac surgery). Only two reports mentioned liver herniation without previous abdominal incision. . We report the case of a 70-year-old woman presenting an epigastric swelling. Radiological findings showed a liver herniation in a primary ventral hernia. This case is the first to have been described requiring semiurgent hernia repair associated with partial liver resection.
This case is, to the best of our knowledge, the first case of primary ventral hernia with liver content necessitating wedge resection of the left liver lobe.
肝脏通过前腹壁疝出是一种极其罕见的现象。大多数病例发生在切口疝内(主要是上腹部手术或心脏手术)。仅有两份报告提及无既往腹部手术史的肝脏疝出。我们报告一例70岁女性出现上腹部肿胀的病例。影像学检查结果显示原发性腹疝中有肝脏疝出。该病例是首例被描述为需要半紧急疝修补术并伴有部分肝切除术的病例。
据我们所知,该病例是首例原发性腹疝伴肝脏内容物且需要左肝叶楔形切除术的病例。