[Strangulated hernia below the umbilicus containing the liver: a case report].

Area of Science:

• Gastroenterology
• Surgical Case Reports

Background:

• Herniation of liver segments through anterior abdominal wall defects is exceptionally rare, with limited documented cases.
• Clinical presentation can be subtle, often lacking significant signs.

Observation:

• An 84-year-old male presented with a strangulated linea alba hernia, featuring a firm, tender mass and dullness to percussion.
• Initial laboratory results were unremarkable.
• Abdominal CT scan revealed liver segment herniation through the linea alba, concurrent with calculous cholecystitis.

Findings:

• The patient underwent successful surgical repair involving retrograde cholecystectomy and overlapping suture repair of the abdominal wall defect.
• Post-operative recovery was uncomplicated, with discharge on the second day.
• Six-month follow-up confirmed the patient's excellent health status.

Implications:

• Abdominal CT is crucial for diagnosing liver herniation and assessing parenchymal viability.
• Management strategies for liver herniation are individualized, encompassing both surgical and non-surgical approaches.
• This case underscores the importance of considering rare diagnoses in the presence of atypical hernia presentations.