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Incarcerated primary anterior liver hernia: A case report
Abdelhamid Jadib1, Lamiaa Chahidi El Ouazzani1, Salwa Hafoud1
1Emergency radiology division, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, 1, quartiers des hôpitaux 20100, Casablanca, Morocco.
Radiology Case Reports
|April 25, 2022
Summary
A rare primary anterior liver hernia, diagnosed via CT scan, occurred in an elderly man with benign prostate hyperplasia. Surgical management was successful for this incarcerated epigastric hernia.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Radiology
Background:
- Anterior liver hernias are exceptionally rare, often presenting as incisional hernias.
- Primary anterior liver hernias, without prior abdominal surgery, are exceedingly uncommon.
Observation:
- An 83-year-old male presented with sudden epigastric swelling, indicative of a hernia.
- Imaging, specifically a contrast-enhanced computed tomography (CT) scan, was crucial for diagnosis.
Findings:
- The CT scan confirmed an incarcerated primary ventral liver hernia containing liver and omentum.
- Risk factors identified included advanced age and increased intra-abdominal pressure from benign prostate hyperplasia.
Implications:
- This case highlights the importance of considering rare diagnoses like primary anterior liver hernias in patients with epigastric bulging.
- Prompt diagnosis via imaging and successful conservative surgical management underscore effective treatment strategies for this rare condition.
