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Post-surgical Hepatic Herniation: An Exceptionally Rare Occurrence
Muhammad Ahmad Mukhtar1,2, Aeimen Khalid3,4, Amna Mukhtar5
1General Medicine, York District Hospital, York, GBR.
Cureus
|June 19, 2025
Summary
Post-surgical hepatic herniation is rare, especially without risk factors. This case highlights incidental CT findings and conservative management for asymptomatic patients, emphasizing routine imaging in cancer follow-ups.
Area of Science:
- Hepatology
- Surgical Oncology
- Radiology
Background:
- Post-surgical hepatic herniation is an uncommon complication of abdominal surgery.
- Predisposing factors typically include trauma, multiple prior surgeries, or increased intra-abdominal pressure.
- Associated complications can include hepatic encephalopathy and Budd-Chiari syndrome.
Observation:
- A 59-year-old female with a history of breast cancer and prior cholecystectomy presented with incidentally discovered liver herniation through a surgical scar on routine CT scan.
- The patient was asymptomatic and had normal liver function tests.
- Computed tomography (CT) imaging confirmed the diagnosis of hepatic herniation.
Findings:
- Conservative management with regular follow-ups was selected due to the patient's asymptomatic status and normal liver function.
- CT imaging is the gold standard for diagnosing hepatic herniation.
- Surgical intervention is typically reserved for symptomatic or complicated cases.
Implications:
- This case highlights the importance of routine imaging in oncology follow-ups for incidental findings.
- The rarity of hepatic herniation necessitates further research into long-term outcomes.
- Standardized treatment guidelines for hepatic herniation are needed.
