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Related Concept Videos

Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...

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Related Experiment Video

Updated: May 10, 2026

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
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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.

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|June 19, 2025
PubMed
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.

Keywords:
abdominal herniabreast carcinomaconservative managementhepatic herniationinscisional herniapost surgical hernia

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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.