Incarcerated primary anterior liver hernia: A case report |
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| Authors: | Abdelhamid Jadib Lamiaa Chahidi El Ouazzani Salwa Hafoud Aziz Moufakkir Romaissaa Boutachali Houria Tabakh Abdellatif Siwane Najwa Touil Omar Kacimi Nabil Chikhaoui |
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| Affiliation: | aEmergency radiology division, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, 1, quartiers des hôpitaux 20100, Casablanca, Morocco;bEmergency abdominal surgery division, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Casablanca, Morocco;cGastroenterology and hepatology division, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Casablanca, Morocco |
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| Abstract: | The anterior liver hernia is a very rare entity that mainly occurs within an incisional hernia. Primary anterior liver hernia, in the absence of a previous abdominal incision, is extremely rare. The diagnosis is suspected in patients with epigastric bulging. The confirmation requires imaging studies such as computed tomography scan (CT scan). We report the case of an incarcerated primary ventral liver hernia, in an 83-year-old man who presented with a sudden epigastric swelling. A contrast-enhanced CT scan confirmed the diagnosis of incarcerated epigastric hernia with liver and epiploic content. Risk factors were thought to be the increased intra-abdominal pressure related to benign prostate hyperplasia, as well as the old age of the patient. The surgical conservative management was successful. |
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| Keywords: | Incarcerated primary anterior liver hernia Imaging Conservative management |
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