Asian Journal of Case Reports in Surgery

Liver Herniation in the Triangles: About Two Case Reports

Amine Bachar

Département de Chirurgie Générale, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco and Faculté de Médecine et de Pharmacie, Université Hassan II, Casablanca, Morocco.

Abderrahmane Lamnaouar *

Département de Chirurgie Générale, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco and Faculté de Médecine et de Pharmacie, Université Hassan II, Casablanca, Morocco.

Kamal Benzidane

Département de Chirurgie Générale, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco and Faculté de Médecine et de Pharmacie, Université Hassan II, Casablanca, Morocco.

Taoufik Elabbassi

Département de Chirurgie Générale, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco and Faculté de Médecine et de Pharmacie, Université Hassan II, Casablanca, Morocco.

Mohamed Rachid Lefriyekh

Département de Chirurgie Générale, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco and Faculté de Médecine et de Pharmacie, Université Hassan II, Casablanca, Morocco.

*Author to whom correspondence should be addressed.

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Abstract

Lumbar incisional hernia is a complication affecting the continuity of the abdominal wall, accounting for approximately 3.5% of all cases, in most situations, it occurs in open nephrectomy or aortic aneurysm repair incisions. A rarely reported entity that can lead to discomfort, aesthetic disorder or intestinal obstruction, but the extremely rare is lumbar liver herniation. We present two cases of liver’s herniation through lumbar incisional hernia with history of lumbotomy; in the first patient it was for renal lithiasis, while the second it (omit) was for adrenalectomy. Role of CT scan is the modality of choice for the identification of the hernial content and the evaluation of the parietal defect in order to choose the appropriate therapeutic management. Currently, there is no clear recommendation on the best strategy for surgical treatment.

Keywords: Liver herniation, incisional lumbar hernia, surgical repair

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