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      Incarceration of the hepatic lobe in incisional hernia: A case report

      case-report

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          Abstract

          Introduction

          Incisional hernias are abnormal peritoneal outward pouch-like protrusions that develop due to defects that arise as a result of the disruption of the fascia's continuity after abdominal surgery.

          Presentation of case

          A 77-year-old female patient presented to the emergency department of our hospital with complaints of abdominal swelling, abdominal pain, nausea and vomiting. The patient was recommended for surgery. It was decided that the primary fascia closure and onlay patch was the most appropriate approach.

          Discussion

          When the defect in the abdominal wall grows, the functionality of the related abdominal wall is disrupted thereby eliminating the dynamic structure of the abdominal wall. Incisional hernias lead to a significant number of job losses and morbidity and negatively affect quality of life. Moreover, the formations in the hernia pouch might lead to higher risk of strangulation and dysfunction.

          Conclusion

          Subcutaneous herniation of the left lobe of the liver passing through the abdominal wall is a very rare condition.

          Highlights

          • Incisional hernias are common type of hernia.

          • Left liver lobe may be incarcerated into the hernia sac.

          • Surgeon should be careful not to damage it.

          Related collections

          Most cited references 9

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          How could such a wide piece of tree root pass through the narrow pyloric orifice? An extremely rare case

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            How could such a wide piece of tree root pass through the narrow pyloric orifice? An extremely rare case

            Patient: Female, 30 Final Diagnosis: Phytobezoar Symptoms: Nausea • vomiting Medication: — Clinical Procedure: — Specialty: — Objective: Rare disease Background: Phytobezoars are a common type of bezoar known to accumulate in the gastrointestinal system. Case Report: A 30-year-old mentally retarded woman was operated on due to small bowel obstruction. A piece of tree root was extracted from the ileum. The patient was discharged from the hospital on postoperative day 7. Conclusions: Due to difficulties in determining the nature of the bezoar preoperatively, small bowel obstruction due to a phytobezoar is not a common diagnosis. For bezoars, prevention is considered preferable to treatment.
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              [Intercostal incisional hernia: case report].

              The authors report a case of intercostal incisional hernia following marsupialization of liver hydatid cyst stressing the considerable rarity of the pathology and describing the restorative procedure by intercostal plastic with polypropilene Mesh and rib's approach with stainless steel wires.
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                Author and article information

                Contributors
                Journal
                Ann Med Surg (Lond)
                Ann Med Surg (Lond)
                Annals of Medicine and Surgery
                Elsevier
                2049-0801
                04 June 2015
                September 2015
                04 June 2015
                : 4
                : 3
                : 208-210
                Affiliations
                [a ]Department of General Surgery, Erzincan University, Erzincan, Turkey
                [b ]Department of General Surgery, Hackalibaba State Hospital, Trabzon, Turkey
                Author notes
                []Corresponding author. huseyineken80@ 123456hotmail.com
                Article
                S2049-0801(15)00056-4
                10.1016/j.amsu.2015.05.009
                4488569
                © 2015 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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                Case Report

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