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A case of abdominal incisional hernia with herniation of left lateral segment of the liver

Yamaguchi medical journal Volume 71 Issue 1 Page 25-28
published_at 2022-02-22
B030071000103
[fulltext] 715 KB
Title
肝外側区域が脱出した腹壁瘢痕ヘルニアの1例
A case of abdominal incisional hernia with herniation of left lateral segment of the liver
Abstract
Abdominal incisional hernia is a frequent complication of open abdominal surgery. We herein report a rare case in which the left lateral segment of the liver prolapsed as the contents of an abdominal incisional hernia.The patient was a woman in her 80s whose chief complaint was abdominal protrusions. She had undergone abdominal surgery for gallstones 30 years ago. Computed tomography revealed abdominal incisional hernias in the upper abdomen, from which the left lateral segment of the liver and the transverse colon had prolapsed. Laparoscopic hernia repair surgery was performed under general anesthesia. The intraoperative findings showed the adhesion of the round ligament of the liver to the abdominal wall and transverse mesocolon. The prolapsed left lateral segment of the liver appeared as if being pulled upward by the round ligament of the liver and the poor formation of the triangle ligament. Two hernia orifices were repaired using two meshes. Recently, laparoscopic hernia repair surgery is increasing. Laparoscopic hernia repair surgery is useful to observe the abdominal cavity, details of hernia orifice and content, and the check of repair’s completion.
Creators Yano Yuka
Creators Kuga Takayuki
Creators Shigeta Masatoshi
Creators Kawachi Takayuki
Source Identifiers [PISSN] 0513-1731 [NCID] AN00243156
Creator Keywords
腹壁瘢痕ヘルニア 肝脱出 腹腔鏡下手術
Subjects
医学 ( Other)
Languages jpn
Resource Type journal article
Publishers Yamaguchi University medical association
Date Issued 2022-02-22
File Version Version of Record
Access Rights open access