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A 2-week wait referral diagnosed with post-sternotomy liver herniation in a background of adrenal myelolipoma
  1. Bankole Oyewole1,
  2. Mohamed Boshnaq1,
  3. Mohammed Yaktien2 and
  4. Shabbir Ahmed1
  1. 1 Department of General Surgery, East Kent Hospitals University NHS Foundation Trust, Canterbury, UK
  2. 2 Department of Radiology, Queen Elizabeth Queen Mother Hospital, Margate, UK
  1. Correspondence to Dr Bankole Oyewole, bankole.oyewole{at}


Herniation of the liver through the anterior abdominal wall is a rare post-sternotomy complication. A 32-year-old woman had a 2-week wait referral due to abdominal pain, weight loss and upper abdominal swelling. She was known to have a left adrenal myelolipoma and had a mitral valve replacement 3 years prior to presentation with the postoperative period complicated by sepsis and poor wound healing. She had recently been started on metformin for type 2 diabetes mellitus and she had long-standing lower abdominal symptoms known to the gynaecology team. Investigations revealed hepatic herniation of liver segments II & III through the anterior abdominal wall while there was no underlying malignancy a benign left adrenal myelolipoma was noted.

  • cardiothoracic surgery
  • general surgery
  • adrenal disorders
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  • Contributors BO wrote the initial draft paper, literature review and clinical case description. MB edited and reviewed the manuscript and also cared for the patient. MY reviewed the radiological images. SA cared for the patient. All authors edited and agreed on the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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