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Rare disease
Herniation of the liver via an incisional abdominal wall defect
  1. James Warbrick-Smith1,
  2. Prem Chana2,
  3. James Hewes2
  1. 1Department of Plastic Surgery, Frenchay Hospital, Bristol, UK
  2. 2Department of General Surgery, Frenchay Hospital, Bristol, UK
  1. Correspondence to James Warbrick-Smith, james.warbrick-smith{at}


Herniation of the liver through an anterior abdominal wall incisional defect has rarely been described. An 81-year-old man presented to our surgical team with acute right upper quadrant abdominal pain. He had undergone coronary artery bypass grafting via a median sternotomy 7 years previously. Examination revealed gallbladder tenderness and a non-tender incisional epigastric hernia. Cholecystitis was confirmed on ultrasound. A CT scan revealed a knuckle of liver (segment II/III) herniating through an upper midline anterior abdominal wall incisional defect.

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