Liver Herniation in the Triangles: About Two Case Reports

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.