Incisional hernia of gallbladder in a patient with gallbladder carcinoma: Sonographic demonstration

A gallbladder incarcerated hernia associated with Mirizzi syndrome is a very rare entity and to our knowledge this is the first case ever described in literature. An 85-year-old man presented at the emergency department with a tender right upper quadrant mass. Computed Tomography (CT) revealed the presence of a gallbladder lithiasis with signs of acute cholecystitis, herniated through the abdominal wall with an associated Mirizzi syndrome. Laparoscopic cholecystectomy and repair of the abdominal wall defect were performed. The patient recovered very well and the postoperative period was uneventful.

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“…To our knowledge, there are only 3 published cases of spontaneous herniation of the gallbladder through the abdominal wall (5,6,7). …”

Section: Discussionmentioning

confidence: 99%

Herniation of the gallbladder within a hernia of the abdominal wall associated with Mirizzi Syndrome

Paolino

Millán

Bossi

et al. 2011

Journal of Surgical Case Reports

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“…Sirikci et al [8] published a case of a pregnant woman with incisional hernia including gallbladder hernia. Furthermore, Shirahama et al [9] reported a gallbladder herniation at the site of right subcostal incision due to splenomegaly caused by gallbladder carcinoma and liver cirrhosis. Carragher et al [10] reported a dilated gallbladder herniation case associated with cholecystocutaneous fistula.…”

Section: Discussionmentioning

confidence: 99%

Evisceration of gallbladder at the site of a Pezzer drain: a case report

Bayrak

Sümer²,

Kotan

2009

Cases J

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IntroductionThe drainage of abdominal cavity by means of tube drains is the oldest method. The herniation of gallbladder through the abdominal wall is very rare. Although there are studies informing evisceration of organs such as small intestines and ovary from drain site; at the literature scanning, no publication has been met with advising gallbladder evisceration from the Pezzer drain site so far.Case presentationWe describe here the first case in the literature of gallbladder evisceration from the Pezzer drain site. A male case with a history of operated incarcerated right inguinal hernia presented with a surgical abdomen. With a diagnosis of intestinal ischemia, the patient underwent laparotomy. About 200 cc fluid with serous quality has been determined in the abdomen and aspirated. Patchy ischemia zones were observed in ileum, over serous face. No. 30 Pezzer’s drain was placed for the intention of drainage, extending from the right side of navel towards rectovesical area. After the drainage stopped patient was discharged from hospital with recovery on the 8th postoperative day. One day after the discharge, applied to another general surgery center, by complaining that the intestine protruded through an opening in its surrounding walls of the drain place and that has been gradually enlarged. During the operation it was determined that proximal 2/3 of gallbladder has been protruded to outside of abdomen. Cholecystectomy was performed, and patient recovery was uneventful.ConclusionsGallbladder herniation is a pathology requires emergency operation.

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“…A few case reports have described herniation of the gall bladder through the foramen of Winslow 1,2 . Other reports have described herniation of the gall bladder through the abdominal wall in the presence of an incisional hernia 3–5 . Of interest is the recent report by Sirikci et al 5 in which a morphologically normal gall bladder herniated in the subcutaneous tissue through an incisional hernia.…”

Section: Discussionmentioning

confidence: 99%

“…In another report, perforation of a pathologically dilated gall bladder resulted in the formation of a large pseudocyst which penetrated the abdominal wall 6 . Spontaneous herniation without a previous medical history can also occur because of carcinoma infiltration like Shirahama et al 4 reported. They described herniation of the gall bladder through the abdominal wall in a patient, which coincidentally revealed gall bladder carcinoma.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Other reports have described herniation of the gall bladder through the abdominal wall in the presence of an incisional hernia. [3][4][5] Of interest is the recent report by Sirikci et al 5 in which a morphologically normal gall bladder herniated in the subcutaneous tissue through an incisional hernia. In contrast to our patient, in that report the Valsalva manoeuvre was essential for confirming the diagnosis by CT scanning.…”

Section: Discussionmentioning

confidence: 99%

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Herniation of the gall bladder through the abdominal wall

Pijpers¹,

Hazebroek²,

Coene³

et al. 2007

Australasian Radiology

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We present a case of an 81-year-old woman, without medical history, with a swelling in the right lateral abdominal wall. Ultrasound and multislice CT were sufficient to confirm the diagnosis of a herniated gall bladder through the abdominal wall. This is the first case in which MRI proved to be a useful modality to exclude malignant characteristics and revealed an accurate differentiation between the gall bladder and the different layers of the abdominal wall. The gall bladder, including three stones, was removed laparoscopically. Histopathological research revealed signs of a chronic cholecystitis. Herniation of the gall bladder through the abdominal wall is rare. It was previously described in a few cases, but they were associated with the presence of an incisional hernia or carcinoma infiltration.

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Incisional hernia of gallbladder in a patient with gallbladder carcinoma: Sonographic demonstration

Cited by 12 publications

References 3 publications

Herniation of the gallbladder within a hernia of the abdominal wall associated with Mirizzi Syndrome

Herniation of the gallbladder within a hernia of the abdominal wall associated with Mirizzi Syndrome

Evisceration of gallbladder at the site of a Pezzer drain: a case report

Herniation of the gall bladder through the abdominal wall

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