Abstract
Ventral incisional hernias with hepatic herniation are extremely rare. Only six cases have been reported so far in the literature. We report a case of a ventral incisional hernia with hepatic herniation along with a review of the literature. A 70-year-old female patient with a history of coronary artery bypass graft surgery 6 months earlier, was admitted to our hospital with symptoms of epigastric swelling and discomfort for 3 months. On examination, she had a mild tender 5 cm×5 cm epigastric lump and was diagnosed as ventral incisional hernia. Contrast-enhanced CT of the abdomen revealed a ventral hernia with herniation of omentum and left hepatic lobe. The patient underwent onlay mesh repair and is asymptomatic at 1-month follow-up. There is a need for evaluation of risk factors for this type of ventral incisional hernia and to recognise it as a special entity.