# Post-surgical Hepatic Herniation: An Exceptionally Rare Occurrence

## TL;DR

A rare case of liver herniation through a surgical scar is reported in a cancer patient, highlighting the importance of routine imaging.

## Contribution

This case report adds to the limited literature on post-surgical hepatic herniation without predisposing factors.

## Key findings

- A 59-year-old woman was found to have asymptomatic hepatic herniation through a surgical scar.
- Conservative management was chosen due to lack of symptoms and normal liver function.
- CT imaging is emphasized as the gold standard for diagnosing hepatic herniation.

## Abstract

Post-surgical hepatic herniation through an abdominal incision is an uncommon occurrence, particularly without predisposing factors such as trauma, multiple prior surgeries, or increased intra-abdominal pressure. Complications, such as hepatic Encephalopathy and Budd-Chiari syndrome, are associated with this entity; when they occur, they can cause significant distress. This report describes a 59-year-old female with a history of breast cancer and prior cholecystectomy, in whom a routine CT scan incidentally revealed liver herniation through a surgical scar. She was asymptomatic with normal liver function, and conservative management with regular follow-ups was chosen. CT imaging remains the gold standard for diagnosis. Surgical intervention is reserved for symptomatic or complicated cases. Given the rarity of hepatic herniation, further studies are needed to assess long-term outcomes and establish standardized treatment guidelines. This case underscores the importance of routine imaging in oncology follow-ups.