ABSTRACT
Herniation of the liver through the anterior abdominal wall is a rare post-sternotomy complication. A 32-year-old woman had a 2-week wait referral due to abdominal pain, weight loss and upper abdominal swelling. She was known to have a left adrenal myelolipoma and had a mitral valve replacement 3 years prior to presentation with the postoperative period complicated by sepsis and poor wound healing. She had recently been started on metformin for type 2 diabetes mellitus and she had long-standing lower abdominal symptoms known to the gynaecology team. Investigations revealed hepatic herniation of liver segments II & III through the anterior abdominal wall while there was no underlying malignancy a benign left adrenal myelolipoma was noted.
Subject(s)
Hernia, Ventral/pathology , Liver Diseases/pathology , Myelolipoma/surgery , Postoperative Complications/pathology , Referral and Consultation , Sternotomy/adverse effects , Abdominal Pain , Adult , Colonoscopy , Female , Hernia, Ventral/diagnostic imaging , Hernia, Ventral/surgery , Humans , Liver Diseases/diagnostic imaging , Liver Diseases/surgery , Postoperative Complications/diagnostic imaging , Postoperative Complications/surgery , Time Factors , Tomography, X-Ray Computed , Treatment Outcome , Weight LossABSTRACT
This is a brief case report of invasive multicentric mucinous adenocarcinoma presented at a rather young age with bronchorrhea and persistent consolidation that ended up with the patient demise; nevertheless, we demonstrate relevant radiological and pathological features with emphasis on the new classification of bronchioloalveolar carcinoma, a term that should no longer be in use.
