| Title: |
590 Eviscerated Liver: An Extremely Rare Complication of Abdominal Wound Dehiscense Through a Midline Incision |
| Authors: |
Rafei, A; Elbashier, M; Abdulkarim, A; Soud, M; Musa, H; Taher, A; Suliman, A |
| Source: |
British Journal of Surgery ; volume 112, issue Supplement_10 ; ISSN 0007-1323 1365-2168 |
| Publisher Information: |
Oxford University Press (OUP) |
| Publication Year: |
2025 |
| Description: |
Introduction Abdominal wound dehiscence, or burst abdomen, is a critical, challenging, and upsetting postoperative complication after. It is characterized by the partial or complete disruption without eviscerating the abdominal contents or with it. While most cases of evisceration involve the bowel, liver evisceration is an extremely rare occurrence. Although the previous reports of liver herniation present as lump in the epigastric region, in our case, the left lobe of the liver was eviscerating outside of the wound dehiscence. This is an important distinction, as it could affect the approach to treatment and management. Case Presentation A 65-year-old female patient with a history of hypopharyngeal squamous cell carcinoma underwent an open feeding jejunostomy. Fourteen days after the surgery, the patient developed wound dehiscence with protrusion of the left lobe of the liver. The liver was examined and found to be in good condition, with no signs of necrosis or tissue damage. The patient underwent reduction of the eviscerated liver with secondary tension suture, and the abdomen was closed using simple sutures and thoroughly washed with povidine-iodine to minimize the risk of infection. The patient's postoperative course was closely monitored, and she was discharged in a stable condition. Discussion Patients are more likely to develop ventral herniation and, as a result, liver evisceration because of weakness in the abdominal wall, increase in intra-abdominal pressure and infection of the wound. There are no guidelines or recommendations for the management of this complication, making it impossible to assess the risks and outcomes due to the limited data available. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1093/bjs/znaf128.401 |
| Availability: |
https://doi.org/10.1093/bjs/znaf128.401; https://academic.oup.com/bjs/article-pdf/112/Supplement_10/znaf128.401/63505777/znaf128.401.pdf |
| Rights: |
https://academic.oup.com/pages/standard-publication-reuse-rights |
| Accession Number: |
edsbas.988971BC |
| Database: |
BASE |