A Case Report of a Rare Hernia: Incarcerated Falciform Ligament Hernia

Falciform ligament hernias are a rare type of internal hernia that occurs through an abnormal opening in the falciform ligament of the liver. This is the case of a 38-year-old female who presented with a symptomatic enlarging ventral bulge near her umbilicus and was treated with a robotic-assisted l...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 15; no. 4; p. e37386
Main Authors Koussayer, Bilal, Nehila, Timothy, Awshah, Sabrina, Sujka, Joseph A, DuCoin, Christopher G
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 10.04.2023
Cureus
Subjects
Abdomen
Case reports
Cholecystectomy
Gastroenterology
General Surgery
Hernias
Iatrogenesis
Laparoscopy
Ligaments
Magnetic resonance imaging
Patients
Radiology
Robotics
Surgery
United States > US
incarcerated hernia
falciform ligament hernia
internal hernia
hernia
robotic surgery
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Summary:Falciform ligament hernias are a rare type of internal hernia that occurs through an abnormal opening in the falciform ligament of the liver. This is the case of a 38-year-old female who presented with a symptomatic enlarging ventral bulge near her umbilicus and was treated with a robotic-assisted laparoscopic falciform hernia repair with mesh. The nonspecific clinical manifestation of a falciform ligament hernia and the low sensitivity of computerized tomography (CT) for these hernias make them hard to diagnose preoperatively. Falciform ligament hernias are mostly attributed to congenital defects, but recently an iatrogenic etiology has also been proposed, given the prior history of laparoscopic surgeries in more recent cases. In our case report, we demonstrate that a robotic-assisted laparoscopic approach is a safe and effective means of correcting this hernia, with an outline of the current literature.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.37386