Post-surgical Hepatic Herniation: An Exceptionally Rare Occurrence

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.