Right loin incisional hernia containing liver
Follow-up staging post right adrenalectomy via a loin approach
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Excision of the right anterior 11th rib with herniation of the right hepatic lobe and hepatic flexure into the postero-lateral chest wall (together with a small volume of fluid in the hernial sac). Note surgical clips in the adrenal bed and absent anterior end of right 11th rib.