PMC5253613_01
Figure 1: Intraoperative photograph showing complete right lobe of liver protruding out of the abdominal wall. White arrow showing the IVC, black arrow at the CBD. Inset shows preoperative picture.
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F1
On examination, there was a large lump (12cm x 14cm) in the anterior abdominal wall extending from the xiphisternum to the level of iliac crest (Fig.1) This lump was firm and barely could be compressed down into the abdomen. After separation of adhesions whole of right lobe of liver was lying outside the abdominal cavity and IVC and hepatic veins were visualized (Fig.1).