Epigastric hernia as a rare manifestation of a bile duct cyst and gallbladder cancer: A first case report

INTRODUCTION: Elective repair epigastric hernia is a frequent minor surgical procedure. In most cases the hernial content is pre-peritoneal fat. PRESENTATION OF CASE: We report the case of a patient with epigastric hernia containing part of a bile duct cyst. DISCUSSION: Bile duct cysts are often asymptomatic, but when symptoms are present they may include intermittent, recurrent epigastric or right hypochondrial pain; abdominal tenderness; fever and mild jaundice. CONCLUSION: The presence of a bile duct cyst within a hernia is a very rare finding, especially making the diagnosis through an epigastric hernia. This case report is the first of a bile duct cyst within an epigastric hernia.