WOFAPS 2025 8th World Congress of Pediatric Surgery

yirgalem Teklebirhan Gebreziher, Feven Mekonenn Tadesse, Berihu Tadishu Gebre

Mekelle University

Introduction: Congenital intercostal liver herniation is an extremely rare condition. Only a few cases have been reported, and most of them have been associated with Poland syndrome.

Case Presentation: We report a case of congenital intercostal liver herniation secondary to the congenital absence of ribs—an 11-day-old female neonate presented with a right lower chest bulge since birth. Chest examination revealed a 4 x 5 cm round mass in the right lower anterolateral chest, with absent ribs. The diagnosis was made through clinical examination and confirmed with three-dimensional computed tomography (3D-CT) reconstruction imaging. The patient is currently on conservative management and doing well.

Conclusion: Congenital intercostal liver herniation with absent ribs is an extremely rare condition and can be managed conservatively in most cases. We recommend 3D-CT reconstruction as an effective complementary tool to confirm the absence of multiple ribs.