Lumbar hernia- A case report
Keywords:
Lumbar Hernia,, posterior abdominal hernia,, lipoma,, fibroma,, synthetic mesh,, polypropylene mesh.Abstract
Lumbar hernia is uncommon type of abdominal hernia, only rare cases reported in the literature. It is commonly misdiagnosed as lipoma, fibroma or muscle strain. It usually affects 30 to 60 years of age in the adult group with a male predominance, although it can occur at almost any age. It stated in the literature to be more common on the left side and in the inferior lumbar triangle of petit. In our case report we discus case of Libyan male of 21 years old, presented with right inferior lumbar hernia. No specific abdominal pain, he complained from right flank swelling The diagnosis was clinically and confirmed intra-operatively and the hernia was repaired using synthetic mesh. Six months Follow up after the operation shows no recurrence. It was a case of primary spontaneous lumbar hernia in the inferior lumbar triangle. Clinical findings were correlated to reach the diagnosis. We also highlight the types, the process of diagnosis and the surgical repair of lumbar hernias. Because of high risks of incarceration in lumbar hernias demand a relatively fast elective repair. The use of a mesh is recommended, and the surgical approach should be tailored to individual patient characteristics and risk factors.
References
References
Moreno-Egea A, Baena EG, Calle MC, et al. Controversies in the current management of lumbar hernias. Arch Surg 2007;142:82–8 [PubMed].
https://radiopaedia.org/articles/lumbar-hernia.
Ahmed ST, Ranjan R, Saha SB, Singh B. Lumbar hernia: a diagnostic dilemma. BMJ Case Rep. 2014;2014:bcr2013202085. Published 2014 Apr 15. doi:10.1136/bcr-2013-202085.
Javid PJ, Brooks DC. Hernias. In: Zinner MJ, Ashley SW, editors. eds. Maingot's abdominal operations. 11th edn The McGraw-Hill Companies; 1997:163–4 [Google Scholar]
Le Neel JC, Sartre JY, Borde L, Guiberteau B, Bourseau JC: Lumbar hernias in adults. Apropos of 4 cases and review of the literature. J Chir (Paris). 1993, 130 (10): 397-402. Google Scholar.
Astracioglu H, Sokmen S, Atila K, Karademir S: Incarcerated inferior lumbar (Petit's) hernia. Hernia. 2003, 7: 158-160. 10.1007/s10029-003-0128-y.
Moreno-Egea A, Baena EG, Calle MC, Martinez JA, Albasini JL. Controversies in the current management of lumbar hernias. Arch Surgery. 2007;142(1):82–88. [PubMed] [Google Scholar]
Suarez S, Hernandez JD. Laparoscopic repair of a lumbar hernia: report of a case and extensive review of the literature. SurgEndosc. 2013;27(9):3421–3429. [PubMed] [Google Scholar].
Shanker B, Chernyavsky VC, Johnson K, et al. Repair of a traumatic lumbar hernia with biosynthetic mesh: a novel approach and review of the literature. J CurrSurg 2012;2:105–9 [Google Scholar].
Killeen KL, Girard S, DeMeo JH, et al. Using CT to diagnose traumatic lumbar hernia. AJR Am J Roentgenol 2000;174:1413–15 [PubMed] [Google Scholar].
Di Carlo I, Toro A, Sparatore F, Corsale G: Lumbar hernia repair using a new technique. Am Surg. 2007, 73: 54-57.
