Primary lumbar hernia: a rarely encountered ventral hernia
Keywords:CECT abdomen pelvis, Lumbar hernia, Mesh repair, Ventral hernia
Ventral hernia is a fascial defect located on the abdominal wall. Primary ventral hernias are named as umbilical, epigastric, spigelian and lumbar hernias. A lumbar hernia is a parietal wall defect that may occur anywhere in the lumbar region between the 12th rib and the iliac crest. A 47-year-old female, came with complaints of mass in left lower abdomen since 2 months. On clinical examination a defect of 8 × 8 cm was felt in the left lumbar region with positive cough impulse. CECT abdomen and pelvis was done to confirm lumbar hernia. Patient underwent mesh repair for the same. Lumbar and flank hernias are uncommon and are a challenge to treat for any general surgeon. Surgery is considered gold standard either an open mesh repair or laparoscopically.
Sieber WK. The lumbocostovertebral syndrome: A single somatic defect. J Pedia Surg. 1972;7(4):466-9.
Walgamage TB, Ramesh BS, Alsawafi Y. Case report and review of lumbar hernia. Int J Surg Case Rep. 2015;6:230-2.
Burt B, Afifi HY, Wantz GE, Barie PS. Traumatic lumbar hernia: report of cases and comprehensive review of the literature. J Trauma Injury Infect Crit Care. 2004;57(6):1361-70.
Bathla L, Davies E, Fitzgibbons RJ, Cemaj S. Timing of traumatic lumbar hernia repair: is delayed repair safe? Report of two cases and review of the literature. Hernia. 2011;15:201-9.
Toyoshima H. Surgery of incisional hernia and its pro gnosis–statistical analysis in 657 patients, Nippon. Geka Gakkai Zasshi. 1986;87(7):789-96.
Baker ME, Weinerth JL, Andriani RT, Cohan RH, Dunnick NR. Lumbar hernia: diagnosis by CT. AJR. 1987;148(3):565-7.