Bilateral superior lumbar hernias: a case report and review of literature
DOI:
https://doi.org/10.18203/2349-2902.isj20171163Keywords:
Grynfeltt-Lesshaft triangle, Superior Lumbar hernia, ObstructionAbstract
Primary lumbar hernias are uncommon. They present with backache, flank pain, occasional nausea, feeling of weight or dragging sensation in the lumbar region. When they are small, they may be unnoticed leading to significant morbidity with the patient seeking referrals and therapy with no resolution of symptoms. They should be repaired in time to avoid dreaded complications of obstruction and strangulation. A sixty-year man presented with swelling and pain in the left loin. On evaluation, he was found to have bilateral superior lumbar hernias, which was treated with mesh repair.
References
Nixon SJ, Tulloh B. Abdominal wall, hernia and umbilicus. In Williams NS, Bulstrode CJK, O’Connell PR. Bailey and Love’s Short Practice of Surgery, 26th Ed, Boca Raton: CRC Press, An imprint of Taylor and Francis Group. 2013: 966-967.
Malangoni MA, Rosen MJ. Hernias. In Townsend CM, Beauchamp RD, Evers BM, Mattox KL. Sabiston Text Book of Surgery: The biological basis of modern surgical practice, 19th edition, Philadelphia: Saunders, An Imprint of Elsevier. 2012:1137.
DeGarangeot RJC. Traite des Operations de Chirurgie. 1731;1:369.
Watson LF. Hernia. St. Louis: CV Mosby Company. 1948: 443.
Grynfeltt J. La Hernie Lombaire. Montpellier Med. 1866;16:329.
Lesshaft P. Die Lumbalgegend in Anat. Chirurgischer Hinsicht. J Anat Physiol. 1871;5(Pt 2):372-3.
Goodman EH, Speese J. Lumbar Hernia. Ann Surg 1916;63(5):54860.
Salameh JR. Primary and Unusual Abdominal Wall Hernias. Surgical Clinics of North America. 2008;88(1):45-60.
Morena-Egea A. Baena EG, Callon MC, Martinez JAT, Albasini JLA. Controversies in the current management of Lumbar hernias. Arch Surg. 2007;142(1):82-8.
Upreti L, Bhargava SG, Jain S. Diagnosis of lumbar hernia by computed tomography. India J Radiol imaging. 2002:12(4):582-3.
Devlin B, Kingsnorth AN. Management of abdominal hernias. 2nd ed. London: Edward Arnold. 1998: 330-334.
Baker ME, Weinerth JL, Andriani RT, Cohan RH, Dunnick NR. Lumbar Hernia: diagnosis by CT. Am J Roentgenol. 1987;148:565-7.
Killeen KL, Girard S, DeMeo JH Shanmuganathan K, Mirvis SE. Use of CT to diagnose traumatic lumbar hernia. Am J Roentgenol. 2000;174:1413-5.
Stamatiou D, Skandalakis JE, Skandalakis LJ, Mirilas P. Lumbar hernia: surgical anatomy, embryology, and technique of repair. Am Surg. 2009;75:202-7.
