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Lumbar hernia is a rare defect of the abdominal wall. It accounts for 2 % of all wall hernias. It is divided in two levels: superior lumbar hernia, also known as Grynfeltt's hernia (GH), and an inferior lumbar hernia or Petit's hernia. GH is more commonly encountered in practice, and it is mainly posttraumatic in origin. Spontaneous primary GH is quite rare. Only 250 to 300 of such cases have been reported the in literature so far. The treatment of choice is retroperitoneal surgical approach and a meshplasty after complete reduction of its contents. Prognosis is usually excellent.

Pelvi-ureteric junction obstruction is a common urological entity presenting with hydronephrosis and pain. Most commonly the causative factor being a calculus in the upper ureter or at PUJ. Other causes being strictures, idiopathic brosis and less commonly aberrant renal vessel. Vascular bar is the new terminology coined for this vascular entity. Here we present a case of 36 year old woman who presented with left PUJ obstruction, which was found to be due to a vascular bar crossing at the pelvi ureteric junction.

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