A Rare Psoas Hernia: Endoscopic Diagnosis and Management

Abstract

Of the various traumatic injuries associated with blunt abdominal trauma, traumatic hernias form a rare and small group. We present a case report of a hernia in the psoas muscle in a 26-year-old lady diagnosed during extraperitoneal repair for inguinal hernia. The hernia was managed laparoscopically by reduction of contents and mesh placement over the defect. This is the first such case reported in the literature till date.

Multiple concurrent bilateral groin hernias in a single patient; a case report and a review of uncommon groin hernias: A possible source of persistent pain after successful repair

“…The psoas hernia herniates through a defect in the psoas muscle caused by traumatic rupture of the muscle. It can present with groin pain without any findings on examination [13]. The retropsoas hernia protrudes directly behind the lateral border of the psoas muscle and presents with chronic groin pain.…”

“…Laparoscopic intraperitoneal onlay mesh repair is reported but may leave unnoticed and untreated extraperitoneal herniations [16]. During laparoscopic TAPP and total extraperitoneal (TEP) hernia repair, all the possible rare hernia sites are examined and mesh is placed with an adequate overlap of all the hernia defects [4], [8], [9], [11], [13], [15]. Although these laparoscopic techniques are comparable we prefer TEP repair.…”

Renal paratransplant hernia: a surgical complication of kidney transplantation

“…Additionally, internal hernias have been reported behind the external iliac artery after laparoscopic pelvic lymphadenectomy [8], through the mesenteric opening after laparoscopic-assisted transverse colectomy [9] and in the psoas muscle after trauma [10].…”

Tibialis anterior muscle herniation developed after trauma

“…However, this entity has been rarely reported in the dermatology literature 1,2 . The tibialis anterior muscle is the most common site of herniation, although other muscles in the lower leg, such as muscle of the extensor digitorum longus, peroneus longus, peroneus brevis, and gastrocnemius, have also been reported 1–4 . The tibialis anterior muscle is the most common site, because its fascia is the most vulnerable to trauma (Fig.…”