Bilateral Fat Containing Lumbar Hernia: A Case Report and Literature Review

Alali, Mohammed; Omar, Walid; Ayesh, Mohammed; Alawi, Khalil

doi:10.12659/ajcr.917273

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…The preferred treatment of a lumbar hernia is an open prosthetic mesh repair, but laparoscopic mesh repair is being increasingly considered [8]. The only pitfall is that parietal peritoneal closure cannot be done using a laparoscopic approach [1,6,9,10]. Primary repair of the defect is not preferred as it has tension [11], with high chances of recurrence.…”

Section: Discussionmentioning

confidence: 99%

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A Rare Case of Lumbar Hernia Secondary to an Iliopsoas Abscess: A Case Report

Kaur¹,

Sinha²,

Singh³

2022

Cureus

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Lumbar hernia is an uncommon condition that can either be congenital or acquired. Acquired lumbar hernia is further divided into primary, with no identifiable cause, and secondary, occurring due to previous trauma, infection, or surgery. Here, we present the case of inferior lumbar hernia in a 65-year-old Asian male who was a chronic alcoholic and smoker. He presented with a complaint of a longstanding swelling in the right lumbar region for five years and no other associated symptoms. The swelling was reducible, an expansile cough impulse was felt on palpation, and bowel sounds were heard on auscultation. A contrastenhanced computed tomography scan revealed a 6.7 cm defect in the lateral abdominal wall in the right lumbar region with bowel loops, cecum, ascending colon, mesentery, and mesenteric artery seen herniating through the defect. There was a history of an iliopsoas abscess at the same site five years ago, which was treated with incision and drainage. The patient was advised for an open mesh repair but could not be operated upon due to coexisting aortic stenosis and regurgitation. Our impression, from this report, is that a chronic iliopsoas abscess tracking to the inferior lumbar region and the incision and drainage thereof, leading to a weakness in the abdominal wall, may be considered to be a cause of inferior lumbar hernia, with chronic smoking on part of the patient being a significant contributing factor for the abdominal muscle weakness. Therefore prompt and meticulous treatment of an iliopsoas abscess must be done to prevent this complication.

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Section: Discussionmentioning

confidence: 99%

“…Lumbar hernia is a rare entity with approximately only 300 case reports published worldwide [1]. The lumbar region is divided into two triangles, namely, the superior lumbar triangle, also known as the Grynfeltt-Lesshaft triangle, and the inferior lumbar triangle, also known as Petit's triangle [2].…”

Section: Introductionmentioning

confidence: 99%

A Rare Case of Lumbar Hernia Secondary to an Iliopsoas Abscess: A Case Report

Kaur¹,

Sinha²,

Singh³

2022

Cureus

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Primary Grynfeltt Lumbar Hernia: A Case Report

et al. 2022

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A weakening or defect in posterolateral abdominal wall can lead to development of lumbar hernia. These defects are particularly common in Petit's inferior triangle or Grynfeltt-Lesshaft superior triangle. There are very few cases of primary lumbar hernias that have been described in literature till date. As it is a rare entity, it is often misdiagnosed, leading to delay in management. We present a case of a 66-year-old male with no previous surgery who presented with a mass in left lumbar region for last ten years. The mass gradually increased in size and caused vague dragging pain. On Computed tomography, the diagnosis of Grynfeltt hernia was made. The patient underwent a laparoscopic mesh repair and had an uneventful postoperative hospital stay. Although a rare entity, there should be a high degree of suspicion of a lumbar hernia when evaluating a case of a lumbar mass. Early diagnosis by computed tomography and management with open or minimally invasive techniques can prevent complications.

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Bilateral Fat Containing Lumbar Hernia: A Case Report and Literature Review

Cited by 2 publications

References 18 publications

A Rare Case of Lumbar Hernia Secondary to an Iliopsoas Abscess: A Case Report

A Rare Case of Lumbar Hernia Secondary to an Iliopsoas Abscess: A Case Report

Primary Grynfeltt Lumbar Hernia: A Case Report

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