Superior Lumbar Hernia.
10.4174/jkss.2010.78.1.62
- Author:
Sol LEE
1
;
Ho Jin CHANG
;
Lee Hoh LEE
;
Young Ran HONG
;
Sung Woo JUNG
;
Seung Ki KIM
;
Chul Woon CHUNG
Author Information
1. Department of Surgery, College of Medicine, CHA University, Seongnam, Korea. wehrwolf@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Lumbar hernia;
Superior lumbar hernia;
Grynfeltt-Lesshaft hernia
- MeSH:
Abdomen;
Abdominal Wall;
Fascia;
Floors and Floorcoverings;
Hernia;
Muscles;
Ribs
- From:Journal of the Korean Surgical Society
2010;78(1):62-65
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Lumbar hernia is an uncommon pathological defect of the abdominal wall. It presents difficulties in diagnosis and treatment because of the depth of the sac and the surrounding layers of muscle, fascia, and bone. It is an extrusion of intraperitoneal or extraperitoneal organs of the abdomen through a defect of the transversalis fascia. Inferior lumbar hernias are bordered by the iliac crest representing its base, limited by the external oblique muscle laterally, the latissimus dorsi medially, and the internal oblique muscle as its floor. Superior lumbar hernias are bordered by the 12th rib superiorly, quadratus lumborum muscle medially, and the internal oblique muscle laterally underneath the latissimus dorsi muscle. Diagnosis depends largely on the capacity for clinical suspicion, and confirmation is based on imaging tests. We report a case of an acquired primary lumbar hernia diagnosed by computed tomography, which was treated successfully at our institution.
