Open Approach to Primary Posterior Lumbar Hernia Repair

Authors

  • Puttiporn Naowaset Department of Surgery, Kalasin Hospital, Kalasin
  • Sunthorn Teerapattanapong Medical Education Center, Kalasin Hospital, Kalasin

Keywords:

Posterior lumbar hernia

Abstract

Posterior lumbar hernias are rare types of hernia with either primary or secondary causes. Diagnosis is often missed. Moreover, surgical treatment is still controversial. We present a 74-year-old female with a history of swelling in the left lumbar region and acute colonic obstruction for 3 days. She had a palpable mass below the left twelfth rib. Computerized tomography scan confirmed a left superior lumbar hernia with a herniating colon.  Although primary posterior lumbar hernias are extremely rare, careful evaluation with planned operative management are important. CT scan remains the investigation of choice. Mesh-based hernioplasty is the repair method of choice.

References

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Wade P, Frey C, Lampe E. Traumatic retroperitoneal hematoma followed by anuria and lumbar hernia: Case report and method of repair. Am J Surg 1996;109:253-9.

Rafols M, Bergholz D, Andreoni A, et al. Bilateral lumbar hernias following spine surgery: a case report and laparoscopic transabdominal repair. Case Rep Surg 2020. doi:10.1155/2020/8859106.

Sharma P. Lumbar hernia. Case Rep 2009; 65:178-9.

Baraket O, Berriche A, Zribi R, Chokki A. Primary lumbar hernia: analysis of three case. Tunis Med 2011;89:644-6.

vol42no3

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Published

2021-09-30

How to Cite

1.
Naowaset P, Teerapattanapong S. Open Approach to Primary Posterior Lumbar Hernia Repair. Thai J Surg [Internet]. 2021 Sep. 30 [cited 2024 Apr. 26];42(3):98-101. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/242351

Issue

Vol. 42 No. 3 (2021): July - September

Section

Case Reports

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.