Congenital Lumbar Hernia in an 8-Month-Old Boy

Mansy, Mohamed; Kotb, Mostafa; Abouheba, Mohamed

doi:10.1159/000511006

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…Experience with congenital LAWH is limited, with only 60 cases reported in the literature. 3 4 The probable cause for development of LAWH includes insult during embryonic development causing defect in the germinal disk, defects in the amnion, defects in the ectodermal placode, and/or vascular defects. Nonvisualization of all the abdominal wall layers with maintained skin places the time of insult probably during embryogenesis, after the abdominal wall was formed with normal ectodermal development, related to a regional vascular problem.…”

Section: Figmentioning

confidence: 99%

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Congenital Lateral Abdominal Wall Hernia

Chawla,

Charan

2024

Indian J Radiol Imaging

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Section: Figmentioning

confidence: 99%

“…In few cases, laparoscopic repair with free fascia late graft reinforcement is reported as well. 4 There is no consensus regarding treatment of these defects due to their rarity; however, treatment of defect before the age of 1 year is recommended. 3 …”

Section: Figmentioning

confidence: 99%

Congenital Lateral Abdominal Wall Hernia

Chawla,

Charan

2024

Indian J Radiol Imaging

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“…A timely surgical repair prevents hernial complications, reduces the need for emergency surgery, and allows symmetrical development of the child’s torso. Small defects can be suture‐repaired, while larger ones demand mesh hernioplasty (3).…”

Section: Figurementioning

confidence: 99%

A Rare Entity With Dangerous Potential—Clinical Images From a Case of An Isolated Congenital Lumbar Hernia

Ali

Usmani

Khan

2023

Journal of Pediatric Gastroenterology &Amp; Nutrition

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A 1-month-old female infant presented to the outpatient department with the complaint of a swelling in the left posterolateral abdominal wall since birth. There were no other associated symptoms such as vomiting, constipation, or fever. On physical examination, there was a large swelling in the left lumbar region measuring 8 cm in size with the defect size measuring approximately 3.5 cm. It was soft, non-tender, non-erythematous, and reducible on palpation (Fig. 1), with a positive cry impulse. On investigation, an X-ray dorsal spine showed herniation of the bowel loop and normal spine (Fig. 2A). Computed tomography abdomen showed bowel loops protruding into the swelling through a defect lying just superior to the left iliac crest (Fig. 2B). There were no associated congenital anomalies in the patient. The patient was diagnosed with lumbar hernia (LH). The patient was managed conservatively until the age of 2 years, after which an open-mesh repair was performed.LH is a relatively rare congenital defect in children, with only 85 cases reported since 2000. It can be classified as either congenital (20%) or acquired (80%) and has been reported in association with multiple congenital anomalies, such as lumbo-costo-vertebral syndrome (1). Differential congenital LH diagnoses include hematoma, abscess, soft tissue or renal tumors, and panniculitis (2). A timely surgical repair prevents hernial complications, reduces the need for emergency surgery, and allows symmetrical development of the child's torso. Small defects can be suture-repaired, while larger ones demand mesh hernioplasty (3).

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Congenital Lumbar Hernia in an 8-Month-Old Boy

Cited by 2 publications

References 9 publications

Congenital Lateral Abdominal Wall Hernia

Congenital Lateral Abdominal Wall Hernia

A Rare Entity With Dangerous Potential—Clinical Images From a Case of An Isolated Congenital Lumbar Hernia

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