Incarcerated lumbar hernia: a rare presentation

Light, Duncan; Gopinath, Bussa; Banerjee, Aman; Ratnasingham, Kumaran

doi:10.1308/147870810x12659688851393

Cited by 6 publications

(9 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One case of bowel incarceration and a case of a strangulated hernia with bowel obstruction were mentioned. Light et al [38] reported on 20 cases of lumbar hernia in which incarcerated fat was observed.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 50 case reports [5, 26, 27, 34, 38–85] regarding a primary lumbar hernia were included, describing 55 cases (see Table 4 for patient and study characteristics). In 49 patients, the location of the lumbar hernia was reported, and 34 (69.4%) occurred in the superior lumbar triangle, 12 (24.5%) in the inferior lumbar triangle, and 3 (6.1%) in both locations.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Pitfalls and clinical recommendations for the primary lumbar hernia based on a systematic review of the literature

Steensel

Bloemen

Hil

et al. 2018

Hernia

View full text Add to dashboard Cite

Purpose The lumbar abdominal wall hernia is a rare hernia in which abdominal contents protrude through a defect in the dorsal abdominal wall, which can be of iatrogenic, congenital, or traumatic origin. Two anatomical locations are known: the superior and the inferior lumbar triangle. The aim of this systematic review is to provide a clear overview of the existing literature and make practical clinical recommendations for proper diagnosis and treatment of the primary lumbar hernia. Methods The systematic review was conducted according to the PRISMA guidelines. A systematic search in PubMed, MEDLINE, and EMBASE was performed, and all studies reporting on primary lumbar hernias were included. No exclusion based on study design was performed. Data regarding incarceration, recurrence, complications, and surgical management were extracted. Results Out of 670 eligible articles, 14 were included and additional single case reports were analysed separately. The average quality of the included articles was 4.7 on the MINORS index (0–16). Risk factors are related to increased intra-abdominal pressure. CT scanning should be performed during pre-operative workup. Available evidence favours laparoscopic mesh reinforcement, saving open repair for larger defects. Incarceration was observed in 30.8% of the cases and 2.0% had a recurrence after surgical repair. Hematomas and seromas are common complications, but surgical site infections are relatively rare. Conclusion The high risks of incarceration in lumbar hernias demand a relatively fast elective repair. The use of a mesh is recommended, but the surgical approach should be tailored to individual patient characteristics and risk factors.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Pitfalls and clinical recommendations for the primary lumbar hernia based on a systematic review of the literature

Steensel

Bloemen

Hil

et al. 2018

Hernia

View full text Add to dashboard Cite

show abstract

“…X-ray films may be usefull only in case of bowel obstruction as in our case, But CT and US can be applied to intestinal obstructions in which the origin is obscure [11-13]. …”

Section: Discussionmentioning

confidence: 99%

Strangulated or incarcerated spontaneous lumbar hernia as exceptional cause of intestinal obstruction: case report and review of the literature

et al. 2014

View full text Add to dashboard Cite

Lumbar hernias are rare conditions and about 300 cases have been reported since the first description by Barbette in 1672. Therefore strangulation or incarceration are also exceptionally encountered. We present a 62 -year-old-man who had strangulated left lumbar hernia and consequent mechanical small-bowel obstruction, alongside with a non strangulated right lumbar hernia. Through a median laparotomy, an intestinal necrosis was found. A bowel resection with end to end anastomosis was performed and the lumbar hernias were repaired on both sides. The recovery was uneventfull. To the best of our knowlwdge thanks to the litterature review presented here, this is the 19th case of incarcerated or strangulated spontaneous lumbar hernia described in the surgical litterature since 1889.

show abstract

“…Superior lumbar hernia is more common than the inferior lumbar hernia 9. Regarding the clinical manifestation, the patients may present with a variety of signs and symptoms including mass/swelling in the flank area, lower back pain, and symptoms of bowel obstruction 3,10,14,15. Signs and symptoms of intestinal obstruction might also be present if a bowel loop has been incarcerated 10.…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasound may confirm the diagnosis when the swelling is palpable 12. Computed tomography scan played the vital role in defining hernia contents accurately 14,16,17. This coincides with our case report in which the ultrasound and magnetic resonance imaging had not confirmed the lumbar hernia.…”

Section: Discussionmentioning

confidence: 99%

<p>Primary superior lumbar hernia፡ a rare cause of lumbar swelling</p>

Mekonnen¹,

Gonfa²

2019

IMCRJ

View full text Add to dashboard Cite

Background Superior lumbar hernia is a rare posterolateral abdominal wall defect and herniation of abdominal contents through the superior lumbar triangle. A lumbar hernia is an unusual defect and only 300 cases of primary lumbar hernias have been reported since the first case report in 1731. To date, most clinicians are usually unfamiliar with the presentation of lumbar hernias, and the diagnosis is often done in a wrong way. Case report A 55-year-old female patient presented with complaints of right flank pain and swelling on the right lumbar region. On abdominal examination, there was round protruding swelling immediately beneath the 12 th rib of the right upper flank area. The swelling was palpable and bowel sound was heard over it. The swelling was easily reducible and protruded when the patient was coughing or straining. The opposite side of the lumbar region was normal, and chest examination was clear and normal. The hematological and urine analysis laboratory findings were normal. Discussion The ultrasound finding revealed the bowel contents within the hernial sac. With the diagnosis of primary acquired superior lumbar hernia, the patient underwent open surgery. The defect was reduced back and repaired using a retro-muscular or sublay prolene mesh (15 cm by 7.5 cm). The patient was discharged at post-operative day four and followed-up for four months. Conclusion In conclusion, the diagnosis of lumbar hernias should be considered in all patients presented with complaints of flank pain and swelling in the flank area. In the absence of obvious swelling in the flank region, ultrasound investigation might not establish the diagnosis of lumbar hernias. Hence, ultrasound would be the option to confirm the diagnosis when the swelling is palpable.

show abstract

Incarcerated lumbar hernia: a rare presentation

Abstract: This case illustrates the diagnostic uncertainty seen in lumbar herniation as a rare cause of large bowel obstruction.

Cited by 6 publications

References 5 publications

Pitfalls and clinical recommendations for the primary lumbar hernia based on a systematic review of the literature

Pitfalls and clinical recommendations for the primary lumbar hernia based on a systematic review of the literature

Strangulated or incarcerated spontaneous lumbar hernia as exceptional cause of intestinal obstruction: case report and review of the literature

<p>Primary superior lumbar hernia፡ a rare cause of lumbar swelling</p>

Contact Info

Product

Resources

About