Uei T, Suzuki K, Nakano K, Kurokawa K, Fukabori Y, Yamanaka H
Department of Urology, Gunma University School of Medicine.
Hinyokika Kiyo. 1999 Dec;45(12):839-42.
A 48-year-old man consulted us with the chief complaints of right flank mass. On examination, there was a soft bulge on the right superior lumbar area. Since computed tomographic scanning showed subcutaneous fatty tissue, we suspected a superior lumbar hernia. The diagnosis was confirmed by magnetic resonance imaging (MRI) that revealed a lumbar muscle defect and prolapsed fatty tissue around the kidney. During the operation, a small hernia hiatus, 2 cm in width, opened in the superior lumbar triangle. The herniated fatty tissue was excised, and the defect of fascia was closed by overlapping the adjacent fascial structure. No signs of recurrence were found at 3 months postoperatively. The usefulness of MRI for the diagnosis is discussed and previous literature is reviewed.
一名48岁男性因右侧腰部肿块为主诉前来就诊。检查时，右上腰部区域有一个柔软的隆起。由于计算机断层扫描显示为皮下脂肪组织，我们怀疑是上腰部疝。磁共振成像（MRI）证实了诊断，该成像显示了腰部肌肉缺损以及肾脏周围脂肪组织脱垂。手术中，在上腰部三角区发现一个宽2厘米的小疝孔。切除了疝出的脂肪组织，并通过重叠相邻的筋膜结构关闭了筋膜缺损。术后3个月未发现复发迹象。本文讨论了MRI在诊断中的作用，并回顾了既往文献。
