Shiki S, Kuwata Y, Kashihara E, Ueda U, Fuchimoto S, Orita K
First Department of Surgery, Okayama University Medical School, Japan.
Jpn J Surg. 1991 Nov;21(6):696-9. doi: 10.1007/BF02471058.
A case of a superior lumbar hernia in a 50 year old woman is described herein. She presented with a 7 x 8 cm soft, nontender, smooth-surfaced mass in the left flank, and barium meal with follow through showed herniation of the descending colon. At operation, a 6 x 5 cm defect was found in the transversalis fascia, which was repaired with mattress sutures to the transversalis fascia together with suturing of the external oblique to the latissimus dorsi. This article presents the above case and reviews the published literature relating to this subject.
本文描述了一例50岁女性的高位腰椎疝病例。她左侧胁腹有一个7×8厘米的柔软、无压痛、表面光滑的肿块,钡餐造影检查显示降结肠疝出。手术时,发现腹横筋膜有一个6×5厘米的缺损,用褥式缝线将腹横筋膜缝合,并将腹外斜肌与背阔肌缝合。本文介绍了上述病例并回顾了有关该主题的已发表文献。