误诊为皮下脂肪瘤的腰椎疝：一例报告
Lumbar hernia misdiagnosed as a subcutaneous lipoma: a case report.
作者信息
Mingolla Giuseppe Pietro, Amelio Gianfranco
机构信息
Department of General Surgery, S.M. della Scaletta Hospital, via Montericco n 4, 40026 Imola, Italy.
出版信息
J Med Case Rep. 2009 Dec 10;3:9322. doi: 10.1186/1752-1947-3-9322.
Abstract
INTRODUCTION
Lumbar hernia is a rare abdominal wall defect and clinical suspicion is necessary for diagnosis.
CASE PRESENTATION
We report the case of a 40-year-old Caucasian woman with a superior lumbar hernia (Grynfeltt hernia) initially misdiagnosed as a recurrent lipoma. The correct diagnosis was made intra-operatively and the hernia was repaired using synthetic mesh. The patient was free of recurrence at 4 months after the operation.
CONCLUSION
A lumbar or flank mass should always raise suspicion of a lumbar hernia. Ultrasound and computed tomography may confirm the diagnosis. Adequate surgical treatment should be planned on the basis of etiology and hernia size. Both open and laparoscopic techniques can be used with good results.
摘要
引言
腰疝是一种罕见的腹壁缺损，临床怀疑对于诊断至关重要。
病例报告
我们报告一例40岁的白种女性，患有上腰椎疝（格伦费尔特疝），最初被误诊为复发性脂肪瘤。术中做出了正确诊断，并使用合成补片修复了疝。患者术后4个月无复发。
结论
腰部或侧腹肿块应始终引起对腰疝的怀疑。超声和计算机断层扫描可确诊。应根据病因和疝的大小制定充分的手术治疗方案。开放手术和腹腔镜手术技术均可取得良好效果。
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