Department of Digestive, Thoracic and Surgical Oncology, University Hospital, 1 Bd. Jeanne d'Arc, 21079 Dijon, France.
Am J Surg. 2011 Jun;201(6):e41-2. doi: 10.1016/j.amjsurg.2010.06.030.
Lumbar hernias (and namely transiliac hernias) are not frequent. We report the case of a 76-year-old man presenting with an incarcerated transiliac hernia, in a context of exacerbated chronic obstructive pulmonary disease, 30 years after iliac bone harvesting for femur surgery. After imaging, the patient underwent a laparotomy, and a herniated left colic segment was identified through a hole in the left iliac crest. The left colon was reduced and the defect was closed by an omental patch. The patient recovered well and was discharged. Graft-site hernia is a rare complication of harvesting bone grafts from the iliac crest. Repeated increases in abdominal pressure can result in herniation of abdominal contents through the osseous defect. Computed tomography is commonly used to confirm the diagnosis.
腰椎疝（特别是髂骨疝）并不常见。我们报告了一例 76 岁男性病例，他在股骨手术后 30 年因慢性阻塞性肺疾病加重而出现嵌顿性髂骨疝。经过影像学检查，患者接受了剖腹手术，在左髂嵴的一个孔中发现了疝出的左结肠段。左结肠被复位，并用网膜补丁封闭了缺损。患者恢复良好并出院。植骨部位疝是髂嵴取骨的罕见并发症。腹部压力反复增加可导致腹部内容物通过骨缺损疝出。计算机断层扫描常用于确诊。
