腰椎疝：一种诊断难题。
Lumbar hernia: a diagnostic dilemma.
作者信息
Ahmed Syed Tausif, Ranjan Rajeeva, Saha Subhendu Bikas, Singh Balbodh
机构信息
Department of General Surgery, Bankura Sammilani Medical College, Kolkata, West Bengal, India.
出版信息
BMJ Case Rep. 2014 Apr 15;2014:bcr2013202085. doi: 10.1136/bcr-2013-202085.
Abstract
Lumbar hernia is one of the rare cases that most surgeons are not exposed to. Hence the diagnosis can be easily missed. This leads to delay in the treatment causing increased morbidity. We report a case of lumbar hernia in a middle-aged woman. It was misdiagnosed as lipoma by another surgeon. It was a case of primary acquired lumbar hernia in the superior lumbar triangle. Clinical and MRI findings were correlated to reach the diagnosis. We also highlight the types, the process of diagnosis and the surgical repair of lumbar hernias. We wish to alert our fellow surgeons to keep the differential diagnosis of the lumbar hernia in mind before diagnosing any lumbar swelling as lipoma.
摘要
腰椎疝是大多数外科医生很少接触到的罕见病例之一。因此，很容易漏诊。这会导致治疗延迟，从而增加发病率。我们报告一例中年女性腰椎疝病例。该病例被另一位外科医生误诊为脂肪瘤。这是一例发生于上腰椎三角的原发性后天性腰椎疝。通过将临床和磁共振成像（MRI）检查结果相互关联以明确诊断。我们还重点介绍了腰椎疝的类型、诊断过程及手术修复方法。我们希望提醒同行外科医生，在将任何腰部肿物诊断为脂肪瘤之前，要考虑到腰椎疝的鉴别诊断。
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