AlAli Mohammed N, AlShammari Sulaiman A, Omar Walid Mohamed, Ayesh Mohammed, Alawi Khalil
Trauma and Acute Care Surgery Unit, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Department of Radiology, King Saud University Medical City, King Khalid University Hospital, Riyadh, Saudi Arabia.
Am J Case Rep. 2019 Aug 25;20:1253-1258. doi: 10.12659/AJCR.917273.
BACKGROUND Lumbar hernias continue to be rare and challenging regarding optimal treatment protocols. While computed tomography scan is considered the best imaging modality for assessment, we think there is a role for ultrasound in establishing a diagnosis seeking proper management and avoiding complications. CASE REPORT We present the case of an 84-year-old Saudi female who was known to have multiple chronic illnesses with bilateral flank swellings that were diagnosed as bilateral noncomplicated lumbar hernias which was treated conservatively with no complications. CONCLUSIONS Since the reported case is rarely encountered by surgeons, a low threshold to diagnosis is required. Finally, there is no consensus on management, and further studies to further investigate lumbar hernias are needed.
腰椎疝在最佳治疗方案方面仍然较为罕见且具有挑战性。虽然计算机断层扫描被认为是评估的最佳成像方式，但我们认为超声在确立诊断以寻求恰当管理和避免并发症方面具有一定作用。病例报告：我们报告一例84岁沙特女性病例，该患者患有多种慢性疾病，双侧胁腹肿胀，被诊断为双侧非复杂性腰椎疝，采用保守治疗，未出现并发症。结论：由于外科医生很少遇到此类报告病例，因此需要保持较低的诊断阈值。最后，在治疗管理方面尚无共识，需要进一步开展研究以深入调查腰椎疝。
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