Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
Department of Surgery, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2022 Feb 15;60(246):192-195. doi: 10.31729/jnma.7251.
A weakening or defect in posterolateral abdominal wall can lead to development of lumbar hernia. These defects are particularly common in Petit's inferior triangle or Grynfeltt-Lesshaft superior triangle. There are very few cases of primary lumbar hernias that have been described in literature till date. As it is a rare entity, it is often misdiagnosed, leading to delay in management. We present a case of a 66-year-old male with no previous surgery who presented with a mass in left lumbar region for last ten years. The mass gradually increased in size and caused vague dragging pain. On Computed tomography, the diagnosis of Grynfeltt hernia was made. The patient underwent a laparoscopic mesh repair and had an uneventful postoperative hospital stay. Although a rare entity, there should be a high degree of suspicion of a lumbar hernia when evaluating a case of a lumbar mass. Early diagnosis by computed tomography and management with open or minimally invasive techniques can prevent complications.
后外侧腹壁的薄弱或缺陷可导致腰椎疝的发生。这些缺陷在 Petit 的下三角或 Grynfeltt-Lesshaft 上三角尤其常见。迄今为止，文献中很少有描述原发性腰椎疝的病例。由于它是一种罕见的疾病，因此经常被误诊，导致治疗延误。我们报告了一例 66 岁的男性病例，他无既往手术史，十年前开始出现左腰区肿块。肿块逐渐增大，并引起模糊的牵拉痛。在 CT 检查中，诊断为 Grynfeltt 疝。患者接受了腹腔镜网片修补术，术后住院期间无并发症。尽管这是一种罕见的疾病，但在评估腰椎肿块的病例时，应高度怀疑腰椎疝的可能性。通过 CT 进行早期诊断，并采用开放或微创技术进行治疗，可以预防并发症。
