Katsarelas Ioannis, Chatzinas Dimitrios, Kountouri Ismini, Manolakaki Dimitra, Chandolias Miltiadis
Department of Surgery, General Hospital of Katerini, Katerini, GRC.
Cureus. 2025 Feb 14;17(2):e79007. doi: 10.7759/cureus.79007. eCollection 2025 Feb.
Lumbar hernias are a rare type of hernia, arising through posterolateral abdominal wall defects containing either intraperitoneal or extraperitoneal contents. Most lumbar hernias are primary, incisional, or trauma-related, while congenital lumbar hernias are uncommon. Surgical management comes down to two approaches: the classic repair technique with an open approach utilizing a lumbar incision and the laparoscopic approach, either transabdominal preperitoneal (TAPP) or totally extraperitoneal (TEP). We present the case of a 56-year-old female patient who was evaluated in the outpatient surgical clinic, complaining of pain located between the left midaxillary line and the left lumbar region. The patient underwent a CT scan, and a diagnosis of a left upper lumbar hernia was made. The patient underwent a laparoscopic TAPP repair and was discharged on postoperative day one. Our case highlights that lumbar hernias can present with vague symptoms and without an obvious lump/mass, a diagnosis of which could require a great degree of clinical suspicion especially when there is no history of trauma or surgery in the area. Early imaging can confirm the diagnosis, and surgical repair should be conducted to prevent possible complications.
腰疝是一种罕见的疝，通过包含腹膜内或腹膜外内容物的后外侧腹壁缺损形成。大多数腰疝是原发性、切口性或与创伤相关的，而先天性腰疝并不常见。手术治疗归结为两种方法：采用腰部切口的开放手术经典修复技术和腹腔镜手术方法，即经腹腹膜前修补术（TAPP）或完全腹膜外修补术（TEP）。我们报告一例56岁女性患者，她在门诊外科诊所接受评估，主诉左腋中线和左腰区之间疼痛。患者接受了CT扫描，诊断为左上腰疝。患者接受了腹腔镜TAPP修补术，并于术后第一天出院。我们的病例表明，腰疝可能表现为模糊的症状且无明显肿块，尤其是在该区域无创伤或手术史时，其诊断可能需要高度的临床怀疑。早期影像学检查可确诊，应进行手术修复以预防可能的并发症。
