Esposito T J, Fedorak I
Loyola University Shock Trauma Institute, Loyola University Medical Center, Maywood, Illinois.
J Trauma. 1994 Jul;37(1):123-6.
Lumbar hernia is an uncommon abdominal wall hernia. Acute abdominal wall hernias, particularly lumbar hernias, are a rare complication of trauma. We present a case of acute lumbar hernia as a direct effect of blunt abdominal trauma. Double-contrast CT scan detected herniation of bowel through an 8-cm right flank defect, which was surgically repaired with a prosthetic patch and omentopexy. In cases of acute traumatic lumbar hernia, immediate exploratory laparotomy with primary repair (when feasible) is recommended.
腰椎疝是一种不常见的腹壁疝。急性腹壁疝，尤其是腰椎疝，是创伤的罕见并发症。我们报告一例急性腰椎疝，它是钝性腹部创伤的直接后果。双重对比CT扫描发现肠管通过右侧8厘米的侧腹壁缺损处疝出，通过植入补片和网膜固定术进行了手术修复。对于急性创伤性腰椎疝病例，建议在可行时立即进行剖腹探查并一期修复。
