D'Amico G, Nardi M, Basti M, Perrone A, Casciani E, Di Luzio P, Colecchia G
Divisione di Chirurgia Generale, Ospedale S. Massimo, Penne, Pescara.
Minerva Chir. 1993 Sep 30;48(18):1025-7.
The authors discuss a case of Grynfeltt's quadrilateral lumbar hernia in an 85-year-old patient. These rather rare hernias can be classified as Grynfeltt's hernias of the superior lumbar space, as Petit's inferior lumbar space and as diffused hernias concerning the whole hip. In our case this hernia was located in the superior lumbar space and it was delimited on the upper part by the 12th rib and by the serratus posterior-inferior muscle; in the lower part by the internal oblique muscle and by the lumbar quadratus muscle. Surgical treatment was effected by plastic surgery with synthetic material put in the extra-peritoneum space and fixed by serum-muscular stitches. Postoperative control effected after a month from the operation proves a good keeping of the plastic surgery reconstruction with total disappearance of the hernia.
作者讨论了一例85岁患者的格伦费尔特四边形腰椎疝。这些相当罕见的疝可分为上腰椎间隙的格伦费尔特疝、下腰椎间隙的佩蒂特疝以及涉及整个髋部的弥漫性疝。在我们的病例中，该疝位于上腰椎间隙，其上部分由第12肋和下后锯肌界定；下部分由腹内斜肌和腰方肌界定。手术治疗采用整形手术，将合成材料置于腹膜外间隙，并用血清肌肉缝线固定。术后一个月进行的术后检查证明整形手术重建效果良好，疝完全消失。
