A rare case of obstructed lumbar hernia: case report

Authors

  • Ankit Rathod Department of General Surgery, Sola Civil Hospital, Ahmedabad, Gujarat, India
  • Divya Jyoti Banerjee Department of General Surgery, Sola Civil Hospital, Ahmedabad, Gujarat, India https://orcid.org/0009-0007-5451-9552
  • Hemang Panchal Department of General Surgery, Sola Civil Hospital, Ahmedabad, Gujarat, India
  • Urja Mehta Department of General Medicine, Kumud Heart Hospital, Naranpura, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20241582

Keywords:

Lumbar hernia, Small bowel obstruction, Exploratory laparotomy

Abstract

Lumbar hernias are quite uncommon as compared to other ventral abdominal wall hernias, accounting for less than 1.5% of all abdominal hernias, with fewer than 300 cases reported over the past 300 years. About 25% of all lumbar hernias have a traumatic etiology. This may be post-surgical or following blunt injuries associated with intra-abdominal injuries. The management of such patients constitutes a surgical challenge. Clinical diagnosis of this entity is difficult due to non-specific symptoms. The diagnosis is particularly elusive in obese individuals or in post-surgical patients. Though rare defects, lumbar hernias are prone to incarceration and strangulation. CECT will provide valuable insight into diagnosis of lumbar hernia especially if obstructed or strangulated. Here we present a case report of a rare presentation of obstructed lumbar hernia diagnosed with CT scan and managed with exploratory laparotomy.

References

Stamatiou D, Skandalakis JE, Skandalakis LJ, Mirilas P. Lumbar hernia: surgical anatomy, embryology, and technique of repair. Am Surg. 2009;75:202–7.

Shackelford’s Surgery of the Alimentary Tract. 8th edition. Elsevier: Philadelphia; 2019: 606.

Sartelli M, Coccolini F, van Ramshorst GH, Campanelli G, Mandalà V, Ansaloni L. WSES guidelines for emergency repair of complicated abdominal wall hernias. World J Emerg Surg. 2013;8(1):50.

Walgamage TB, Ramesh BS, Alsawafi Y. Case report and review of lumbar hernia. Int J Surg Case Rep. 2015;6:230–2.

Alfredo M-E, Enrique GB, Miquel CC, José Antonio TM, José LA. Controversies in the current management of lumbar hernias. Arch Surg. 2007;142:82–8.

Killeen KL, Girard S, DeMeo JH. Using CT to diagnose traumatic lumbar hernia. AJR Am J Roentgenol. 2000;174:1413–5.

Zinner MJ, Ashley SW. Maingot's Abdominal Operations. 12th edition. United States: McGraw Hill Professional; 2012: 148–9.

Downloads

Published

2024-05-31

How to Cite

Rathod, A., Banerjee, D. J., Panchal, H., & Mehta, U. (2024). A rare case of obstructed lumbar hernia: case report. International Journal of Research in Medical Sciences, 12(6), 2160–2162. https://doi.org/10.18203/2320-6012.ijrms20241582

Issue

Section

Case Reports