Incarcerated small bowel within a spontaneous lumbar hernia

Lumbar hernias are rare, resulting from protrusion through the posterior abdominal wall that may be congenital, acquired or spontaneous. They very rarely present with acute bowel obstruction. We present a case of incarcerated small bowel within a spontaneous inferior (Petit’s) lumbar hernia, treated...

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Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2010-10, Vol.14 (5), p.539-541
Main Authors: Teo, K. A. T., Burns, E., Garcea, G., Abela, J. E., McKay, C. J.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Aged
Case Report
Diagnosis, Differential
Female
Follow-Up Studies
Hernia, Ventral - complications
Hernia, Ventral - diagnostic imaging
Hernia, Ventral - surgery
Humans
Intestinal Obstruction - diagnostic imaging
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Intestine, Small
Laparotomy - methods
Lumbosacral Region
Medicine
Medicine & Public Health
Surgical Mesh
Tomography, X-Ray Computed
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Summary:Lumbar hernias are rare, resulting from protrusion through the posterior abdominal wall that may be congenital, acquired or spontaneous. They very rarely present with acute bowel obstruction. We present a case of incarcerated small bowel within a spontaneous inferior (Petit’s) lumbar hernia, treated by early open repair with mesh insertion. This case highlights the importance of thorough clinical examination and a high index of suspicion, even in the absence of previous surgery around the anatomical site of the suspected hernia, in order to effect an early repair before the onset of ischaemia in incarcerated contents.
ISSN:1265-4906
1248-9204
DOI:10.1007/s10029-009-0581-3