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Purpose: Traumatic lumbar hernias (TLH) are a rare entity mostly seen with high impact, blunt abdominal trauma (BAT). This injury occurs when there is disruption of the posterior musculature along with bony structures, allowing for herniation of abdominal contents. There are minimal cases of this entity reported in adults, but even fewer in the pediatric population. Methods: We describe 3 cases of TLH at our institution as well as provide a review of the literature to elucidate the most common mechanisms, severity of injury, and associated injuries. Results: TLH is most commonly seen in restrained passengers involved in motor vehicle collisions (MVC). The majority of cases are diagnosed using computed tomography (CT) imaging, and less frequently during primary surgical exploration. The most common associated injuries were mesenteric and bowel injuries, followed by spinal and chest trauma. TLH often leads to prolonged hospital stays and increased need for post-hospital rehabilitation due to associated traumatic comorbidities. Conclusion:TLH is a rare entity in children and early suspicion and identification of associated injuries is necessary in the management of these patients |
