A primary inferior lumbar hernia misdiagnosed as a lipoma
| Autor: | A Shetye, D K Patten, B Kadler, A Al-Nowfal |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty medicine.medical_treatment Inferior lumbar hernia 03 medical and health sciences 0302 clinical medicine Lumbar medicine Humans Diagnostic Errors Aged Mesh repair business.industry Gold standard Lumbosacral Region General Medicine Lipoma medicine.disease Surgery Hernia Abdominal Online Case Report 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female business Tomography X-Ray Computed |
| Popis: | Lumbar hernias can be superior (Grynfelt) and inferior (Petit). Inferior lumbar hernias are extremely rare and, therefore, are associated with diagnostic difficulty. We present a case of a primary spontaneous inferior lumbar hernia in a 79-year-old woman that was initially diagnosed as a large lipoma on ultrasound. The first operation was abandoned and an open mesh repair was conducted. Lumbar hernias can be primary acquired (55%), secondary acquired (25%) or congenital (20%). Cross-sectional imaging by CT or MRI appears to be the gold standard in diagnosis as ultrasound may lead to misdiagnosis. Strangulation, incarceration and obstruction are recognised complications, requiring prompt surgical intervention. There are currently no guidelines for surgical managements, although laparoscopic surgery may give the best results. In view of the scarcity of published cases, we aim to add to the literature to raise the index of suspicion and to promote prompt surgical management of lumbar hernias. |
| Databáze: | OpenAIRE |
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