CONGENITAL LUMBAR HERNIA: A CASE SERIES STUDY

Authors

  • Nian Noori Ameen Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.
  • Mohammed Kamil Mohammed Department of Surgery, AL-Mustansiriya University, Baghdad, Iraq.

DOI:

https://doi.org/10.17656/jsmc.10148

Keywords:

Congenital Lumbar Hernia (CLH), Grynfeltt Hernia (GH), Petit Hernia (PH), Superior Lumbar Hernia (SLH), Inferior Lumbar Hernia (ILH)

Abstract

Background 

Congenital lumbar hernia is a rare anomaly with only 45 cases reported in the English-language literature, usually presents since birth either isolated or, less commonly, in association with other congenital malformations.

Objectives 

This study done to record the prevalence rate of this very rare congenital anomaly at Sulaimani province, with reviewing the important clinical and anatomical aspects, along with the current surgical management of this malformation.

Methods

A case series study on just four cases presented over period of 10 years (May 2007 to June 2017), data were collected regarding the age at presentation, sex, associated anomalies, surgical management, and outcome, with measuring the prevalence rate.

Results

During the study period only four patients were recorded to have congenital lumber hernia. Male to female ratio was 1:1. All of them presented during infancy, with unilateral, and right sided CLH. One female presented with recurrence after a previous surgical correction. Lumbocostvertiberal syndrome was an associated anomaly in a female patient; bilateral undescended testes in a male patient. Three cases were managed with open surgical repair; without post operative morbidity and mortality. The recurrent case’s father declined further surgery. 

Conclusion

CLH is a rare condition. The diagnosis is usually clinical. Due to the high frequency of associated congenital anomalies, a proper physical examination supplemented by plain X-ray and US study is important in every case. The treatment is surgical repair as soon as possible. There is a high chance of recurrence if big defect not corrected with meshplasty.

References

- Rattan KN, Agarwal A, Dhiman A, Rattan A. Congenital Lumbar Hernia: A 15-Year Experience at a Single Tertiary Centre. International journal of pediatrics. 2016; 2016:7162475. DOI: https://doi.org/10.1155/2016/7162475

- Wakhlu A, Wakhlu AK. Congenital lumbar hernia. Pediatric surgery international. 2000; 16(1-2):146-8. DOI: https://doi.org/10.1007/s003830050048

- Patnaik S, Tapan Kumar Nayak T K, Srikant Patro S . Congenital Lumbar Hernia: Two Case Reports and a Review of the Literature. International Journal of Scientific Study .2015; 3(8):188 – 190.

- David HB, Andrew NK. Hernia , Umbilicus and Abdominal wall; Lumbar Hernia. In: Williams N S. Christopher J K, O’connell P R. Bailey and Love's SHORT PRACTICE OF SURGERY, Arnold's International Student's .26th ed. 2013; 60: 984-969.

- Pelaez Mata DJ, Alvarez Munoz V, Fernandez Jimenez I, Garcia Crespo JM, Teixidor de Otto JL. [Congenital lumbar hernia]. Cirugia pediatrica. 1998; 11(3):126-8.

- Karamani S, Ember T, Davenport R. Congenital Lumbar Hernia: A case report. Journal of Pediatric Surgery. 2002; 37 (6): 921-2. DOI: https://doi.org/10.1053/jpsu.2002.32913

- Radhakrishna V, Tanga SM. Bilateral superior lumbar hernias: a case report and review of literature. International Surgery Journal. 2017; 4(4):1472-1474. DOI: https://doi.org/10.18203/2349-2902.isj20171163

- Sharma A, Pandey A, Rawat J, Ahmed I, Wakhlu A, Kureel SN. Congenital lumbar hernia: 20 years' single centre experience. Journal of paediatrics and child health. 2012; 48(11):1001-3. DOI: https://doi.org/10.1111/j.1440-1754.2012.02581.x

- Ploneda-Valencia CF, Cordero-Estrada E, Castaneda-Gonzalez LG, Sainz-Escarrega VH, Varela-Munoz O, De la Cerda-Trujillo LF, et al. Grynfelt-Lesshaft hernia a case report and review of the literature. Annals of medicine and surgery. 2016; 7:104-6. DOI: https://doi.org/10.1016/j.amsu.2016.04.002

- Armstrong O, Hamel A, Grignon B, JM ND, Hamel O, Robert R, et al. Lumbar hernia: anatomical basis and clinical aspects. Surgical and radiologic anatomy. 2008; 30(7):533-7. DOI: https://doi.org/10.1007/s00276-008-0361-2

- Akcora B, Temiz A, Babayigit C. A different type of congenital lumbar hernia associated with the lumbocostovertebral syndrome. Journal of pediatric surgery. 2008; 43(1):e21-3. DOI: https://doi.org/10.1016/j.jpedsurg.2007.08.065

- Somuncu S, Bernay F, Rizalar R, Ariturk E, Gunaydin M, Gurses N. Congenital lumbar hernia associated with the lumbocostovertebral syndrome: two cases. European journal of pediatric surgery. 1997; 7(2):122-4. DOI: https://doi.org/10.1055/s-2008-1071071

- Barrero Candau R, Garrido Morales M. [Congenital lumbar hernia and bilateral renal agenesis]. Cirugia pediatrica. 2007; 20(2):133-5.

- Matta H, Nawaz A, Al-Salem AH. An unusual cause of pelvi-ureteric junction obstruction. Saudi medical journal. 2005; 26(4):662-4.

- Peter Morris P, Bruce J, Thiess N, Woodward AA. Congenital lumbar and Sciatic Hernia in an Infant . Pediatric Surgery International. 1992; 7(4): 317-18. DOI: https://doi.org/10.1007/BF00183994

- Sulaiman AR, Al-Hamdani A, Al Attar N. Congenital lumbar hernia in association with carpus equina varus. European journal of pediatric surgery. 2003; 13(4):285-6. DOI: https://doi.org/10.1055/s-2003-42236

- Gupta L, Mala TA, Gupta R, Malla SA. Lumbo-costo-vertebral syndrome with congenital lumbar hernia. APSP journal of case reports. 2014; 5(1):5.

- Matsuhashi N, Chikaishi T, Saji S. A rare type of incarcerated lumbar hernia: CT and barium enema demonstration. International journal of colorectal disease. 2006; 21(1):94-5. DOI: https://doi.org/10.1007/s00384-004-0690-5

- Loukas M, Tubbs RS, El-Sedfy A, Jester A, Polepalli S, Kinsela C, et al. The clinical anatomy of the triangle of Petit. Hernia. 2007; 11(5):441-4. DOI: https://doi.org/10.1007/s10029-007-0232-5

- Loukas M, El-Zammar D, Shoja MM, Tubbs RS, Zhan L, Protyniak B, et al. The clinical anatomy of the triangle of Grynfeltt. Hernia : the journal of hernias and abdominal wall surgery. 2008; 12(3):227-31. DOI: https://doi.org/10.1007/s10029-008-0354-4

- Cavallaro G, Sadighi A, Miceli M, Burza A, Carbone G, Cavallaro A. Primary lumbar hernia repair: the open approach. European surgical. 2007; 39(2):88-92. DOI: https://doi.org/10.1159/000099155

- Maeda K, Kanehira E, Shinno H, Yamamura K. Laparoscopic tension-free hernioplasty for lumbar hernia. Surgical endoscopy. 2003; 17(9):1497. DOI: https://doi.org/10.1007/s00464-002-4291-5

Published

2018-04-15

How to Cite

1.
Ameen N, Mohammed M. CONGENITAL LUMBAR HERNIA: A CASE SERIES STUDY. JSMC [Internet]. 2018 Apr. 15 [cited 2024 May 28];8(1):31-6. Available from: https://jsmc.univsul.edu.iq/index.php/jsmc/article/view/jsmc-10148

Similar Articles

1-10 of 126

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)

1 2 3 4 > >>