TITLE:
Lumbar Hernia, a Rare Cause of Intestinal Occlusion: About a Case
AUTHORS:
Lassina Traore, N’Djetche Alexandre Anoh, Auguste Alexandre Adon, Laurent Kouadio, Julien Kouame, Sabine Kanin Aka-Bouede, Germain Koffi Kouadio
KEYWORDS:
Lumbar Hernia, Colonic Occlusion, Treatment
JOURNAL NAME:
Surgical Science,
Vol.9 No.10,
September
30,
2018
ABSTRACT: Defects of the posterolateral abdominal wall of the abdomen, lumbar hernias are rare. They represent 2% to 3% of hernias of the abdominal wall. This rarity explains the large number of short series and the absence of a well-defined therapeutic modality in the publications. Grynfeltt’s hernia at the top and Jean Louis Petit’s at the bottom are the two entities. The old lumbar hernias are bulky with a rich history and easy diagnosis. Though young, they are discreet and reveal most often by their strangulation. We report the case of a Grynfeltt hernia revealed by colonic occlusion in a 77-year-old woman who had a superior right posteriolateral tumefaction for 15 years. The hernia cure was prosthetic made by the sandwich technique. No recurrence was observed after 25 months of follow-up. Through a review of the literature, we reveal the diagnostic and therapeutic difficulties.