A petits lumbar hernia is, indeed, an extremely rare defect. The majority of hernias occur in the anterior abdominal wall and. Different kinds of hernias have different risk factors. Lumbar hernia misdiagnosed as a subcutaneous lipoma. This report describes an alternative technique for petit hernia repair. We report the case of a 40yearold caucasian woman with a superior lumbar hernia grynfeltt hernia initially misdiagnosed as a recurrent lipoma. What is the inferior lumbar triangle of petit relative to. This type of hernia is called inguinal because fat or part of the intestine slides through a weak area at the inguinal ring, the opening to the inguinal canal. Petit later characterized the inferior lumbar triangle hernia in 1783 and grynfeltt the superior lumbar triangle hernia. Lumbar hernia is the protrusion of intraperitoneal or extraperitoneal contents through a. Other hernias include hiatus, incisional, and umbilical hernias. Presentation may be misleading and diagnosis often missed. Controversies in the current management of lumbar hernias.
Request pdf incarcerated inferior lumbar petit s hernia petit s hernia is an uncommon abdominal wall defect in the inferior lumbar triangle. An imaging study forms an indispensable aid in the. Lumbar triangle of petit definition of lumbar triangle. An inguinal hernia appears as a bulge on one or both sides of the groin. According to hafner et al, 1 a general surgeon will only have the opportunity to repair 1 lumbar hernia case in his or her lifetime. Eighty percent of lumbar hernias are acquired, meaning they develop over time due to weakness of the abdomen wall and loss of muscle and. Laparoscopic lumbar hernia repair sages abstract archives. Onuigbo wib, medical foundation and clinic, 8 nsukka lane, enugu 400001. Lumbar hernias are a rare form of posterior abdominal hernia.
Lumbar hernias are rare clinical entities with less than 400 reported in the literature. Pitfalls and clinical recommendations for the primary lumbar hernia. Full text full text is available as a scanned copy of the original print version. A hernia is the abnormal exit of tissue or an organ, such as the bowel, through the wall of the cavity in which it normally resides. Elective surgery was performed, and the results revealed petits. Patients with lumbar hernias can present with a variety of symptoms, including a posterolateral mass, back pain, bowel obstruction if contents contain bowel, or urinary obstruction if contents are. The treatment of lumbar hernias should follow the concept of tensionfree surgery, and the. The antimesenteric border of the intestine must protrude into the hernia sac the most common location is at the site of a femoral hernia. Department of surgery, university of washington introduction. In fact, this hernia occurs so infrequently that only an occasional surgeon has the opportunity of seeing and repairing one through the course of his entire life. Today, this situation in many centers has changed with the creation of functional units where patients can be centralized and. Pdf petit lumbar herniaa doublelayer technique for tension.
Till date about 300 odd cases of lumbar triangle hernia have been reported 3. The correct diagnosis was made intraoperatively and the hernia was repaired using synthetic mesh. We present a case of laparoscopic approach to repair an acquired inferior triangle petit lumbar hernia in a woman by using polytetrafluoroethylene mesh. Critical to the repair of richters hernia is an adequate evaluation of the intestine for viability. Lumbar hernia is an uncommon abdominal wall hernia, making its diagnosis and management a challenge to the treating surgeon. A hernia is an abnormal protrusion of tissue or an organ from one anatomical site to another through a natural hole or defect in the fibromuscular septum. Suggested by adrev masters admin sweet victory as featured in spongebob squarepants. The treatment of lumbar hernias should follow the concept. Following diagnostic studies, computed tomography confirmed left lumbar hernia. Ambulatory laparoscopic repair of inferior lumbar or petit.
Lumbar hernia is a rare abdominal wall defect and clinical suspicion is necessary for diagnosis. The lumbar abdominal wall hernia is a rare hernia in which abdominal. Most commonly they involve the abdomen, specifically the groin. This triangle lies in the posterolateral abdominal wall and is bounded anteriorly by the free margin of external oblique muscle, posteriorly by the latissimus dorsi and inferiorly by the iliac crest. Petits hernia is a hernia that protrudes through the lumbar triangle. Hernia there are several kinds of hernias, but the all happen when pressure pushes an organ often the intestine through a weak spot in a muscle face or wall. In most cases, lumbar hernias are the result of aging. Petit lumbar herniaa doublelayer technique for tension. Petit s hernia due to similar pathophysiology, risk factors, and anatomy, and mainly due to the scarcity of speci. Most common in patients aged between 50 and 70 years with a male predominance 1. Links to pubmed are also available for selected references.
The inferior lumbar triangle, also known as the petit triangle, is an anatomical space through which inferior lumbar hernias can occur gross anatomy boundaries. Honor society of nursing stti lumbar hernias can be congenital or the result of injury or trauma to the back or abdomen. A commonly misevaluated condition of the bilateral. Incarcerated inferior lumbar petits hernia request pdf. Lumbar hernia is a relatively rare defect of the posterior abdominal wall, with approximately 300 cases reported in the literature. Lumbar hernias develop through the weakening of the posterolateral abdominal wall associated with the petits triangle or the grynfelttlesshaft triangle. The latter type is more common, and it may also be divided into primary. They may pro ous lumbar hernias which appear through the superior trude through the superwcial lumbar triangle jl petit or oriwce grynfeltt and were. A lumbar hernia is a rare pathological derangement of anatomy, especially when the postoperative type is excluded. Inferior lumbar triangle radiology reference article. Pdf abstract this report describes an alternative technique for petit hernia repair. Get a printable copy pdf file of the complete article 876k, or click on a page image below to browse page by page. Groin hernias are most commonly of the inguinal type but may also be femoral. The inferior lumbar triangle of petit is bounded posteriorly by the latissimus dorsi, anteriorly by the external oblique muscle, and inferiorly by the iliac crest.
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