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Lumbar Hernia, a Rare Cause of Intestinal Occlusion: About a Case

¹ General and Proctological Surgery Service, Teaching Hospital of Treichville, Departement of Digestive Diseases, College of Medecine, Felix Houphouet Boigny University, Abidjan, Côte D’Ivoire
² General and Proctological Surgery Service, Teaching Hospital of Treichville, Departement of Digestive Diseases, College of Medecine, Felix Houphouet Boigny University, Abidjan, Côte D’Ivoire
³ General and Proctological Surgery Service, Teaching Hospital of Treichville, Departement of Digestive Diseases, College of Medecine, Felix Houphouet Boigny University, Abidjan, Côte D’Ivoire
⁴ General and Proctological Surgery Service, Teaching Hospital of Treichville, Departement of Digestive Diseases, College of Medecine, Felix Houphouet Boigny University, Abidjan, Côte D’Ivoire
⁵ General and Proctological Surgery Service, Teaching Hospital of Treichville, Departement of Digestive Diseases, College of Medecine, Felix Houphouet Boigny University, Abidjan, Côte D’Ivoire
⁶ General and Proctological Surgery Service, Teaching Hospital of Treichville, Departement of Digestive Diseases, College of Medecine, Felix Houphouet Boigny University, Abidjan, Côte D’Ivoire
⁷ General and Proctological Surgery Service, Teaching Hospital of Treichville, Departement of Digestive Diseases, College of Medecine, Felix Houphouet Boigny University, Abidjan, Côte D’Ivoire

Surgical Science·Volume 09 (2018)·Pages 351–357·Published 29 September 2018·DOI10.4236/ss.2018.910042

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.

KeywordsLumbar HerniaColonic OcclusionTreatment

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Lumbar Hernia, a Rare Cause of Intestinal Occlusion: About a Case

Abstract

References (12)