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Case Report
Intestinal obstruction secondary to incarcerated primary lumbar hernia: Laparoscopic approach and repair
1 Department of General and Digestive Surgery, Hospital Universitario El Escorial, University Francisco de Vitoria, San Lorenzo de El Escorial, Madrid, Spain
Address correspondence to:
Sonia Morales Artero
C/Gerardo Diego, 31, 28232 Las Rozas, Madrid,
Spain
Message to Corresponding Author
Article ID: 101092Z01MC2020
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De Castro M, Artero SM, Larraz E, Cereceda P, Martin L, Calvo M. Intestinal obstruction secondary to incarcerated primary lumbar hernia: Laparoscopic approach and repair. Int J Case Rep Images 2020;11:101092Z01MC2020.ABSTRACT
Introduction: Complicated primary lumbar hernias are very rare. We report a case presenting as an intestinal obstruction secondary to a lumbar incarcerated hernia in the Grynfeltt-Lesshaft triangle.
Case Report: A 75-year-old obese woman referring sudden pain in the lumbar region, related to a non-reducible mass. Computed tomography (CT) scan confirmed the diagnosis of an incarcerated lumbar hernia and identified dilated small bowel loops. She underwent surgical treatment through laparoscopic transabdominal approach. The defect was repaired with a polypropylene mesh.
Conclusion: We consider that laparoscopic approach is ideal for the repair of these types of hernias, as it allows correct identification of the hernia ring, as well as the hernia contents and their viability.
Keywords: Hernia repair, Lumbar hernia, Polypropylene mesh
SUPPORTING INFORMATION
Author Contributions
Mar De Castro - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Sonia Morales Artero - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Elena Larraz - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Pablo Cereceda - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Libertad Martin - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Montserrrat Calvo - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Mar De Castro et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
