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Lumbar Hernia


Presentation

  • Two cases with congenital lumbar hernia associated with the lumbocostovertebral syndrome are presented. The first case of a 14-month-old girl presented with the type of a superior lumbar triangle hernia.[ncbi.nlm.nih.gov]
Flank Mass
  • Here, we present a case of a 49-year-old Caucasian man who presented with an enlarged left flank mass after iliac bone harvest for pseudarthrosis.[ncbi.nlm.nih.gov]
  • Conclusion A lumbar or flank mass should always raise suspicion of a lumbar hernia. Ultrasound and computed tomography may confirm the diagnosis. Adequate surgical treatment should be planned on the basis of etiology and hernia size.[jmedicalcasereports.biomedcentral.com]
Anemia
  • Investigations revealed iron deficiency anemia. MRI scan showed that swelling contained multiple bowel loops herniating through a body wall defect. It also showed fluid in the swelling as well. A diagnosis of left lumbar hernia was thus made.[pjms.com.pk]
Pneumonia
  • One patients' parents refused surgery for the CLH after treatment of a hydrometrocolpos and another died of fulminant pneumonia before the operation. Early operation is the treatment of choice, and repair with local tissues is preferable.[ncbi.nlm.nih.gov]
Right Flank Pain
  • Case Report A 55-year-old female presented with a one-month history of right flank pain. The only significant history was of a motor vehicle accident, in which she was a passenger. This occurred seven years ago.[videojournalofsurgery.com]
Back Pain
  • Differential diagnosis See Sciatica See Low Back Pain Red Flag s See Musculoskeletal Low Back Pain Lumbar spine Degenerative Joint Disease Lumbar Radiculopathy due to spine degeneration (osteophytes or bone spurs) typically follows a fixed or progressive[fpnotebook.com]
  • 2}, pages { 73-6 } } Gregory R Lillie , Eric J Deppert Published 2010 in Journal of chiropractic medicine DOI: 10.1016/j.jcm.2010.02.001 OBJECTIVE Lumbar triangle hernias are rarely reported causes of low back pain.[semanticscholar.org]
  • If you feel back pain, a dragging sensation, or a bulge in the side of your abdomen following an operation, you may have a lumbar (flank) hernia.[nycherniasurgery.com]
  • Review Birkmeyer NJ, Weinstein JN: Medical versus surgical treatment for low back pain: evidence and clinical practice.[hss.edu]
Low Back Pain
  • Differential diagnosis See Sciatica See Low Back Pain Red Flag s See Musculoskeletal Low Back Pain Lumbar spine Degenerative Joint Disease Lumbar Radiculopathy due to spine degeneration (osteophytes or bone spurs) typically follows a fixed or progressive[fpnotebook.com]
  • 2}, pages { 73-6 } } Gregory R Lillie , Eric J Deppert Published 2010 in Journal of chiropractic medicine DOI: 10.1016/j.jcm.2010.02.001 OBJECTIVE Lumbar triangle hernias are rarely reported causes of low back pain.[semanticscholar.org]
  • Review Birkmeyer NJ, Weinstein JN: Medical versus surgical treatment for low back pain: evidence and clinical practice.[hss.edu]
  • Prevention To help prevent low back pain or a herniated disc: Stay at a healthy body weight. This may reduce the load on your lower back. Exercise regularly. Quit smoking.[uofmhealth.org]
Spine Pain
  • : Pain moving your neck Deep pain near or over your shoulder blade Radiating pain in your upper arm, forearm, and possibly your fingers Pain from a herniated disc may start slowly and get worse over time or during certain activities.[depuysynthes.com]
Acute Low Back Pain
  • DC, PT: Comparison of Classification-Based Physical Therapy With Therapy Based on Clinical Practice Guidelines for Patients with Acute Low Back Pain: A Randomized Clinical Trial. Spine. 2813:1363-1371, July 1, 2003.[hss.edu]
Bone Pain
  • Bone anchors have been used in a variety of surgical disciplines, including orthopedics, plastic surgery, and gynecologic surgery, with low complication rates of bone pain or infection.[ncbi.nlm.nih.gov]
Flank Pain
  • This article discusses a patient presenting with flank pain years after an iliac crest bone harvest as well as a brief review of the pathogenesis and history of lumbar hernias.[ncbi.nlm.nih.gov]
  • If symptoms are present, they include back or flank pain or a dragging sensation. Left untreated, lumbar hernias can grow to large proportions.[transplant.surgery.ucsf.edu]
  • **Patients with lumbar hernia are usually asymptomatic but may complain of backache, flank pain or a dragging sensation. These hernias have a natural history of a gradual increase in size over time. Left lumbar hernia.[mediphotos.blogspot.com]
  • These include backache, flank pain, occasional nausea, a feeling of weight or a dragging sensation. In small lesions or in obese patients or no abnormality may be detected on physical examination.[ijri.org]
Flank Pain
  • This article discusses a patient presenting with flank pain years after an iliac crest bone harvest as well as a brief review of the pathogenesis and history of lumbar hernias.[ncbi.nlm.nih.gov]
  • If symptoms are present, they include back or flank pain or a dragging sensation. Left untreated, lumbar hernias can grow to large proportions.[transplant.surgery.ucsf.edu]
  • **Patients with lumbar hernia are usually asymptomatic but may complain of backache, flank pain or a dragging sensation. These hernias have a natural history of a gradual increase in size over time. Left lumbar hernia.[mediphotos.blogspot.com]
  • These include backache, flank pain, occasional nausea, a feeling of weight or a dragging sensation. In small lesions or in obese patients or no abnormality may be detected on physical examination.[ijri.org]
Anorchia
  • ARM 14. micrognathia 15. microophtalmia 16. monolateral anorchia 17. monolateral criptorchidism 18. posterior meningomyelocele 19. sciatic hernia 20. 7th nerve paralysis The association with pseudocolinestherase deficiency is a rare finding: in fact,[jpss.eu]

Workup

  • A patient with an incomplete workup: When diagnosis is uncertain, postpone surgery. Disc herniations are so ubiquitous that being cavalier in diagnosis is easy. Ensure the completeness of the workup prior to proceeding with the operation.[emedicine.medscape.com]
Staphylococcus Aureus
  • A swab taken from the sinus grew Staphylococcus aureus: Plain roentgenograms of the pelvis showed an old fracture of iliac crest with a missing triangular shaped segment.[jpgmonline.com]
Sinus Arrhythmia
  • Her ECG showing sinus arrhythmia, therefore high risk consent was taken. The swelling was explored through a vertical incision over the swelling with the patient lying in right lateral position.[pjms.com.pk]

Treatment

  • The only curative treatment is surgery and must be done as soon as the diagnosis was made.[ncbi.nlm.nih.gov]

Prognosis

  • Prognosis Most disc problems improve without surgery and return to normal function. Duration of treatment can range from 4 to 12 weeks depending on the severity of the symptoms.[twinboro.com]
  • Prognosis of the lumbar hernia is good and only one case of recurrence has been reported in the literature [32]. REFERENCES Grynfeltt J. Quelque mot sur la hernie lombaire. montpellier med 16 : 323, 1866 Pul M, Pul N, Gürses N.[jpss.eu]
  • L4/5 or L5/S1 levels L5/S1 most common level peak incidence is 4th and 5th decades only 5% become symptomatic 3:1 male:female ratio Pathoanatomy recurrent torsional strain leads to tears of outer annulus which leads to herniation of nucleus pulposis Prognosis[orthobullets.com]

Etiology

  • However, no substantial differences were found in etiology, anatomical locations, symptoms, and herniated contents.[ncbi.nlm.nih.gov]
  • There are three broad etiologies for lumbar hernias: congenital hernias (20%) discovered in infancy and are due to defects in the musculoskeletal system may be associated with other malformations primary acquired lumbar hernias (55%) spontaneous, without[radiopaedia.org]

Epidemiology

  • Data Extraction Two reviewers analyzed the epidemiological, clinical, and treatment data of the articles.[jamanetwork.com]
  • Introduction Epidemiology 95% involve L4/5 or L5/S1 levels L5/S1 most common level peak incidence is 4th and 5th decades only 5% become symptomatic 3:1 male:female ratio Pathoanatomy recurrent torsional strain leads to tears of outer annulus which leads[orthobullets.com]
  • Epidemiology The lifetime prevalence of low back pain is 80%, with disk disorders being the most common cause of adult low back pain.[emedicine.medscape.com]
  • Yang W, Carmichael SL, Harris JA, Shaw GM (2006) Epidemiologic characteristics of congenital diaphragmatic hernia among 2.5 million California births, 1989–1997. Birth Defects Res Part Clin Mol Teratol 76:170–174 CrossRef Google Scholar 43.[link.springer.com]
Sex distribution
Age distribution

Pathophysiology

  • Morgan BP (1995) Physiology and pathophysiology of complement: progress and trends. Crit Rev Clin Lab Sci 32:265–298 CrossRef PubMed Google Scholar 21.[link.springer.com]
  • So many largely unknown or poorly understood factors are involved in the pathophysiology of this disease that the right treatment is very difficult to pinpoint; this is the main reason so many treatments are continuously proposed.[ajnr.org]
  • The pathophysiology, clinical presentation, radiographic diagnosis, treatment, and outcome are discussed. A disc herniation (lumbar disc disease) most frequently irritates the displaced nerve root.[emedicine.medscape.com]

Prevention

  • In larger defects, a second mesh can be used to prevent further enlargement of the triangle and also to provide additional protection beyond the bone limits. KEYWORDS: Hernia; Lumbar hernia; Open repair; Prosthetic mesh repair[ncbi.nlm.nih.gov]
  • However, in spite of their rarity, serious adverse intraoperative complications may occur, so we must be aware of its existence in order to make an early diagnosis and treatment to prevent a fatal outcome.[revistaneurocirugia.com]

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