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]

• Chronic Abscess

  Differential diagnosis includes a lipoma, a fibroma, a retroperitoneal or intra-cavitary tumor, hematoma or a chronic abscess. They may occur in association with defects of the musculoskeletal system including some syndromes. [pjms.com.pk]

  In such a situation, a long standing hernia is apt to be mistaken for lipoma, a fibroma, a retroperitoneal tumour or a chronic abscess. An entity, which is less well known, and consequently more likely to be missed is an acute lumbar hernia. [jpgmonline.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]

  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]

  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]

• 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]

• 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. [gi.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]

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]

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

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]

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]

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]

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]

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]