上腰ヘルニアの1例

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タイトル別名
  • A Case of Superior Lumbar Hrnia.

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A 60-year-old woman was admitted to the hospital, because of a left flank mass on August 30, 1996. Physical examination showed a 8×7cm, soft, non-tender, and smooth-surfaced mass. Ultrasonography (US), computed tomography (CT) and magnetic resonance imaging (MRI) offered a diagnosis of superior lumbar hernia. At operation, a well defined defect about around 2.5cm diameter in the transversalis fascia was found, and fat tissue surrounding the kidney prolapsed from this defect. The defect was closed by several interrupted sutures, covering the superior lumbar triangle with a Marlex Mesh®. The patient had an uneventful recovery. There has been no evidence of recurrence as of 3 years after the operation. The superior lumbar hernia is so rare that only 37 cases including ours have been reported in the Japanese literature. The diagnosis of lumbar hernia is very easy, when we have correct understanding of the disease. US, CT and MRI are valuable to prove useful defining the muscle walls and contents of the hernia. Surgical repair is generally recommended at the time of discovery, if the patient has no special risk factors.

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