左鼠径ヘルニアを併発した成人両側上腰ヘルニアの1例

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  • A CASE OF BILATERAL SUPERIOR LUMBAR HERNIA ASSOCIATED WITH LEFT INGUINAL HERNIA IN AN ADULT

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We experienced a rare case of bilateral superior lumbar hernia associated with left inguinal hernia in an adult. An 85-year-old woman was admitted to the hospital for a repair of left inguinal hernia and was found to have bilateral lumbar hernia. An abdominal CT scan showed low-density masses at bilateral lumbar muscle defects as well as a protrusion of the intestine through the right defect. At surgery, the right defect was 1.5cm in diameter while the left was 1.0cm in diameter. Bilateral defects were closed directly with lumbar muscles. The postoperative course was uneventful and no recurrence has been seen. In a review of the Japanese literature, 26 cases of the adult superior lumbar hernia have been reported and our case reported here is the third case as bilateral superior lumbar hernia in adults and also as the third case associated with inguinal hernia.

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