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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
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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
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Author Contributions
Mar De Castro - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Sonia Morales Artero - Conception of the work, Design of the work, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Elena Larraz - Conception of the work, Design of the work, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Pablo Cereceda - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Libertad Martin - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Montserrrat Calvo - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
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.
