Lumbar hernia: a diagnostic dilemma

Lumbar hernia is one of the rare cases that most surgeons are not exposed to. Hence the diagnosis can be easily missed. This leads to delay in the treatment causing increased morbidity. We report a case of lumbar hernia in a middle-aged woman. It was misdiagnosed as lipoma by another surgeon. It was...

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Bibliographic Details
Published inBMJ case reports Vol. 2014; p. bcr2013202085
Main Authors Ahmed, Syed Tausif, Ranjan, Rajeeva, Saha, Subhendu Bikas, Singh, Balbodh
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 15.04.2014
BMJ Publishing Group
SeriesCase Report
Subjects
Abscesses
Asia
Asymptomatic
Diagnostic Errors
Female
Hernia - diagnosis
Hernias
Herniorrhaphy
Humans
Indian Sub-Continent
Lipoma - diagnosis
Lumbosacral Region - pathology
Lumbosacral Region - surgery
Magnetic Resonance Imaging
Middle Aged
Rare Disease
Surgical Mesh
Tumors
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Summary:Lumbar hernia is one of the rare cases that most surgeons are not exposed to. Hence the diagnosis can be easily missed. This leads to delay in the treatment causing increased morbidity. We report a case of lumbar hernia in a middle-aged woman. It was misdiagnosed as lipoma by another surgeon. It was a case of primary acquired lumbar hernia in the superior lumbar triangle. Clinical and MRI findings were correlated to reach the diagnosis. We also highlight the types, the process of diagnosis and the surgical repair of lumbar hernias. We wish to alert our fellow surgeons to keep the differential diagnosis of the lumbar hernia in mind before diagnosing any lumbar swelling as lipoma.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2013-202085