Unilateral abdominal bulging caused by L1-L2 herniation

A 62-year-old woman noticed, after a sharp lumbar pain, a non-painful bulging mass in the left inguinal fossa upon standing upright, which disappeared in the supine position (Fig 1A). Neurological examination revealed hypoesthesia above the left inguinal ligament. Abdominal computerized tomography (...

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Published inArquivos de neuro-psiquiatria Vol. 71; no. 7; p. 496
Main Authors Lima, Marco A, Maranhão-Filho, Pericles
Format Journal Article
LanguageEnglish
Published Brazil Academia Brasileira de Neurologia (ABNEURO) 01.07.2013
Subjects
Abdomen
Female
Humans
Intervertebral Disc Displacement - complications
Intervertebral Disc Displacement - diagnosis
Middle Aged
Nerve Compression Syndromes - etiology
Spinal Nerve Roots
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Summary:A 62-year-old woman noticed, after a sharp lumbar pain, a non-painful bulging mass in the left inguinal fossa upon standing upright, which disappeared in the supine position (Fig 1A). Neurological examination revealed hypoesthesia above the left inguinal ligament. Abdominal computerized tomography (CT) scan showed no evidence of tumor or inguinal hernia. Lumbar spine magnetic resonance imaging (MRI) indicated L1-2 disk herniation compressing the left L1 nerve root (Fig 1B).
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ISSN:0004-282X
1678-4227
1678-4227
0004-282X
DOI:10.1590/0004-282X20130071