PRIMARY LUMBAR HERNIA- A CASE REPORT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 2
Abstract
PRESENTATION OF CASE The patient is a 47-year-old, average built male patient presenting in the outpatient department with complaints of left-sided back swelling with vague pain for last 6 months. On further evaluation, the patient revealed that the swelling is gradually increasing in size and the swelling further increases on sitting and coughing. There was no history of trauma, surgery or infection at that site. Bowel and bladder was within normal limit with no history of obstructive uropathy or constipation. No history of any addiction. On examination, a swelling was noted in left superior lumbar region. It was 5×5 cm in size, globular in shape, non-tender and nonpulsatile, partially reducible in nature. Auscultation was nonspecific. On review of his labs, his routine investigation was within normal limit. High resolution ultrasonography of swelling showed an intramuscular defect in the left superior lumbar region with herniation of omentum through the defect. Hence, a diagnosis of primary lumbar hernia was established. The patient was posted for operation after all required investigations and defect was closed by mesh hernioplasty by polypropylene mesh. Postoperative period was uneventful.
Authors and Affiliations
Himadri Sekhar Kar, Sartaj Sohail, Mohammad Ahmad
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