Laparoscopic Repair of Lumbar Hernia: A Case Report and Mini Review

Abstract

Background

Lumbar hernias are quite rare, constituting 2% of all abdominal wall hernias, and they are usually secondary to trauma or previous surgery. Approximately 300 cases have been reported so far. There are two different types, depending on the location: superior lumbar or Grynfeltt’s hernia and inferior or Petit’s hernia. Abdominal computed tomography (CT) will provide accurate diagnosis. Laparoscopic repair with mesh is the treatment of choice, especially when the hernia is symptomatic.

Methods

We describe the diagnosis and laparoscopic repair of a symptomatic right superior lumbar hernia in a female patient, with a review of the relevant literature. The patient provided her written consent for publication of the case and the photographs.

Case report

A 48-year-old female was referred to the surgical clinic with a symptomatic right sided abdominal hernia. Clinical examination revealed an abdominal wall defect in the right superior lumbar region. Abdominal CT confirmed a right Grynfeltt’s hernia, containing ascending colon and fat, but with no signs of strangulation. She underwent laparoscopic lumbar hernia repair with mesh under general anaesthesia, with uneventful recovery.

Conclusion

Lumbar hernia is a rare abdominal wall defect, which is usually secondary to trauma or previous surgery. A thorough history and clinical examination, along with abdominal CT, will provide accurate confirmation of the diagnosis. CT should always be included in the investigation prior to surgery, even in uncomplicated cases. The relevant literature is limited, but confirms that laparoscopic repair with mesh is the treatment of choice, especially when the hernia is symptomatic.