Bilateral Grynfeltt lumbar hernia: a case report
Abstract Introduction Lumbar hernias are rare, with only 200–300 published cases listed in the literature. Two areas are described to have weakness points: the inferior lumbar triangle (Jean-Louis Petit triangle) and the superior lumbar triangle (Grynfeltt–Lesshaft triangle). Clinical diagnosis is c...
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | https://doi.org/10.1186/s13256-023-03874-5 |
| _version_ | 1797850055215939584 |
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| author | Matthieu Sumai Aza Joël Bosomi Yawi Jackson Kambale Musumba Faida Kavugho Muliwavyo Alpha Muhindo Kavuyiro Alexendre Amini Mitamo Claude Kasereka Masumboko Severain Uwanda Akinja |
| author_facet | Matthieu Sumai Aza Joël Bosomi Yawi Jackson Kambale Musumba Faida Kavugho Muliwavyo Alpha Muhindo Kavuyiro Alexendre Amini Mitamo Claude Kasereka Masumboko Severain Uwanda Akinja |
| author_sort | Matthieu Sumai Aza |
| collection | DOAJ |
| description | Abstract Introduction Lumbar hernias are rare, with only 200–300 published cases listed in the literature. Two areas are described to have weakness points: the inferior lumbar triangle (Jean-Louis Petit triangle) and the superior lumbar triangle (Grynfeltt–Lesshaft triangle). Clinical diagnosis is confirmed by computed tomography and possibly by ultrasound or radiography. The surgeon must refine the clinical detection of this condition, as most patients do not have sufficient means to have a computed tomography scan performed, which remains the gold standard for diagnosis. Despite the different techniques recommended, the open route remains the most affordable in our environment. Case presentation This case presents an 84-year-old black congolese patient consulted for bilateral swellings of the lumbar regions. The patient was married and in the farming profession for several years. The patient had no notion of trauma or fever and no notion of vomiting or stopping of materials and gases. The lumbar region presented with swellings that were ovoid, soft, painless, impulsive and expansive on coughing or hyperpressure, and non-pulsatile, measuring 9 × 7 cm in diameter (right) and 6 × 5 cm in diameter (left). Ultrasound performed of the upper costolumbal region revealed two lipomatous masses facing Grynfeltt’s quadrilateral with a 1.5 cm hole on either side. The diagnosis of bilateral Grynfeltt hernia was made, and herniorrhaphy was indicated. Conclusion Grynfeltt–Lesshaft hernia is a rare surgical condition caused by congenital or acquired etiology. A lower back pain or a pain point localized on the hernia in addition to a lumbar mass that reduces when lying down suggests the diagnosis of lumbar hernia. |
| first_indexed | 2024-04-09T18:54:12Z |
| format | Article |
| id | doaj.art-c16c6cace8eb433496ae8066771e4dc3 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-09T18:54:12Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-c16c6cace8eb433496ae8066771e4dc32023-04-09T11:17:21ZengBMCJournal of Medical Case Reports1752-19472023-04-011711410.1186/s13256-023-03874-5Bilateral Grynfeltt lumbar hernia: a case reportMatthieu Sumai Aza0Joël Bosomi Yawi1Jackson Kambale Musumba2Faida Kavugho Muliwavyo3Alpha Muhindo Kavuyiro4Alexendre Amini Mitamo5Claude Kasereka Masumboko6Severain Uwanda Akinja7Department of Surgery, Catholic University of GrabenDepartment of Surgery, Official University of Mbuji-MayiDepartment of Surgery, Catholic University of GrabenDepartment of Surgery, Catholic University of GrabenDepartment of Surgery, Catholic University of GrabenDepartment of Surgery, Catholic University of GrabenDepartment of Surgery, Catholic University of GrabenDepartment of Surgery, Official University of Mbuji-MayiAbstract Introduction Lumbar hernias are rare, with only 200–300 published cases listed in the literature. Two areas are described to have weakness points: the inferior lumbar triangle (Jean-Louis Petit triangle) and the superior lumbar triangle (Grynfeltt–Lesshaft triangle). Clinical diagnosis is confirmed by computed tomography and possibly by ultrasound or radiography. The surgeon must refine the clinical detection of this condition, as most patients do not have sufficient means to have a computed tomography scan performed, which remains the gold standard for diagnosis. Despite the different techniques recommended, the open route remains the most affordable in our environment. Case presentation This case presents an 84-year-old black congolese patient consulted for bilateral swellings of the lumbar regions. The patient was married and in the farming profession for several years. The patient had no notion of trauma or fever and no notion of vomiting or stopping of materials and gases. The lumbar region presented with swellings that were ovoid, soft, painless, impulsive and expansive on coughing or hyperpressure, and non-pulsatile, measuring 9 × 7 cm in diameter (right) and 6 × 5 cm in diameter (left). Ultrasound performed of the upper costolumbal region revealed two lipomatous masses facing Grynfeltt’s quadrilateral with a 1.5 cm hole on either side. The diagnosis of bilateral Grynfeltt hernia was made, and herniorrhaphy was indicated. Conclusion Grynfeltt–Lesshaft hernia is a rare surgical condition caused by congenital or acquired etiology. A lower back pain or a pain point localized on the hernia in addition to a lumbar mass that reduces when lying down suggests the diagnosis of lumbar hernia.https://doi.org/10.1186/s13256-023-03874-5HerniaLumbarBilateral Grynfeltt |
| spellingShingle | Matthieu Sumai Aza Joël Bosomi Yawi Jackson Kambale Musumba Faida Kavugho Muliwavyo Alpha Muhindo Kavuyiro Alexendre Amini Mitamo Claude Kasereka Masumboko Severain Uwanda Akinja Bilateral Grynfeltt lumbar hernia: a case report Journal of Medical Case Reports Hernia Lumbar Bilateral Grynfeltt |
| title | Bilateral Grynfeltt lumbar hernia: a case report |
| title_full | Bilateral Grynfeltt lumbar hernia: a case report |
| title_fullStr | Bilateral Grynfeltt lumbar hernia: a case report |
| title_full_unstemmed | Bilateral Grynfeltt lumbar hernia: a case report |
| title_short | Bilateral Grynfeltt lumbar hernia: a case report |
| title_sort | bilateral grynfeltt lumbar hernia a case report |
| topic | Hernia Lumbar Bilateral Grynfeltt |
| url | https://doi.org/10.1186/s13256-023-03874-5 |
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