Congenital lumbar hernia in a child.

Q4 Medicine
N Newland, M Pýchová, D Heroldová, M Kynčl, M Rygl
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引用次数: 0

Abstract

Introduction: Lumbar hernia in the pediatric population is an extremely rare diagnosis and therefore requires specific diagnostic and therapeutic approaches. This case report describes the first published case of a pediatric lumbar hernia in the Czech Republic.

Case description: A 22-month-old boy was examined at a pediatric surgical clinic due to a soft reducible mass in the right lumbar region, which, according to his mother, has been present from birth. An ultrasound scan confirmed a defect in the anatomical localization of the superior lumbar triangle (the triangle of Grynfeltt-Lesshaft) measur-ing 17 × 11 mm with a bowel loop herniation. The patient underwent a skeletal X-ray and an abdominal ultrasound in order to rule out associated malformations, following which he was scheduled for an open hernioplasty. Given the small size of the defect, a primary closure without mesh hernioplasty was performed. The postoperative course was uneventful and at clinical follow-ups the patient showed no signs of hernia recurrence or growth asymmetry.

Conclusion: Lumbar hernia in children is congenital and frequently occurs with other associated malformations, which must be ruled out. The type of operation depends on the size of the defect and its purpose is to provide a tension-free closure.

儿童先天性腰疝。
腰椎疝在儿童人群中是一种极其罕见的诊断,因此需要特定的诊断和治疗方法。本病例报告描述了捷克共和国首次发表的小儿腰椎疝病例。病例描述:一名22个月大的男孩在儿科外科诊所接受检查,原因是右腰椎区有一个柔软的可复位肿块,据他的母亲说,从出生起就存在。超声扫描证实了17 × 11 mm的上腰椎三角(Grynfeltt-Lesshaft三角)解剖定位缺陷,并伴有肠袢疝。患者接受了骨骼x光检查和腹部超声检查,以排除相关畸形,随后他被安排进行开放式疝成形术。考虑到缺损的小尺寸,我们进行了不带网状疝成形术的初步闭合。术后过程很顺利,在临床随访中,患者没有出现疝复发或生长不对称的迹象。结论:儿童腰疝是先天性的,常合并其他畸形,应予以排除。手术的类型取决于缺陷的大小,其目的是提供无张力的闭合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Rozhledy v Chirurgii
Rozhledy v Chirurgii Medicine-Medicine (all)
CiteScore
0.50
自引率
0.00%
发文量
67
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