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01121 Journal of Nara Medical Association >
Vol.68 No.1,2,3 >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/3417

Title: 特発性上腰ヘルニアの1例 本邦58例の検討
Other Titles: A Case of Idiopathic Superior Lumbar Hernia.
Authors: 中辻, 直之
八倉, 一晃
越智, 祥隆
Keywords: superior lumbar hernia
superior lumbar triangle
Issue Date: 30-Jun-2017
Publisher: 奈良医学会
Citation: Journal of Nara Medical Association Vol.68 No.1,2,3 p.23-27 (2017 Jun)
Abstract: The superior lumbar triangle is an anatomically weak space in the lumbar area. A superior lumbar hernia rarely occurs in this triangle. In this paper, a case of idiopathic superior lumbar hernia is reported with some reviews of previous literature. A 78-year-old man visited us because of a mass and pain in the right lumbar area. Physical examination revealed a 9x9cm, soft and smooth-surfaced mass. Computed tomography (CT) showed a defect in the right dorsal abdominal wall and a prolapse of the retroperitoneal fat tissue through the defect. Diagnosis of an idiopathic right superior lumbar hernia was established, and hernioplasty was performed At operation, a hernial orifice measuring 2cm in diameter was found in the aponeurosis of the transversus abdominis, and fat tissue prolapsed through this orifice. The aponeurosis was closed by several interrupted sutures and an onlay patch (Bard Mesh®) was fixed on the superior lumbar triangle.
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URI: http://hdl.handle.net/10564/3417
ISSN: 13450069
Appears in Collections:Vol.68 No.1,2,3

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