Grynfeltt Hernia: A Deceptive Lumbar Mass with a Lipoma-Like Presentation
The Grynfeltt-Lesshaft hernia is a rare posterior abdominal wall defect that allows for the herniation of retro- and intraperitoneal structures through the upper lumbar triangle. While this hernia may initially present as a small asymptomatic bulge, the defect typically enlarges over time and can be...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/954804 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849395633817911296 |
|---|---|
| author | Jonathan R. Zadeh Jessica L. Buicko Chetan Patel Robert Kozol Miguel A. Lopez-Viego |
| author_facet | Jonathan R. Zadeh Jessica L. Buicko Chetan Patel Robert Kozol Miguel A. Lopez-Viego |
| author_sort | Jonathan R. Zadeh |
| collection | DOAJ |
| description | The Grynfeltt-Lesshaft hernia is a rare posterior abdominal wall defect that allows for the herniation of retro- and intraperitoneal structures through the upper lumbar triangle. While this hernia may initially present as a small asymptomatic bulge, the defect typically enlarges over time and can become symptomatic with potentially serious complications. In order to avoid that outcome, it is advisable to electively repair Grynfeltt hernias in patients without significant contraindications to surgery. Due to the limited number of lumbar hernioplasties performed, there has not been a large study that definitively identifies the best repair technique. It is generally accepted that abdominal hernias such as these should be repaired by tension-free methods. Both laparoscopic and open techniques are described in modern literature with unique advantages and complications for each. We present the case of an unexpected Grynfeltt hernia diagnosed following an attempted lipoma resection. We chose to perform an open repair involving a combination of fascial approximation and dual-layer polypropylene mesh placement. The patient’s recovery was uneventful and there has been no evidence of recurrence at over six months. Our goal herein is to increase awareness of upper lumbar hernias and to discuss approaches to their surgical management. |
| format | Article |
| id | doaj-art-aa19af5871a34f908a554567e151e4e2 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-aa19af5871a34f908a554567e151e4e22025-08-20T03:39:32ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/954804954804Grynfeltt Hernia: A Deceptive Lumbar Mass with a Lipoma-Like PresentationJonathan R. Zadeh0Jessica L. Buicko1Chetan Patel2Robert Kozol3Miguel A. Lopez-Viego4Charles E. Schmidt College of Medicine, Florida Atlantic University, 777 Glades Road, Boca Raton, FL 33431, USAUniversity of Miami-JFK Medical Center, 5301 S. Congress Avenue, Atlantis, FL 33462, USAUniversity of Miami-JFK Medical Center, 5301 S. Congress Avenue, Atlantis, FL 33462, USAUniversity of Miami-JFK Medical Center, 5301 S. Congress Avenue, Atlantis, FL 33462, USACharles E. Schmidt College of Medicine, Florida Atlantic University, 777 Glades Road, Boca Raton, FL 33431, USAThe Grynfeltt-Lesshaft hernia is a rare posterior abdominal wall defect that allows for the herniation of retro- and intraperitoneal structures through the upper lumbar triangle. While this hernia may initially present as a small asymptomatic bulge, the defect typically enlarges over time and can become symptomatic with potentially serious complications. In order to avoid that outcome, it is advisable to electively repair Grynfeltt hernias in patients without significant contraindications to surgery. Due to the limited number of lumbar hernioplasties performed, there has not been a large study that definitively identifies the best repair technique. It is generally accepted that abdominal hernias such as these should be repaired by tension-free methods. Both laparoscopic and open techniques are described in modern literature with unique advantages and complications for each. We present the case of an unexpected Grynfeltt hernia diagnosed following an attempted lipoma resection. We chose to perform an open repair involving a combination of fascial approximation and dual-layer polypropylene mesh placement. The patient’s recovery was uneventful and there has been no evidence of recurrence at over six months. Our goal herein is to increase awareness of upper lumbar hernias and to discuss approaches to their surgical management.http://dx.doi.org/10.1155/2015/954804 |
| spellingShingle | Jonathan R. Zadeh Jessica L. Buicko Chetan Patel Robert Kozol Miguel A. Lopez-Viego Grynfeltt Hernia: A Deceptive Lumbar Mass with a Lipoma-Like Presentation Case Reports in Surgery |
| title | Grynfeltt Hernia: A Deceptive Lumbar Mass with a Lipoma-Like Presentation |
| title_full | Grynfeltt Hernia: A Deceptive Lumbar Mass with a Lipoma-Like Presentation |
| title_fullStr | Grynfeltt Hernia: A Deceptive Lumbar Mass with a Lipoma-Like Presentation |
| title_full_unstemmed | Grynfeltt Hernia: A Deceptive Lumbar Mass with a Lipoma-Like Presentation |
| title_short | Grynfeltt Hernia: A Deceptive Lumbar Mass with a Lipoma-Like Presentation |
| title_sort | grynfeltt hernia a deceptive lumbar mass with a lipoma like presentation |
| url | http://dx.doi.org/10.1155/2015/954804 |
| work_keys_str_mv | AT jonathanrzadeh grynfelttherniaadeceptivelumbarmasswithalipomalikepresentation AT jessicalbuicko grynfelttherniaadeceptivelumbarmasswithalipomalikepresentation AT chetanpatel grynfelttherniaadeceptivelumbarmasswithalipomalikepresentation AT robertkozol grynfelttherniaadeceptivelumbarmasswithalipomalikepresentation AT miguelalopezviego grynfelttherniaadeceptivelumbarmasswithalipomalikepresentation |