2008, Number 3
Acta Pediatr Mex 2008; 29 (3)
Congenital lumbar hernia associated with lumbocostovertebral syndrome. Report of a case and review of the literature
Staines-Orozco HS, Galindo-Campos MA
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ABSTRACTIntroduction: Lumbar hernias result from a defect in the posterior abdominal wall. They are uncommon in children; only 45 cases have been reported, and 19 of these, were congenital. They are usually associated with other malformations. Case report: A 45 days old female presented with congenital lumbar hernia, lumbocostovertebral syndrome and absence of the 9th to the 12th ribs. A deformity of the dorsolumbar spine and a unilateral renal agenesis were also present. Surgical correction was performed using polyester fiber mesh. Discussion: Lumbar congenital hernias are more frequent in males in the left lumbar region; in this case the defect was on the right lumbar region. The use of a prosthetic mesh was necessary in view of the frail muscular edges. Surgical correction during the first year of life is recommended in order to avoid complications.