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Órgano Oficial del Instituto Nacional de Pediatría
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2008, Number 3

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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
Full text How to cite this article

Language: Spanish
References: 10
Page: 166-168
PDF size: 880.94 Kb.


Key words:

Congenital lumbar hernia, lumbocostovertebral syndrome, prosthetic mesh, renal agenesis, spinal deformity.

ABSTRACT

Introduction: 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.


REFERENCES

  1. Talukder BC. Congenital lumbar hernia. J Pediatr Surg 1974;9:419-20.

  2. Bernay F, Gidener C, Gürses N. Superior lumbar hernia associated with the lumbocostovertebral syndrome. Pediatr Surg Int 1990;5:469-70.

  3. Lafer DJ. Neuroblastoma and lumbar hernia: a casual relationship? J Pediatr Surg 1994;29:926-9.

  4. Somuncu S, Bernay F, Rizalar R, et al. Congenital lumbar hernia associated with the lumbocostovertebral syndrome:two cases. Eur J Pediatr Surg 1997;7:122-4.

  5. Karmani S, Ember T, Davenport R. Congenital lumbar hernias: a case report. J Pediatr Surg 2002;37:921-3.

  6. Chenoweth J, Wenzel V. Computed tomography demonstration of inferior lumbar (Petit’s) hernia. Clin Imaging 1989;13:164-6.

  7. Hancock BJ, Wiseman NE. Incarcerated congenital lumbar hernia associated with the lumbocostovertebral syndrome. J Pediatr Surg 1988;23:782-3.

  8. Touloulkian RJ. Lumbocostovertebral syndrome: a single somatic defect. Surgery 1972;71:174-81.

  9. Flickinger F, Masson J. Bilateral Petit’s hernia and an anterior sacral meningocele occurring in the same patient. Am J Surg 1946;71:752-9.

  10. Fakhry SM, Azizkhan RG. Observations and current operative management of congenital lumbar hernias during infancy. Surg Gynecol Obstet 1991;172:475-9.




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Acta Pediatr Mex. 2008;29