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Congenital lumbar (Grynfelt-Lesshaft) hernia
1Department of Pediatric Surgery, Karadeniz Technical and Ondokuzmayis University Medical Faculty Trabzon, Samsun, Turkey.
Insights
This report details two pediatric cases of superior lumbar hernias. Early surgical repair before 12 months is recommended for these rare congenital anomalies.
Area of Science:
- Pediatric Surgery
- Congenital Anomalies
- Hernia Repair
Background:
- Superior lumbar hernias are rare congenital abdominal wall defects.
- Literature review indicates limited case reports, particularly with associated anomalies.
Observation:
- Two pediatric patients with superior lumbar hernias were analyzed.
- The first patient presented with multiple, atypical congenital anomalies.
- The second patient had a congenital lumbar hernia with a posterior meningomyelocele, a condition with only one prior report.
Findings:
- The presented cases highlight the variability and complexity of superior lumbar hernias.
- One case exhibited a unique constellation of anomalies not previously documented.
- The second case represents a rare recurrence of a congenital lumbar hernia co-occurring with posterior meningomyelocele.
Implications:
- Early surgical intervention for superior lumbar hernias is crucial, ideally before 12 months of age.
- These findings underscore the importance of thorough diagnostic workups for associated anomalies in affected children.
- Further research into the embryology and management of these rare hernias is warranted.
Abstract:
Two children with superior lumbar hernias are presented in this report. The first one had many additional anomalies different from the literature and the other one is the second case report of congenital lumbar hernia with posterior meningomyelocele in the literature. Operative repair is recommended for these patients before 12 months of age.