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Incarcerated Grynfeltt-Lesshaft Hernia.

Max Scheffler¹, Julien Renard², Pascal Bucher³

¹Department of Radiology, Geneva University Hospital, Geneva, Switzerland.

Journal of Radiology Case Reports

|December 2, 2015

Summary

Superior lumbar triangle hernias, or Grynfeltt-Lesshaft hernias, are rare abdominal wall hernias. This case highlights a 92-year-old female experiencing incarceration and bowel obstruction from this specific hernia type.

Keywords:

Abdominal wall hernia Grynfeltt-Lesshaft hernia computed tomography incisional hernia upper lumbar triangle hernia

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Area of Science:

Abdominal wall surgery
Hernia research
Gastrointestinal surgery

Background:

The superior lumbar triangle hernia (Grynfeltt-Lesshaft hernia) is a rare subtype of abdominal wall hernia.
It occurs in the anatomical space defined by the 12th rib, internal oblique muscle, and quadratus lumborum muscle.

Observation:

A case report of a 92-year-old female patient presenting with a superior lumbar triangle hernia.
The hernia was complicated by incarceration and acute bowel obstruction.

Findings:

The study details the clinical presentation and management of a rare Grynfeltt-Lesshaft hernia.
Incarceration and acute bowel obstruction were significant complications in this elderly patient.

Implications:

This case underscores the importance of recognizing and managing rare abdominal wall hernias, even in elderly patients.
Early diagnosis and intervention are crucial for preventing complications like bowel obstruction in superior lumbar triangle hernias.