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Related Experiment Video

Updated: Jan 25, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

Inferior lumbar triangle hernia with incarceration.

Ran R Pang¹, Andrew L Makowski²

¹Transitional Year Residency, Ascension St. Joseph's Hospital, Department of Emergency Medicine, 5000 W. Chambers St., Milwaukee, WI 53210, United States of America.

The American Journal of Emergency Medicine

|April 28, 2019

Summary

This summary is machine-generated.

Incarcerated lumbar hernia is a rare surgical emergency. Prompt diagnosis with imaging like CT scans and immediate surgical intervention are crucial for successful patient outcomes.

Keywords:

Hernia Incarcerated Inferior lumbar triangle Lumbar triangle Strangulated

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Area of Science:

Abdominal Surgery
Diagnostic Imaging
Gastroenterology

Background:

Lumbar hernia, a rare condition, involves protrusion of intra- or extraperitoneal tissue through flank defects.
Incarceration of a lumbar hernia is uncommon but constitutes a surgical emergency.

Observation:

A 54-year-old male presented with acute left flank pain and vomiting after coughing.
Physical examination revealed a tender lumbar mass near a prior stab wound site.
Bedside ultrasound showed a fluid-filled structure, and CT confirmed small bowel herniation and obstruction.

Findings:

The patient underwent emergent surgical reduction and mesh repair for the incarcerated lumbar hernia.
The patient recovered without complications following the surgical intervention.

Implications:

Incarcerated lumbar hernia is a rare diagnosis that requires prompt recognition.
CT scans are valuable for differentiating hernias from other pathologies.
Bedside ultrasound can aid in immediate reduction attempts, and obstruction necessitates urgent surgical consultation.