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Chirurgia 2012 August;25(4):257-9

language: English

Grynfeltt hernia: a case report and literature review

Martin G., Oviedo M., Davila D., Gumbau V., Martinez C., Roig J. V.

Department of General Surgery and Digestive System, Valencia University General Hospital, Valencia, España


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The aim of this study was to examine a patient Grynfeltt’s hernia and review most of the relevant literature. A 44 year old woman presented a left lumbar lump protruding during physical exertion. During the operation, we found a 2 cm oval defect in the transversalis fascia at the level of superior lumbar triangle, was repaired without prosthetic material due to its small diameter. The postoperative time-course was uneventful and no recurrences had been observed at the 9 month follow-up. Lumbar hernias represent less than 2% of all abdominal wall hernias. Depending on their origin, these hernias can be classified into congenital and acquired. Grynfeltt in 1866 and Lesshaft in 1870 named the hernias located in the superior lumbar triangle. Diagnosis is usually done by clinical exam and is confirmed after finding a soft, well-defined tumor in the lateral-posterior region of the abdominal wall. Surgical treatment is mandatory, except in asymptomatic cases of limited-size. This is a rare type of abdominal wall hernia with less than 300 reported cases, and is almost always treated surgically with satisfactory results.

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