Lumbar Hernia

Published on 20/07/2015 by admin

Filed under Radiology

Last modified 20/07/2015

Print this page

rate 1 star rate 2 star rate 3 star rate 4 star rate 5 star
Your rating: none, Average: 0 (0 votes)

This article have been viewed 1225 times

 Can occur in either superior lumbar triangle of Grynfeltt-Lesshaft or inferior lumbar triangle of Petit

– Superior lumbar triangle of Grynfeltt-Lesshaft defined by 12th rib superiorly, superior border of internal oblique inferiorly, and erector spinae medially
– Inferior lumbar triangle of Petit defined by latissimus dorsi muscle medially, iliac crest inferiorly, and free border of external oblique muscle laterally
image Overall, hernias are more common in superior triangle

IMAGING

• Disruption of thoracolumbar fascia at insertion of aponeurosis of internal oblique and transverse abdominal muscles
• Hernia may contain extraperitoneal fat, colon, kidney, or intraperitoneal structures (small bowel, ascites)

image Most commonly involved are colon and small bowel

TOP DIFFERENTIAL DIAGNOSES

• Abdominal wall neoplasms
• Abdominal wall hematoma
• Abdominal wall lipoma

PATHOLOGY

• 80% of lumbar hernias are acquired

image Can be spontaneous (especially in older patients and patients with excessive weight loss) or secondary to trauma, infection, or previous surgery in flank
image 

Buy Membership for Radiology Category to continue reading. Learn more here