Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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A Case of Congenital Lumbar Hernia

선천성 허리헤르니아 1예

  • Lee, Byung-Ky (Department of Pediatrics, College of Medicine, Pusan National University) ;
  • Kim, Hae-Young (Department of Pediatric Surgery, College of Medicine, Pusan National University) ;
  • Cho, Yong-Hoon (Department of Pediatric Surgery, College of Medicine, Pusan National University) ;
  • Park, Jae-Hong (Department of Pediatrics, College of Medicine, Pusan National University)
  • 이병기 (부산대학교 의과대학 소아과학교실) ;
  • 김해영 (부산대학교 의과대학 소아외과학교실) ;
  • 조용훈 (부산대학교 의과대학 소아외과학교실) ;
  • 박재홍 (부산대학교 의과대학 소아과학교실)
  • Received : 2007.07.31
  • Accepted : 2007.08.30
  • Published : 2007.09.30
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Abstract

An lumbar hernia is a rare clinical disease entity thatarises from the superior or inferior lumbar triangle and presents as a reducible protruding mass in the flank region between twelfth rib and the iliac crest. There are two classifications one classification is a congenital or acquired hernia according to the occurrence timing and the other classification is a superior (Grynfeltt-Lesshaft hernia) or inferior (Petit's hernia) lumbar hernia according to the anatomical location. Approximately 10% of all lumbar hernias are congenital and the vast majority of them are unilateral. We report here a case of a congenital lumbar hernia through the superior lumbar triangle of Grynfeltt-Lesshaft without any other congenital anomalies or complications in a four-month-old male. It was treated successfully with a surgical repair.

선천성 허리헤르니아는 12번 늑골과 장골 사이의 후복벽 요측부에 발생하는 탈장으로 매우 드문 질환이다. 출생 시부터 우측 측복부에서 덩이가 발견되었고 점차크기가 증가하여 내원한 4개월 된 남아에서 복부 초음파 검사 및 복부 전산화 단층 촬영으로 선천성 상부 허리헤르니아가 진단되었고 일차 봉합술로 완치되었기에 보고하는 바이다.

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