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Case Reports
. 2016 Mar 30;21(5):e25132.
doi: 10.5812/traumamon.25132. eCollection 2016 Nov.

Femoral Intertrochanteric Fracture With Spontaneous Lumbar Hernia: A Case Report

Peng Luo  1 , Xing-Wen He  1 , Qing-Yun Chen  2 , Hao Hong  1 , Lei Yang  1
Affiliations
Case Reports

Femoral Intertrochanteric Fracture With Spontaneous Lumbar Hernia: A Case Report

Peng Luo et al. Trauma Mon. .

Abstract

Introduction: The diagnosis of lumbar hernia can be easily missed, as it is a rare case to which most orthopedists are not exposed in their common clinical practice. Approximately 300 cases have been reported in the literature since it was first described by Barbette in 1672.

Case presentation: A 76-year-old woman who had been diagnosed with a femoral intertrochanteric fracture was sent to our department. Physical examination revealed a smooth, soft, and movable mass, with no tenderness, palpable on her left flank, which had gradually increased during the last seven years and presented with a slight feeling of swelling. We initially misdiagnosed the case as a left lipoma combined with the femoral intertrochanteric fracture. However, after six hours, the patient presented with a sudden onset of nausea, vomiting, and abdominal distension. Afterward, computed tomography (CT) examination confirmed that the mass was a spontaneous lumbar hernia.

Conclusions: A lumbar hernia may, on rare occasions, become incarcerated or strangulated, with the consequent complication of mechanical bowel obstruction. We suggest that a patient with a flank mass should always raise suspicions of a lumbar hernia.

Keywords: Hernia; Intertrochanteric Fractures; Lumbar; Spontaneous.

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Conflict of interest statement

Conflict of Interest:The authors have no conflict of interest.

Figures

Figure 1.
Figure 1.. Picture Shows a Lumbar Hernia in the Left Flank
Figure 2.
Figure 2.. A, Computed tomography (CT) shows the filling of the bladder and intestine; B and C, axial CT shows the bilateral lumbar hernia.
See this image and copyright information in PMC

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