Indian Journal of Medical Research

CLINICAL IMAGES
Year
: 2015  |  Volume : 141  |  Issue : 6  |  Page : 844-

Lumbar hernia of Grynfeltt's triangle


Shiue-Wei Lai1, Kuan-Yu Chen2, 3,  
1 Division of Hematology-Oncology, Department of Internal Medicine, Tri-Service General Hospital, National Defence Medical Center, Taipei, Taiwan
2 Department of General Surgery, Tri-Service General Hospital, National Defence Medical Center, Taipei, Taiwan

Correspondence Address:
Kuan-Yu Chen
Department of General Surgery, Tri-Service General Hospital, National Defence Medical Center, Taipei
Taiwan




How to cite this article:
Lai SW, Chen KY. Lumbar hernia of Grynfeltt's triangle.Indian J Med Res 2015;141:844-844


How to cite this URL:
Lai SW, Chen KY. Lumbar hernia of Grynfeltt's triangle. Indian J Med Res [serial online] 2015 [cited 2021 Jan 16 ];141:844-844
Available from: https://www.ijmr.org.in/text.asp?2015/141/6/844/160734


Full Text

A 76 year old man presented to the emergency department, Tri-Service General Hospital, Taiwan, with intermittent dull abdominal pain for three weeks in August 2013. One reducible soft mass was found over his left flank under the ribs and enlarged when coughing. The computed tomography (CT) of abdomen demonstrated a herniation of retroperitoneal fat through left superior lumbar space, also known as Grynfeltt triangle [Figure 1]{Figure 1}

. He underwent lumbar oblique incision to return the hernia sac and repaired the defect by layered closure in a right decubitus position

[Figure 2]Aand 2B). The patient exhibited no symptoms six months after discharge. {Figure 2}

Grynfeltt hernia may sometimes cause incarceration, strangulation, and bowel obstruction. Enlarged bulging size is an important clue to differentiate from lipoma by increasing intra-abdominal pressure, such as coughing. Prompt abdominal CT and early surgical repair can prevent possible bowel ischaemia.