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Femoral Intertrochanteric Fracture With Spontaneous Lumbar Hernia: A Case Report

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...

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Autores principales: Luo, Peng, HE, Xing-Wen, Chen, Qing-Yun, Hong, Hao, Yang, Lei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292020/
https://www.ncbi.nlm.nih.gov/pubmed/28184361
http://dx.doi.org/10.5812/traumamon.25132
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author Luo, Peng
HE, Xing-Wen
Chen, Qing-Yun
Hong, Hao
Yang, Lei
author_facet Luo, Peng
HE, Xing-Wen
Chen, Qing-Yun
Hong, Hao
Yang, Lei
author_sort Luo, Peng
collection PubMed
description 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.
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spelling pubmed-52920202017-02-09 Femoral Intertrochanteric Fracture With Spontaneous Lumbar Hernia: A Case Report Luo, Peng HE, Xing-Wen Chen, Qing-Yun Hong, Hao Yang, Lei Trauma Mon Case Report 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. Kowsar 2016-03-30 /pmc/articles/PMC5292020/ /pubmed/28184361 http://dx.doi.org/10.5812/traumamon.25132 Text en Copyright © 2016, Trauma Monthly http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
spellingShingle Case Report
Luo, Peng
HE, Xing-Wen
Chen, Qing-Yun
Hong, Hao
Yang, Lei
Femoral Intertrochanteric Fracture With Spontaneous Lumbar Hernia: A Case Report
title Femoral Intertrochanteric Fracture With Spontaneous Lumbar Hernia: A Case Report
title_full Femoral Intertrochanteric Fracture With Spontaneous Lumbar Hernia: A Case Report
title_fullStr Femoral Intertrochanteric Fracture With Spontaneous Lumbar Hernia: A Case Report
title_full_unstemmed Femoral Intertrochanteric Fracture With Spontaneous Lumbar Hernia: A Case Report
title_short Femoral Intertrochanteric Fracture With Spontaneous Lumbar Hernia: A Case Report
title_sort femoral intertrochanteric fracture with spontaneous lumbar hernia: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292020/
https://www.ncbi.nlm.nih.gov/pubmed/28184361
http://dx.doi.org/10.5812/traumamon.25132
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