Cargando…
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...
Autores principales: | , , , , |
---|---|
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 |
_version_ | 1782504867214917632 |
---|---|
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. |
format | Online Article Text |
id | pubmed-5292020 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Kowsar |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT luopeng femoralintertrochantericfracturewithspontaneouslumbarherniaacasereport AT hexingwen femoralintertrochantericfracturewithspontaneouslumbarherniaacasereport AT chenqingyun femoralintertrochantericfracturewithspontaneouslumbarherniaacasereport AT honghao femoralintertrochantericfracturewithspontaneouslumbarherniaacasereport AT yanglei femoralintertrochantericfracturewithspontaneouslumbarherniaacasereport |