Lumbar incisional hernia

Case contributed by Sally Sarmad Mohammed Ali
Diagnosis almost certain

Presentation

The patient had abdominal surgery 1 year ago through left flank incision , subsequently developed a progressively enlarging left flank bulge causing her some discomfort.

Patient Data

Age: 45 years
Gender: Female
ct

Left inferior incisional lumbar hernia containing adipose tissue and bowel loops, defect measuring 8.5 cm, no signs of bowel obstruction . noted is made of malrotated right kidney

Case Discussion

The post operative abdominal wall is a potential weakness that can result in herniation of abdominal contents.

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