J Chiropr Med. 2010 Jun;9(2):73-6. doi: 10.1016/j.jcm.2010.02.001.
Inferior lumbar triangle hernia as a rarely reported cause of low back pain: a report of 4 cases.
Journal of chiropractic medicine
Gregory R Lillie, Eric Deppert
Affiliations
Affiliations
- Contracted Chiropractic Physician, Naval Hospital Pensacola, Naval Branch Health Clinic NATTC, Pensacola, FL 32508.
PMID: 21629553
PMCID: PMC2943654 DOI: 10.1016/j.jcm.2010.02.001
Abstract
OBJECTIVE: Lumbar triangle hernias are rarely reported causes of low back pain. We describe the symptoms, signs, and anatomical location of 2 possible defects in the posterior abdominal wall where lumbar hernias may appear. The clinical diagnosis was challenging, and advanced imaging failed to initially uncover the conditions.
CLINICAL FEATURES: We report 4 patients with spontaneous inferior lumbar triangle hernias (Petit triangle hernias) initially presenting to a primary care clinic with the primary complaint of low back pain.
INTERVENTION AND OUTCOMES: Thorough histories and examinations led to successful outcomes. All 4 patients were operated on to correct the defect. No recurrence has occurred.
CONCLUSIONS: Anatomical knowledge and clinical acumen led to correct diagnosis of these rare lumbar hernias. This information should help both medical and chiropractic clinicians detect these conditions, and aid in appropriate management.
Keywords: Abdominal wall; Hernia; Low back pain
References
- Hernia. 2005 Mar;9(1):22-5 - PubMed
- Hernia. 2007 Oct;11(5):441-4 - PubMed
- J Postgrad Med. 1996 Jul-Sep;42(3):78-80 - PubMed
- East Afr Med J. 2003 May;80(5):277-80 - PubMed
- Radiographics. 2005 Nov-Dec;25(6):1501-20 - PubMed
- AJR Am J Roentgenol. 2000 May;174(5):1413-5 - PubMed
- Surg Radiol Anat. 2008 Oct;30(7):609-10 - PubMed
- Hernia. 2004 Aug;8(3):260-3 - PubMed
- Acta Chir Belg. 2004 Jun;104(3):330-4 - PubMed
- Can Assoc Radiol J. 2002 Jun;53(3):153-9 - PubMed
- Eur Surg Res. 2007;39(2):88-92 - PubMed
- AJR Am J Roentgenol. 1987 Mar;148(3):565-7 - PubMed
- Can J Surg. 2006 Apr;49(2):129-30 - PubMed
- Surg Radiol Anat. 2008 Oct;30(7):533-7; discussion 609-10 - PubMed
- Hernia. 2008 Jun;12(3):227-31 - PubMed
- Radiology. 1989 Jan;170(1 Pt 1):190 - PubMed
- AJR Am J Roentgenol. 2004 Sep;183(3):681-90 - PubMed
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