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선천성 허리헤르니아 1예

A Case of Congenital Lumbar Hernia

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참고문헌

주제분류소아과학

초록

선천성 허리헤르니아는 12번 늑골과 장골 사이의 후복벽 요측부에 발생하는 탈장으로 매우 드문 질환이다. 출생 시부터 우측 측복부에서 덩이가 발견되었고 점차 크기가 증가하여 내원한 4개월 된 남아에서 복부 초음파 검사 및 복부 전산화 단층 촬영으로 선천성 상부 허리헤르니아가 진단되었고 일차 봉합술로 완치되었기에 보고하는 바이다.

Abstract

An lumbar hernia is a rare clinical disease entity thatarises from the superior or inferior lumbar triangle and presents as a reducible protruding mass in the flank region between twelfth rib and the iliac crest. There are two classifications one classification is a congenital or acquired hernia according to the occurrence timing and the other classification is a superior (Grynfeltt-Lesshaft hernia) or inferior (Petit's hernia) lumbar hernia according to the anatomical location. Approximately 10% of all lumbar hernias are congenital and the vast majority of them are unilateral. We report here a case of a congenital lumbar hernia through the superior lumbar triangle of Grynfeltt-Lesshaft without any other congenital anomalies or complications in a four-month-old male. It was treated successfully with a surgical repair. (Korean J Pediatr Gastroenterol Nutr 2007; 10: 211∼214)

참고문헌 (31)

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  20. Park HR, "Lumbar hernia combined with descending colon incarceration", 71, pp.482~485 (2006)
  21. Gupta H, "Congenital lumbar hernia", 41, pp.853~ (2004)
  22. Wakhlu A, "Congenital lumbar hernia", 16, pp.146~148 (2000)
  23. Wechsler RJ, "et al. Cross-sectional imaging of abdominal wall hernias. AJR Am J Roentgenol 1989", pp.517~21
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  25. Siffring PA, "Frick MP. Hernias of the inferior lumbar space diagnosis with US. Radiology 1989", pp.190~
  26. Somuncu S, "Congenital lumbar hernia associated with the lumbocostovertebral syndrome: two cases", 7, pp.122~124 (1997)
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  28. Hancock BJ, "Wiseman NE. Incarcerated congenital lumbar hernia associated with the lumbocostovertebral syndrome. J Pediatr Surg 1988", pp.782~3
  29. Skrekas G, "A Grynfeltt hernia: report of a case", 9, pp.188~191 (2005)
  30. Ipek T, "Laparoscopic management of inferior lumbar hernia (Petit triangle hernia)", 9, pp.184~187 (2005)
  31. Cavallaro G, "Primary lumbar hernia repair: the open approach", 39, pp.88~92 (2007)

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