Grynfelttâ??Lesshaft hernia is a kind of lumbar abdominal wall hernia in which clinical presentations\nmay vary from an asymptomatic bulge in the lumbar area to a symptomatic lumbar mass with back pain. It has\nbeen accepted to be a rare entity, and incarceration of the kidney through this hernia is shown to be very rare, and\nvery few previous cases have been reported in this regard.\nWe present a case of renal pelvic and ureteropelvic junction incarceration in a Grynfeltt-Lesshaft hernia and provide\nan overview of the existing literature on it.\nCase presentation: A 76-year-old lady presented to the outpatient clinic with the chief complaint of right flank\npain and swelling. Computed tomography (CT) scan of the abdomen was revealed a large herniated sac (60*30\nmm) in the upper lumbar triangle with protrusion of retroperitoneal and omental fat, right renal pelvis,\nureteropelvic junction and proximal ureter with consecutive hydronephrosis. Herniated retroperitoneal and omental\nfat was reduced, and closure of the abdominal wall defect was done using retro-muscular Mesh and was fixed to\nthe fascia. The patient was discharged 24 h after the surgery without any complications.\nConclusion: Kidney herniation through the lumbar triangle is extremely rare, and the diagnosis requires careful\nclinical evaluation. CT scan is the modality of choice for the assessment. Management through surgery should be\ndone in symptomatic patients.
Loading....