Year: 2026 | Month: July | Volume: 13 | Issue: 7 | Pages: 96-101
DOI: https://doi.org/10.52403/ijrr.20260712
A Rare Window in the Lumbar Triangle: Superior Lumbar Hernia
Dr Supreetha S1, Dr Madhuri Naik2, Dr Kiran Kumar KM3, Dr Ishwar Jeevanagi4, Dr Bathina Neehaar5
1Postgraduate Resident, 2Assistant Professor, 3Professor, 4,5Postgraduate Residents,
Department of General Surgery, Sapthagiri Institute of Medical Sciences and Research Centre (SIMSRC), Bengaluru, Karnataka, India
Corresponding Author: Dr Supreetha S
ABSTRACT
Superior lumbar hernia is an uncommon form of posterior abdominal wall hernia that protrudes through the superior lumbar (Grynfeltt–Lesshaft) triangle. Its rarity and non-specific presentation frequently result in delayed diagnosis or confusion with other flank pathologies. Contrast-enhanced computed tomography (CECT) is the preferred diagnostic modality and facilitates surgical planning. We present a 65-year-old female with a painless right flank swelling of six months duration. Clinical evaluation and CECT confirmed a right superior lumbar hernia containing preperitoneal fat without bowel involvement. The patient underwent elective laparoscopic repair with reduction of hernial contents, primary defect closure, and polypropylene mesh reinforcement. Recovery was uncomplicated, and no recurrence was noted at three-month follow-up. This report underscores the critical role of radiological assessment and demonstrates the efficacy of laparoscopic mesh repair in managing this uncommon surgical condition.
Keywords: Superior lumbar hernia, Grynfeltt-Lesshaft triangle, Lumbar hernia, Laparoscopic mesh repair, Flank swelling
[PDF Full Text]