Dr. Sanjay Khaladkar1, Dr.Pooja Karanjule1, Dr. Arijit Ghosh1, Dr. Vaibhav Aher1
1Department of Radio-diagnosis, Dr. D. Y. Patil Medical College and Research Center, Dr. D.Y. Patil Vidyapeeth, Pimpri, Pune, India
Abstract
Congenital lumbar hernia is a rare anomaly. Congenital lumbar hernia is usually associated with lumbo-costo vertebral syndrome. Lumbo-costo vertebral syndrome is a condition that includes spinal anomalies like hemivertebrae, absent ribs, and abdominal wall muscle hypoplasia. It usually presents as a symptomatic large mass in lumbar triangle (either superior or inferior lumbar triangle). Congenital hernias occurred due to defects in the musculoskeletal system. These defects occur probably due to single somatic defect which occurs between 3-5 weeks of gestational age with resultant malformation of vertebral bodies, ribs and abdominal musculature. Incomplete form of lumbo-costo vertebral syndrome shows congenital hernia, spinal anomalies with no rib abnormalities. Congenital lumbar hernia occurs in superior lumbar triangle in lumbo-costo vertebral syndrome due to absence of 11th and 12th ribs with attenuation and weakened attachments of the involved adjacent musculature. We report a case of 2-year female child having swelling right lumbar region since birth due to congenital lumbar hernia with associated spinal anomalies.
Keywords: Lumbar hernia, lumbo-costo vertebral syndrome, congenital, abdominal wall defect