Traumatic Bilateral Lumbar Hernia: Delayed presentation with incarceration

Abstract

Although blunt abdominal trauma is common, traumatic lumbar hernia is a rare entity. Acute traumatic lumbar hernia can be easily overlooked initially as it is associated with
other serious injuries that demands urgent attention. Delay in diagnosis and treatment of these hernias may result in increased morbidity and complications. We describe a case of motor vehicle collision; the initial evaluation of abdomen of the victim suggested no injury. Later she developed bilateral lumbar hernia and presented to us with incarceration of one hernial sac. Patient got relieved from obstruction during initial conservative treatment. Elective repair of both lumbar hernias was done by open extraperitoneal retromuscular sublay approach using a polypropylene mesh.