title: [Diagnostic and therapeutic difficulties of left lower quadrant abdominal pain].
abstract: A patient presented with left lower quadrant abdominal pain and a lumbar hernia after pyeloplasty. In her history, diverticular disease, lumbar vertebral arthropathy, total abdominal hysterectomy and total left hip prosthesis were found. Due to the lack of special CT maneuvers and techniques (Valsalva, MDCT), laparoscopy provided a clear diagnosis finally. Closure of the hernia with absorbable sutures provided a temporary solution only. A Composix mesh was used therefore, but this resulted in postoperative neuropathic pain. This complication was treated with removal of the tacks and adhesiolysis.
authors.affiliation: Nagyatádi Városi Kórház Sebészet, 7500 Nagyatád, Bajcsy-Zs. u. 1. drantala@freemail.hu
authors.forename: András
authors.initials: A
authors.lastname: Antal
authors.forename: Janaki
authors.initials: J
authors.lastname: Hadijev
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000368:Aged; D001672:Biocompatible Materials; D003937:Diagnosis, Differential; D005260:Female; D006547:Hernia / Q000150:complications / Q000175:diagnosis*; D059685:Herniorrhaphy; D006801:Humans; D010535:Laparoscopy; D012086:Reoperation; D013526:Surgical Mesh / Q000009:adverse effects; D013537:Sutures; D000267:Tissue Adhesions / Q000209:etiology / Q000601:surgery
chemical_list: D001672:Biocompatible Materials