title: Traumatic lumbar hernia: can't afford to miss.
abstract: We describe the radiological and surgical correlation of an uncommon case of a traumatic lumbar hernia in a 22-year-old man presenting to the emergency department following a motor vehicle accident. Computed tomography (CT) of the abdomen revealed a right-sided traumatic inferior lumbar hernia containing a small amount of fat through the posterior lateral internal oblique muscle with hematoma in the subcutaneous fat and adjacent abdominal wall musculature, which was repaired surgically via primary closure on emergent basis. The purpose of this article is to emphasize the importance of diagnosing traumatic lumbar hernia on CT and need for urgent repair to avoid potential complications of bowel incarceration and strangulation.
authors.affiliation: Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA, saboo_100@yahoo.com.
authors.forename: Sachin S
authors.initials: SS
authors.lastname: Saboo
authors.forename: Bharti
authors.initials: B
authors.lastname: Khurana
authors.forename: Naman
authors.initials: N
authors.lastname: Desai
authors.forename: Yu-Hsiang
authors.initials: YH
authors.lastname: Juan
authors.forename: Wendy
authors.initials: W
authors.lastname: Landman
authors.forename: Aaron
authors.initials: A
authors.lastname: Sodickson
authors.forename: Jonathan
authors.initials: J
authors.lastname: Gates
mesh_terms: D000007:Abdominal Injuries / Q000000981:diagnostic imaging* / Q000601:surgery; D000063:Accidents, Traffic; D003287:Contrast Media; D003937:Diagnosis, Differential; D046449:Hernia, Abdominal / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008161:Lumbosacral Region; D008297:Male; D014057:Tomography, X-Ray Computed; D055815:Young Adult
chemical_list: D003287:Contrast Media