title: Perforated sigmoid diverticulitis in a lumbar hernia after iliac crest bone graft--a case report.
abstract: BACKGROUND
  The combination of perforated diverticulitis in a lumbar hernia constitutes an extremely rare condition.
  
  
  METHODS
  We report a case of a 66 year old Caucasian woman presenting with perforated sigmoid diverticulitis localized in a lumbar hernia following iliac crest bone graft performed 18 years ago. Emergency treatment consisted of laparoscopic peritoneal lavage. Elective sigmoid resection was scheduled four months later. At the same time a laparoscopic hernia repair with a biologic mesh graft was performed.
  
  
  CONCLUSIONS
  This case shows a very seldom clinical presentation of lumbar hernia. Secondary colonic resection and concurrent hernia repair with a biologic implant have proven useful in treating this rare condition.
authors: Florian S
authors: FS
authors: Frueh
authors: Raphael N
authors: RN
authors: Vuille-dit-Bille
authors: Dimitri A
authors: DA
authors: Raptis
authors: Department of Surgery, Hospital of Bulach, Spitalstrasse 24, 8180 Bulach, Switzerland. hanspeter.notter@spitalbuelach.ch.
authors: Hanspeter
authors: H
authors: Notter
authors: Brigitte S
authors: BS
authors: Muff
mesh_terms: D000368:Aged; D016025:Bone Transplantation / Q000009:adverse effects*; D012809:Colon, Sigmoid; D004239:Diverticulitis, Colonic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D017558:Elective Surgical Procedures; D005260:Female; D006547:Hernia / Q000150:complications*; D059685:Herniorrhaphy / Q000009:adverse effects*; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010535:Laparoscopy; D008159:Lumbar Vertebrae; D013122:Spinal Diseases / Q000150:complications* / Q000601:surgery