title: [Idiopathic Lumbar Hernia: A Case Report].
abstract: A 68-year-old woman, complained of an indolent lump about 60 × 70 mm in size in the left lower back. We conducted a computed tomography scan, which exhibited a hernia of Gerota'sfascia-commonly called superior lumbar hernia. In the right lateral position, the hernia contents were observed to attenuate, hence only closure of the hernial orifice was conducted by using Kugel patch, without removal of the hernia sack. Six months after the surgery, she has had no relapse of the hernia. Superior lumbar hernia, which occurs in an anatomically brittle region in the lower back, is a rare and potentially serious disease. The urologic surgeon should bear in mind this rarely seen entity.
authors.affiliation: The Department of Urology, Osaka Medical College Hospital.
authors.forename: Takuya
authors.initials: T
authors.lastname: Tsujino
authors.affiliation: The Department of Urology, Osaka Medical College Hospital.
authors.forename: Teruo
authors.initials: T
authors.lastname: Inamoto
authors.affiliation: The Department of Urology, Osaka Medical College Hospital.
authors.forename: Tomohisa
authors.initials: T
authors.lastname: Matsunaga
authors.affiliation: The Department of Urology, Osaka Medical College Hospital.
authors.forename: Taizo
authors.initials: T
authors.lastname: Uchimoto
authors.affiliation: The Department of Urology, Osaka Medical College Hospital.
authors.forename: Kenkichi
authors.initials: K
authors.lastname: Saito
authors.affiliation: The Department of Urology, Osaka Medical College Hospital.
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Takai
authors.affiliation: The Department of Urology, Osaka Medical College Hospital.
authors.forename: Koichiro
authors.initials: K
authors.lastname: Minami
authors.affiliation: The Department of Urology, Osaka Medical College Hospital.
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Takahara
authors.affiliation: The Department of Urology, Osaka Medical College Hospital.
authors.forename: Hayahito
authors.initials: H
authors.lastname: Nomi
authors.affiliation: The Department of Urology, Osaka Medical College Hospital.
authors.forename: Haruhito
authors.initials: H
authors.lastname: Azuma
mesh_terms: D000368:Aged; D005260:Female; D006547:Hernia / Q000473:pathology*; D059685:Herniorrhaphy / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D008161:Lumbosacral Region / Q000473:pathology* / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D064847:Multimodal Imaging; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed