台灣外科醫學會雜誌

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篇名	A Superior Lumbar Hernia Presenting as Constipation: Case Report
作者	Ching-Chuan Hsieh, Yi-Yin Jan
卷期/出版年月	33卷6期 (2000/12)
頁次	287-290
摘要	Superior lumbar space with descending colon herniation resulting in constipation is very rare. We herein report a case of superior lumbar hernia presenting as constipation in a 76-year-old woman. She presented with a 6X6-cm, soft non-tender, smooth-surfaced mass in the left flank. Constipation occurred more than 1 week before the operation. The barium enema stydy showed herniation of the descending colon. A 5X^-cm defect was found in the transversalis fascia during operation, which was repared directly with interrupted 2-0 absorbable polydioxanone (PDS) reinforced with prosthetic non-absorbable mesh (Marlex). The postoperative course was uneventful after 12-month follow up. The treatment of superior lumbar hernia is not difficult after proper diagnosis.
關鍵詞	superior lumbar hernia, constipation, descending colon
分類	Case report