Work

Anterior lumbar hernia in a neonate

Year: 2025

Type: article

Abstract: A full-term neonate presented at birth with a left lateral abdominal wall mass that was not identified on routine prenatal ultrasound. An initial postnatal ultrasound obtained prior to paediatric surgery consultation failed to demonstrate a discrete fascial defect. On physical examination, a prominent left lateral abdominal wall bulge was noted, particularly during straining. With the infant at rest, a palpable fascial defect was appreciated at the level of the left anterior lumbar region, consistent with a variation of a congenital lumbar hernia.The patient otherwise appeared well and was discharged home with outpatient follow-up arranged. Elective surgical repair was performed at 2 months of age. The hernia was repaired in three layers with an AlloDerm (Allergan Aesthetics, AbbVie Inc, Chicago, IL, USA) graft placed in a sublay position between the two fascial layers. The infant tolerated the procedure well, and there has been no evidence of recurrence at follow-up.

Source: BMJ Case Reports

DOI: 10.1136/bcr-2025-268503

Authors: Molly K Schmitt, Kiefer M Starks, Mauricio Antonio Escobar

Institutions: Madigan Army Medical Center, Virginia Mason Franciscan Health, Mary Bridge Children's Health Center

Language: English

Topic: Congenital Anomalies and Fetal Surgery

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4416959827