| The Grynfeltt
hernia protrudes through the space of Grynfeltt-Lesshaft
that is bounded superiorly by the twelfth rib,
the posterior lumbocostal ligament and the inferior
serratus posterior muscle.
In the video,
one can appreciate its appearance, in this case
bilateral, in the convex of both lumbar fossae
by the protrusion of intestinal content through
the weakened space between the muscular planes.
A demonstration of the character of the hernia
comes from manual reduction of the two masses
and its reappearance posteriorly and increase
in volume with a Valsalva maneuver.
Although they are rare, it is advisable to know
them to avoid patient discomfort from unnecessary
investigations.
If its size is very large and causes discomfort,
or strangulation of the hernia occurs, the treatment
is then surgical.
Authors:
Miguel Ángel Torralba Cabeza
Emmy Arrúe*
Juan Ramón Brin Reyes*
Servicios de
Hospital Clínico Universitario “Lozano
Blesa” - Zaragoza
*Estudiantes de Medicina, Facultad de Medicina
de Panamá. Panamá
Translation: Kelly
Watt |
