Lumbar Hernia: An Unusual Presentation of Bear Maul

作     者：Mubashir Ahmad Shah Aakib Hamid Charag Adil Pervaiz Shah Haroon Rashid Zargar 

作者机构：Department of General & Minimal Access Surgery Sher-I-Kashmir Institute of Medical Sciences Srinagar India Department ofPlastic & Reconstructive Surgery Sher-I-Kashmir Institute of Medical Sciences Srinagar India 

出 版 物：《International Journal of Clinical Medicine》 (临床医学国际期刊（英文）)

年 卷 期：2013年第4卷第10期

页      面：451-454页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Lumbar Hernia Trauma Bear Maul 

摘      要：Introduction: Typical lumbar hernias are very rare surgical conditions. Lumbar hernias can be congenital or acquired. About 25% of all lumbar hernias have a traumatic etiology. Case-Report: We here reported a case of a 55-year-old male who was mauled by a bear. The patient developed an atypical lumbar hernia after 6 months of sustaining craniofacial and abdominal trauma. Open hernioplasty, which was a very challenging job, was done in this patient. Conclusion: Post traumatic lumbar hernias have been reported but till today no case of lumbar hernia following an attack by a bear has been reported in literature. Both acute and long-standing post-traumatic lumbar hernias are rare but challenging conditions. The corrective surgical procedure becomes more complex as hernial defect enlarges. Reconstruction is a challenging aspect of lumbar hernia surgery.