Strangulated lumbar hernias in adults: A case report and review of the literature

Strangulated lumbar hernia is a very rare condition, with no more than 30 cases reported in the literature so far. Therefore, there is no specific management guideline and the diagnosis remains difficult. By reporting the case of a Senegalese male patient who had a preoperative diagnosis of strangulated lumbar hernia, we aim to discuss the diagnosis and therapeutic modalities of this rare entity, which is often misdiagnosed. Lumbar hernia is an uncommon condition. Barbette, in 1672, made the first description of this entity, while Garan-geot published the first case in 1731. 1 Strangulation is a life-threatening complication that is often misdiagnosed due to its rarity and unspecific display. Indeed, to the best of our knowledge, no more than 30 cases of strangulated lumbar hernia have been reported in the surgical literature since 1889. 2 Therefore, there is no specific management guideline. 3 Here we report the case of a strangulated lumbar hernia in a Senegalese male, and discuss the diagnosis and therapeutic modalities of this rare entity.