A Rare Association of Congenital Lumbar Hernia and Giant Congenital Nevus

Lumbar hernia is a rare hernia accounting for less than 1% of abdominal hernias. Approximately, 20% of all lumbar hernias are congenital in origin.1 Congenital lumbar hernia is a compressible soft mass that may occur in the lumbar region especially through the superior lumbar space of Grynfeltt– Lesshaft, the inferior lumbar space of Petit and diffuse, which occurs due to generalized deficiency of the lumbar muscles. It may be present at birth or may develop in older children. Congenital lumbar hernia is usually associated with other congenital abnormalities of spine, rib, and viscera, that is, costovertebral syndrome, undescended testis, and bilateral renal agenesis.2,3 We report a rare association of giant congenital nevocellular nevus (NCN) and discuss the problems in management of congenital lumbar hernia in association with giant nevus.

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