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Child with bilateral lumbar mass

Discussion in 'Spot Diagnosis' started by neo_star, Feb 19, 2013.

  1. neo_star

    neo_star Moderator

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    bilateral lumbar mass.JPG

    These bilateral masses are since birth according to the parents and may have changed marginally in size according to them. What could be the cause of these b/l masses ?
     

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  2. neo_star

    neo_star Moderator

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    Hint: It's a hernia
     

  3. khine

    khine New Member

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    congenital bilateral lumbar hernias
     

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  4. neo_star

    neo_star Moderator

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    Answer: Bilateral Lumbar Hernia

    Discussion

    It is one of the rare types of abdominal wall hernia.
    The herniation is through inferior triangle of Petit. It is bounded below by the crest of ileum, laterally by external oblique and medially by latissimus dorsi.
    It rarely gains entry into superior triangle of Petit which is bounded above by twelfth rib,medially by sacrospinalis and laterally by posterior border of external oblique.


    Petit's triangle.jpg
     

  5. C. Maru

    C. Maru Young Member

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    Pop quiz. What's the ddx for a lower lumbar/flank mass that disappears when prone or supine?
     

  6. Steven Andreas

    Steven Andreas Well-Known Member

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    Bilateral lumbar hernia
     

  7. m k

    m k Famous Member

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  8. Poonam Saraswat Sharma

    Poonam Saraswat Sharma Bronze Member

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    Renal mass
     

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