Presentation
Bike accident right sided pain and hematoma.
Patient Data
Right subcutaneous hematoma and fat stranding. Traumatic inferior lumbar triangle hernia on the right containing fat. The right psoas muscle and right quadratus lumbar muscle are both swollen in keeping with hematoma.
Splenic inferior pole 2.5 cm calcified cyst.
Undisplaced fracture through the left L2 superior articular process involving the articular surface. Moderately displaced right L2-L4 transverse process fractures.
Right ASIS avulsion fracture. Similar spurring at the left ASIS without adjacent hematoma.
Case Discussion
Inferior lumbar hernias occur through the inferior lumbar triangle (below the 12th rib and above the iliac crest), most commonly after trauma or surgery.