IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Inferior lumbar hernia

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Bike accident right sided pain and hematoma.

Patient Data

Age: 50 years
Gender: Male

CT Abdomen and pelvis

ct

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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.