Mentions: A 76 year old man presented to the emergency department, Tri-Service General Hospital, Taiwan, with intermittent dull abdominal pain for three weeks in August 2013. One reducible soft mass was found over his left flank under the ribs and enlarged when coughing. The computed tomography (CT) of abdomen demonstrated a herniation of retroperitoneal fat through left superior lumbar space, also known as Grynfeltt triangle (Fig. 1). He underwent lumbar oblique incision to return the hernia sac and repaired the defect by layered closure in a right decubitus position (Fig. 2A and 2B). The patient exhibited no symptoms six months after discharge.
Affiliation: Department of General Surgery, Tri-Service General Hospital, National Defence Medical Center, Taipei, Taiwan.
No MeSH data available.