A Case of Lumbocostovertebral Syndrome With Congenital Lumbar Hernia Repaired

Abstract

A 20-day-old boy had lumbar hernia on his right side at birth. Abdominal ultrasonography showed hernia content on a part of the right lobe (S7) of the liver. Chest-abdominal X-ray and CT also showed that he had thoracolumbar scoliosis, costal deficit, fused ribs, and hemivertebra. Thus, we diagnosed him as having lumbocostovertebral syndrome (LCVS). At four months of age, he underwent open hernia repair with a polypropylene mesh. There was a peritoneal sac and a part of the liver in it. The surroundings were very thin and weak, so we patched the mesh between the musculature and the preperitoneal layer with an inlay patch, which was fixed with a non-absorbable suture at a certain surrounding musculature. The patient’s postsurgical course was uneventful, and he recovered and was discharged nine days after the operation. At the time of this writing, he developed no complication or showed no recurrence of lumber hernia. LCVS is rare disorder associated with musculoskeletal anomaly and various abnormalities. LCVS patients need long-term observation before and after the operation with other experts.