Perforated sigmoid diverticulitis in a lumbar hernia after iliac crest bone graft - a case report
- Equal contributors
1 Department of Surgery, Hospital of Bulach, Spitalstrasse 24, 8180 Bulach, Switzerland
2 Division of Plastic Surgery and Hand Surgery, University Hospital of Zurich, Zurich, Switzerland
3 Department of Pediatric Surgery, University Children’s Hospital of Zurich, Zurich, Switzerland
4 Department of Visceral and Transplantation Surgery, University Hospital Zurich, Zurich, Switzerland
BMC Surgery 2014, 14:46 doi:10.1186/1471-2482-14-46Published: 22 July 2014
The combination of perforated diverticulitis in a lumbar hernia constitutes an extremely rare condition.
We report a case of a 66 year old Caucasian woman presenting with perforated sigmoid diverticulitis localized in a lumbar hernia following iliac crest bone graft performed 18 years ago. Emergency treatment consisted of laparoscopic peritoneal lavage. Elective sigmoid resection was scheduled four months later. At the same time a laparoscopic hernia repair with a biologic mesh graft was performed.
This case shows a very seldom clinical presentation of lumbar hernia. Secondary colonic resection and concurrent hernia repair with a biologic implant have proven useful in treating this rare condition.