Introduction:

Lumbar hernia (LH) is rarely found in teenager patients. There is an increased incidence of traumatic etiology of LH related to new diagnostic methods. LH has been frequently misdiagnosed as other surgical entities. A case of acquired primary superior lumbar hernia in a teenager patient with no previous history of surgical diseases is presented.

Objective:

To specify the keys for the diagnosis of acquired Grynfeltt-Lesshaft hernia in a teenager patient.

Case Presentation:

A 14-year-old African-American male patient who complained of an occasionally painful swelling over the left side of the lumbar region was clinically diagnosed with a Grynfelt-Lesshaft hernia which was confirmed by CT scan. The patient was operated on with a transverse incision over the tumour for the lumpectomy. The contents were reduced, and the 1cm x 1cm ring with no sac was closed and reinforced with a polyester fibre prosthetic mesh. No immediate complications were observed. The patient was discharged from the health care center five days after the procedure.

Conclusions:

The Grynfelt-Lesshaft hernia is an uncommon surgical condition related to a congenital or acquired etiology. The available advances in the diagnostic methods allow us to easily identify a Grynfelt-Lesshaft hernia in younger patients.

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