A Rare Association of Congenital Lumbar Hernia and Giant Congenital Nevus

Conclusion

The association of congenital lumbar hernia and giant nevus has not been reported till date and ours is the first such case. Hence, this patient posed a management dilemma. Operating for both conditions in the same setting produced less than satisfactory cosmetic result. Thus, it is concluded that when such cases are encountered, proper preoperative studies to evaluate the hernia and planning for adequate tissue coverage should be done. Transperitoneal laparoscopic mesh hernioplasty with use of tissue expanders would have produced better results. Cosmetic results of nevus excision have been better if managed separately.

• References

• 1 Presti Jr JC, Narayan P. Lumbar herniation of the kidney. J Urol 1988; 140 (3) 586-587
• 2 Wakhlu A, Wakhlu AK. Congenital lumbar hernia. Pediatr Surg Int 2000; 16 (1–2) 146-148
• 3 Barrero Candau R, Garrido Morales M. [Congenital lumbar hernia and bilateral renal agenesis]. Cir Pediatr 2007; 20 (2) 133-135
• 4 Geis WP, Hodakowski GT. Lumbar hernia. In: Nyhus LM, Condon RE, , eds. Hernia. 4th ed. Philadelphia, PA: Lippincott; 1995: 412-423
• 5 Moreno-Egea A, Baena EG, Calle MC, Martínez JAT, Albasini JLA. Controversies in the current management of lumbar hernias. Arch Surg 2007; 142 (1) 82-88
• 6 Losanoff JE, Kjossev KT. Diagnosis and treatment of primary incarcerated lumbar hernia. Eur J Surg 2002; 168 (3) 193-195
• 7 Astarcioğlu H, Sökmen S, Atila K, Karademir S. Incarcerated inferior lumbar (Petit's) hernia. Hernia 2003; 7 (3) 158-160
• 8 Shuhaiber J, Dunn T, Evans A, Fishman D, Merlotti G, Salzman S. Traumatic lumbar hernia with ureteropelvic junction disruption: case report and review of the literature. J Trauma 2003; 55 (5) 985-988
• 9 Hafner CD, Wylie Jr JH, Brush BE. Petit's lumbar hernia: repair with Marlex mesh. Arch Surg 1963; 86: 180-186
• 10 Cavallaro G, Sadighi A, Miceli M, Burza A, Carbone G, Cavallaro A. Primary lumbar hernia repair: the open approach. Eur Surg Res 2007; 39 (2) 88-92
• 11 Bañuls J, Climent JM, Sánchez-Payá J, Botella R. The association between idiopathic scoliosis and the number of acquired melanocytic nevi. J Am Acad Dermatol 2001; 45 (1) 35-43
• 12 Wyatt AJ, Hansen RC. Pediatric skin tumors. Pediatr Clin North Am 2000; 47 (4) 937-963
• 13 Wu SJ, Lambert DR. Melanoma in children and adolescents. Pediatr Dermatol 1997; 14 (2) 87-92
• 14 Koot HM, de Waard-van der Spek F, Peer CD, Mulder PG, Oranje AP. Psychosocial sequelae in 29 children with giant congenital melanocytic naevi. Clin Exp Dermatol 2000; 25 (8) 589-593
• 15 Ruiz-Maldonado R, Tamayo L, Laterza AM, Durán C. Giant pigmented nevi: clinical, histopathologic, and therapeutic considerations. J Pediatr 1992; 120 (6) 906-911
• 16 Kanzler MH, Mraz-Gernhard S. Primary cutaneous malignant melanoma and its precursor lesions: diagnostic and therapeutic overview. J Am Acad Dermatol 2001; 45 (2) 260-276
• 17 Backman ME, Kopf AW. Iatrogenic effects of general anesthesia in children: considerations in treating large congenital nevocytic nevi. J Dermatol Surg Oncol 1986; 12 (4) 363-367
• 18 Miller CJ, Becker Jr DW. Removing pigmentation by dermabrading naevi in infancy. Br J Plast Surg 1979; 32 (2) 124-126
• 19 Johnson HA. Permanent removal of pigmentation from giant hairy naevi by dermabrasion in early life. Br J Plast Surg 1977; 30 (4) 321-323
• 20 Ruiz-Maldonado R, Orozco-Covarrubias ML. Malignant melanoma in children. A review. Arch Dermatol 1997; 133 (3) 363-371
• 21 Fahmy MAB, Mazy A. The feasibility of tissue expanders in reconstruction of giant congenital melanocytic nevi in children. Surg Innov 2010; 17 (3) 189-194