case_images: PMC7415095_01
case_images: Right superior lumbar hernia bulge while performing a Valsalva maneuver.
case_images: CRIS2020-8859106.002.jpg
case_images: PMC7415095_01_CRIS2020-8859106.002.jpg
case_images: fig2
case_images: On physical examination, a reducible right flank bulge was noted to increase in size when performing a Valsalva maneuver or standing from a seated position (Figure 2).
case_images: Left lateral decubitus positioning with trocar placement. 5 mm trocars were inserted in the right subcostal area and in the right lower quadrant. The 12 mm trocar was placed along the midclavicular line.
case_images: CRIS2020-8859106.003.jpg
case_images: PMC7415095_01_CRIS2020-8859106.003.jpg
case_images: fig3
case_images: Additional 5 mm and 12 mm trocars were inserted in the right subcostal line (Figure 3).
case_images: (a) Preoperative CT scan demonstrating a superior lumbar hernia defect containing retroperitoneal fat. (b) Postoperative imaging 3 months after surgery.
case_images: CRIS2020-8859106.004.jpg
case_images: PMC7415095_01_CRIS2020-8859106.004.jpg
case_images: fig4
case_images: Pre- and postoperative CT imaging can be seen in Figures 4(a) and 4(b).