case_images: PMC3789277_01
case_images: Left-sided congenital lumbar hernia.
case_images: CRIM.PEDIATRICS2013-532910.001.jpg
case_images: PMC3789277_01_CRIM.PEDIATRICS2013-532910.001.jpg
case_images: fig1
case_images: As per the mother's description the swelling was present since birth and had increased in size over a period of time (Figure 1).
case_images: X-ray of the chest region and abdomen showing absence of lower ribs on the left side and scoliosis.
case_images: CRIM.PEDIATRICS2013-532910.002.jpg
case_images: PMC3789277_01_CRIM.PEDIATRICS2013-532910.002.jpg
case_images: fig2
case_images: Chest X-ray revealed the absence of the lower ribs on the left side with scoliosis of the spine (Figure 2).
case_images: CT scan showing severely hypoplastic posterior abdominal muscles (erector spinae, iliocostalis, and latissimus dorsi) causing posterolateral herniation of the spleen. D10-12 vertebral bodies are hemivertebrae.
case_images: CRIM.PEDIATRICS2013-532910.003.jpg
case_images: PMC3789277_01_CRIM.PEDIATRICS2013-532910.003.jpg
case_images: fig3
case_images: They were absence of the lower two ribs on the left side, attenuation of the left posterolateral body wall musculature (erector spinae, iliocostalis, and latissimus dorsi), a musculoaponeurotic defect with herniation of the spleen, hemivertebrae, and scoliosis (Figure 3).
case_images: The defect in the hypoplastic musculature.
case_images: CRIM.PEDIATRICS2013-532910.004.jpg
case_images: PMC3789277_01_CRIM.PEDIATRICS2013-532910.004.jpg
case_images: fig4
case_images: The defect was identified amidst hypoplastic surrounding musculature (Figure 4).
case_images: Defect in the attenuated musculature with the sac dissected up to the neck.
case_images: CRIM.PEDIATRICS2013-532910.005.jpg
case_images: PMC3789277_01_CRIM.PEDIATRICS2013-532910.005.jpg
case_images: fig5
case_images: The sac was identified and dissected all around up to the neck (Figure 5).
case_images: A prosthetic mesh placed between the inverted sac and the muscular layer.
case_images: CRIM.PEDIATRICS2013-532910.006.jpg
case_images: PMC3789277_01_CRIM.PEDIATRICS2013-532910.006.jpg
case_images: fig6
case_images: A semiabsorbable prosthetic mesh was placed over the defect with overlapping flap closure of the adjacent musculature (Figures 6 and 7).
case_images: The defect closed over the mesh with overlapping flaps of the adjacent musculature.
case_images: CRIM.PEDIATRICS2013-532910.007.jpg
case_images: PMC3789277_01_CRIM.PEDIATRICS2013-532910.007.jpg
case_images: fig7
case_images: A semiabsorbable prosthetic mesh was placed over the defect with overlapping flap closure of the adjacent musculature (Figures 6 and 7).