Abstract

This article discusses an uncommon case of complicated incisional lumbar hernia secondary to total hip arthroplasty. A female patient with the antecedent of bilateral total hip arthroplasty 5 years ago at another institution was hospitalized for acute edematous pancreatitis, conservative treatment was instituted. An initial abdominal computerized tomography showed the incidental finding of a left lumbar hernia in close relationship with a hip prosthesis. Remarkably, the patient had only occasional unspecific nuisances located over her hernia. During the 30th day of hospital stay, the incisional hernia became incarcerated and the intestinal contents strangulated. The severity of this complication, finally lead to the patient's decease. Despite its rarity, these hernias should be included within the differential diagnosis of flank masses and late hip arthroplasty symptomatic complications.

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