Lumbar hernia misdiagnosed as a subcutaneous lipoma
Lumbar hernia is a rare abdominal wall defect and clinical suspicion is necessary for diagnosis. The following case has been published in the Journal of Medical Case Reports.

A 40-year-old woman with a superior lumbar hernia (Grynfeltt hernia) WAS initially misdiagnosed as a recurrent lipoma. The correct diagnosis was made intra-operatively and the hernia was repaired using synthetic mesh. The patient was free of recurrence at 4 months after the operation.

Learning points:-
- A lumbar or flank mass should always raise suspicion of a lumbar hernia. Ultrasound and computed tomography may confirm the diagnosis.

- Adequate surgical treatment should be planned on the basis of etiology and hernia size.

- Both open and laparoscopic techniques can be used with good results.

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