{
  "abstract": "A full-term neonate presented at birth with a left lateral abdominal wall mass that was not identified on routine prenatal ultrasound. An initial postnatal ultrasound obtained prior to paediatric surgery consultation failed to demonstrate a discrete fascial defect. On physical examination, a prominent left lateral abdominal wall bulge was noted, particularly during straining. With the infant at rest, a palpable fascial defect was appreciated at the level of the left anterior lumbar region, consistent with a variation of a congenital lumbar hernia.The patient otherwise appeared well and was discharged home with outpatient follow-up arranged. Elective surgical repair was performed at 2 months of age. The hernia was repaired in three layers with an AlloDerm (Allergan Aesthetics, AbbVie Inc, Chicago, IL, USA) graft placed in a sublay position between the two fascial layers. The infant tolerated the procedure well, and there has been no evidence of recurrence at follow-up.",
  "authors": [
    {
      "affiliations": [
        "Surgery, Madigan Army Medical Center, Tacoma, WA, USA"
      ],
      "name": "Molly K Schmitt"
    },
    {
      "affiliations": [
        "Surgery, Virginia Mason Franciscan Health, Tacoma, WA, USA"
      ],
      "name": "Kiefer M Starks"
    },
    {
      "affiliations": [
        "Pediatric Surgical Services, Mary Bridge Children’s Hospital and Health Center, Tacoma, WA, USA"
      ],
      "name": "Mauricio Antonio Escobar, Jr"
    }
  ],
  "title": "Anterior lumbar hernia in a neonate",
  "uid": "b48abb67-4375-5799-809d-1fe6d853f649"
}