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Using CT to Diagnose Traumatic Lumbar Hernia

Karen L. Killeen1, Stephanie Girard2, Jonathan H. DeMeo3, K. Shanmuganathan1 and Stuart E. Mirvis1

1 Department of Radiology, Shock Trauma Center, University of Maryland Medical System, 22 S. Greene St., Baltimore, MD 21201-1595.
2 Department of Radiology, Ottawa Hospital, Civic Campus, 1053 Carling Ave., Ottawa, Ontario K1Y 4E9, Canada.
3 Department of Radiology, Riverside Regional Medical Center, 500 J. Clyde Morris Blvd., Newport News, VA 23601.



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  		Fig. 1. —50-year-old man who had been restrained driver in motor vehicle collision. Axial CT scan shows herniation of ascending colon (curved arrows) through traumatic defect in Petit's triangle.

 


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  		Fig. 2. —18-year-old man who had been restrained driver in motor vehicle collision. Axial CT scan shows herniation of retroperitoneal fat (arrow) through traumatic defect in Petit's triangle.

 


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  		Fig. 3. —17-year-old girl who was unrestrained passenger in motor vehicle collision. Axial CT scan shows herniation of descending colon (curved arrow) through large defect in Petit's triangle.

 


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  		Fig. 4. —26-year-old man who had been dragged under light-rail train. Axial CT scan shows herniation of ascending colon (curved arrows) through traumatic defect in Grynfeltt-Lesshaft triangle.

 

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