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The Daily Insight

What is a flank hernia

Author

Ava Hall

Published Feb 26, 2026

Also called a lumbar hernia, a flank hernia is a rare type of hernia that develops as a result of a weakness in the posterolateral abdominal wall, the region that lies on the side and back of the abdominal wall.

How rare is a flank hernia?

Flank hernias occur in 0.2% of blunt trauma patients but are also seen after abdominal and thoracic operations. As a part of this group, lateral intercostal herniation following a surgical procedure has been reported in only six cases in world literature.

Can a hernia cause flank pain?

Signs and Symptoms Individuals suffering from a lumbar hernia may be completely asymptomatic. If symptoms are present, they include back or flank pain or a dragging sensation. Left untreated, lumbar hernias can grow to large proportions.

What is flank hernia surgery?

A lumbar hernia, also known as a flank hernia, is a certain type of hernia that occurs after an operation (usually to surgically treat a kidney or lung problem) or after a traumatic injury to the abdominal wall.

How long is flank hernia surgery?

The surgery takes about two hours to complete. While there is much pessimism in the surgical literature regarding these hernias, Dr. Dumanian recently reviewed his cases. With a mean follow-up of two years after repair, 28 of 31 patients have healed well and without a hernia recurrence.

Where is flank pain located?

Flank pain is pain in one side of the body between the upper belly area (abdomen) and the back. There are three body views (front, back, and side) that can help you to identify a specific body area.

Is a flank hernia serious?

Flank hernias don’t heal on their own; they require surgical intervention with an experienced surgeon like Dr. Gregory Dumanian. If left untreated, flank hernias can cause serious pain and other complications.

Does a hernia make your back hurt?

Can Hernias Cause Back Pain? The short answer is yes, hernias can cause back pain. Before we dive in any deeper, let’s briefly talk about what exactly a hernia is. Hernias occur when an organ or piece of tissue pushes out of a muscle wall, resulting in pain and potential blood flow issues.

What does a flank hernia feel like?

Symptoms of flank hernia Symptoms commonly experienced by patients with a flank hernia include: A bulge on the back or side of the abdomen. Back pain around the area of the bulge. Pain that worsens when coughing and/or straining.

What can be mistaken for a hernia?

(SLS). Hernias can go misdiagnosed in women, and can instead be thought to be ovarian cysts, fibroids, endometriosis, or other abdominal issues, according to the SLS. Women’s hernias can be small and internal. They might not be a bulge that can be felt in an exam or be visible outside the body, according to the SLS.

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Can a hernia cause back and hip pain?

What started as pressure or discomfort can turn into pain. The pain may not just be in the area of the hernia; it can radiate to your hip, back, leg — even to the genitals. As your hernia gets worse, many aspects of your life will get worse right along with it.

Can a hernia make you tired?

Weakness. A feeling of muscle fatigue and weakness in the upper leg and groin can be a sign of a hernia.

Where is a paraesophageal hernia located?

A paraesophageal hernia occurs when the lower part of the esophagus, the stomach, or other organs move up into the chest. The hiatus is an opening in the diaphragm (a muscle separating the chest from the abdomen) through which organs pass from the chest into the abdomen.

What does a hernia feel like in a woman?

Typically, patients with ventral hernias describe mild pain, aching or a pressure sensation at the site of the hernia. The discomfort worsens with any activity that puts a strain on the abdomen, such as heavy lifting, running or bearing down during bowel movements. Some patients have a bulge but do not have discomfort.

What does hernia in stomach look like?

Abdominal wall hernias are generally visible: they will look like a lump or bulge beneath the skin. These hernias don’t usually cause any other symptoms except for mild pain or discomfort, usually when you are straining (for instance, lifting something heavy).

What does a hernia in your back feel like?

This pain might shoot into your arm or leg when you cough, sneeze or move into certain positions. Pain is often described as sharp or burning. Numbness or tingling. People who have a herniated disk often have radiating numbness or tingling in the body part served by the affected nerves.

When should I worry about hernia pain?

Seek immediate care if a hernia bulge turns red, purple or dark or if you notice any other signs or symptoms of a strangulated hernia. See your doctor if you have a painful or noticeable bulge in your groin on either side of your pubic bone.

What is involved in a hernia operation?

Open hernia repair is where an incision, or cut, is made in the groin. The hernia “sac” containing the bulging intestine is identified. The surgeon then pushes the hernia back into the abdomen and strengthens the abdominal wall with stitches or synthetic mesh.

What are flanks on a woman?

Flanks, or “love handles,” refer to the excess fat on the sides of your lower waist and back. Although excess can build up anywhere on the body, it often occurs in this area. That’s because the body tends to store fat around the belly.

What organs are in the flank area?

Pancreas or liver problems. The pancreas and liver sit deep within the abdomen, just under the rib cage. Sometimes, problems with these organs cause flank pain. The pain can also radiate to the back.

Is flank pain serious?

Most people experience flank pain at least once in their life, and the discomfort is usually temporary. However, constant or severe flank pain may indicate a serious medical condition, such as dehydration or a urinary tract infection. Kidney stones or another kidney problem may also cause persistent flank pain.

How do I check myself for an abdominal hernia?

  1. Feel for a lump or swelling around the pubic bone.
  2. If you find a lump, make note of where it is and lie down.
  3. Did the lump disappear or become smaller? If so, it may be a hernia.
  4. Do you feel discomfort when coughing or lifting heavy objects? It’s almost certainly a hernia.

Can a hernia make you feel dizzy?

Get medical help immediately if: You know you have a large hernia and you experience severe chest pain, trouble breathing, or trouble swallowing. You develop heartburn along with nausea, vomiting, shortness of breath, dizziness, an irregular heartbeat, or you feel like your heart is beating too hard or too fast.

Can a hernia cause changes in bowel movements?

For inguinal, femoral, umbilical, and incisional hernias, symptoms may include: An obvious swelling beneath the skin of the abdomen or the groin. It may be tender, and it may disappear when you lie down. A heavy feeling in the abdomen that sometimes comes with constipation or blood in the stool.

Does a hernia make you urinate more?

Sometimes a patient’s bladder will be trapped within the hernia. If this happens, you could experience urinary burning, frequent infections, bladder stones and hesitancy or frequency in urinating.

Do hernias show up on CT scans?

Cross-sectional CT scans can show hernias and the contents of the peritoneal sac. More important, CT findings can be used to diagnose unsuspected hernias and to distinguish hernias from masses of the abdominal wall, such as tumors, hematomas, abscesses, undescended testes, and aneurysms.

Where do you feel pain from a hernia?

The symptoms that lead most people to the doctor, and eventually a hernia diagnosis, typically include pain in the abdomen, particularly in the groin area. The pain tends to get worse if you sneeze, cough, lift something heavy or strain. But different types of hernia can cause other symptoms.

How do you poop after hernia surgery?

If your stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt. If your bowel movements are not regular right after surgery, try to avoid constipation and straining. Drink plenty of water. Your doctor may suggest fibre, a stool softener, or a mild laxative.

Is a paraesophageal hernia serious?

A paraesophageal hernia is more dangerous. Your esophagus and stomach stay where they should be, but part of your stomach squeezes through the hiatus to sit next to your esophagus. Your stomach can become squeezed and lose its blood supply. Your doctor might call this a strangulated hernia.

How do you fix a paraesophageal hernia?

The majority of paraesophageal hernias can be successfully repaired using laparoscopic techniques. A laparoscope is a flexible tube with a camera on the tip that provides real-time imaging to the surgeon. During a laparoscopic hiatal hernia repair, the surgeon will make five small incisions in the abdomen.

What's difference between paraesophageal hernia and hiatal hernia?

What Is A Paraesophageal Hiatal Hernia? Paraesophageal hernias are less common than sliding hiatal hernias, but can prove to be more concerning. The esophagus and stomach stay in their normal locations, but part of the stomach squeezes through the hiatus, putting it beside the esophagus.