Lumbo-Costovertebral Syndrome with Congenital Inferior Lumbar Hernia in a Female Infant

Herein, we report a rare case of a 1 year old female who was diagnosed with congenital lumbar hernia along with vertebral, ribs, and abdominal wall anomalies suggestive of lumbo-costovertebral syndrome. It was also associated with musculoskeletal, genital, ocular, and cardiovascular defects. The patient presented with a palpable swelling in the lumbar region, which was initially suspected to be a simple hernia. Other apparent ocular and musculoskeletal findings revealed complex systemic anomalies that necessitated further investigation. Imaging studies, including ultrasonography and computed tomography, confirmed the presence of a left lumbar hernia and highlighted the associated abnormalities. The management strategy involved surgical repair of the hernia with the placement of a biological mesh over the defect. This case highlights the importance of considering multisystem involvement in children with congenital lumbar hernias and the need for a multidisciplinary approach to improve the diagnosis and outcomes.