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An unusual presentation of a lumbar hernia
  1. A Hindmarsh,
  2. S Mehta,
  3. D A Mariathas
  1. Deptartment of Accident and Emergency, Broomfield Hospital, Chelmsford, CM1 7BU, UK
  1. Correspondence to:
 Mr S Mehta;

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A 64 year man walked into the accident and emergency department with a 24 hour history of swelling in his right flank. Approximately two weeks before his presentation he had developed a painful rash over his right loin. There was no history of trauma. He denied any systemic upset and a review of his gastrointestinal and genitourinary systems was unremarkable. He did however give a history of chickenpox as a child. On examination he appeared …

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