Traumatic abdominal wall hernia: a rare case report and review

Gandhi, Chinmay; Kadam, Prameyratna; Mote, Dajiram Govinda; Ingle, Gautam

doi:10.18203/2349-2902.isj20163620

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…In cases of high-energy trauma, extra-abdominal injuries such as fractures of vertebrae and the ribs may accompany it. 12 Multiple fractures of the thoracic cage, skull and complete transection of cervical vertebrae were observed in our case which itself signifies the involvement of high-energy crush and shearing forces in the reported case. There is a high possibility of severe intra-abdominal injuries in the case of TAWH following high-energy trauma of the abdomen.…”

Section: Discussionsupporting

confidence: 57%

Traumatic inguinal hernia: An uncommonly reported entity

et al. 2020

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Traumatic abdominal wall herniation, especially of the groin region, is a rare condition and typically results from a high-energy trauma to the abdominal wall. We report a fatal case of a road-traffic collision involving a young male motorcyclist who collided with a speeding lorry. The victim sustained multiple injuries over the chest and abdomen, with traumatic inguinal herniation causing gross distension of the scrotum. At autopsy, multiple lacerations of thoracic and abdominal organs were seen, along with traumatic disruption of the right inguinal canal. The contused terminal ileum was present in the scrotal sac. A literature search has revealed a limited number of reported cases of gross inguinal herniation following thoracoabdominal trauma. In cases of high-energy trauma to the thoraco-abdominal region with unilateral or bilateral distension of the scrotum, the possibility of herniation of the abdominal contents into the scrotal sac should be considered by the forensic pathologist.

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Section: Discussionsupporting

confidence: 57%

Traumatic inguinal hernia: An uncommonly reported entity

et al. 2020

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Unique laparoscopic emergency management of traumatic obstructed abdominal wall hernia: A case report and review of literature

Aljuhani,

Al Saied,

Reyaz

et al. 2024

Int J Abdom Wall Hernia Surg

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Traumatic abdominal wall hernia (TAWH) is a rare clinical occurrence, with only limited cases published since 1906. This type of hernia is primarily caused by low- or high-energy blunt force trauma, resulting in damage to abdominal wall musculature while the skin is intact. The diagnosis and management of TAWH poses a lot of challenges and complexities. Herein, we present a case of a 32-year-old male Saudi patient who sustained significant abdominal trauma as a driver involved in a front collision while wearing a seat belt. Upon arrival at the trauma center, the patient was hemodynamically stable and exhibited clinical signs of left flank bulge, seat belt sign, and abdominal bruising. First, a focused assessment with sonography for trauma (FAST) was performed, which revealed minimal free fluid in the abdomen. Subsequent contrast-enhanced IV computed tomography (CT) scan confirmed a 3.6-cm left lateral abdominal wall defect with herniation of short segments of the large and small bowel loops and adjacent subcutaneous fluid. Following initial observation, the patient developed signs of bowel obstruction. A repeat CT scan showed interval progression of the hernia, partial small bowel obstruction, and other concerning findings. An emergency laparoscopic exploration revealed a large defect at the left lumber region containing omentum and long segments of the small bowel with mild distension. The bowel and omentum were reduced. The surgical repair included herniorrhaphy and mesh placement. The patient recovered well and was discharged on the third postoperative day. This case underscores the importance of thorough evaluation and timely intervention in TAWHs. Rapid surgical management, aided by advanced imaging techniques, can lead to favorable outcomes even in complex cases involving bowel herniation and associated complications.

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Traumatic abdominal wall hernia: a rare case report and review

Cited by 2 publications

References 6 publications

Traumatic inguinal hernia: An uncommonly reported entity

Traumatic inguinal hernia: An uncommonly reported entity

Unique laparoscopic emergency management of traumatic obstructed abdominal wall hernia: A case report and review of literature

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