Traumatic abdominal wall herniation: case series review and discussion

Gutteridge, Ian F; Towsey, Keith; Pollard, Cliff

doi:10.1111/ans.12079

Cited by 13 publications

(27 citation statements)

References 16 publications

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“…TAWH [9]; such patients often wear seatbelts incorrectly [9]. Incorrect placement of a seatbelt across the abdomen rather than the bony pelvis may cause shearing of abdominal muscles from their attachments along the pelvic brim.…”

Section: Discussionmentioning

confidence: 99%

“…Incorrect placement of a seatbelt across the abdomen rather than the bony pelvis may cause shearing of abdominal muscles from their attachments along the pelvic brim. Alternatively, the seatbelt may cause a sudden increase in intra-abdominal pressure triggering rupture of the abdominal wall [9]. A seatbelt is often worn incorrectly by the obese [10].…”

Section: Discussionmentioning

confidence: 99%

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Blunt Transection of the Entire Anterolateral Abdominal Wall Musculature Following Seatbelt-Related Injury

Kim

et al. 2020

J Trauma Inj

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Traumatic abdominal wall hernias (TAWHs) are uncommon and the incidence of this, which is rarely encountered in clinical practice, has been estimated at 1%. Furthermore, blunt transection of the entire abdominal wall musculature caused by seatbelt is a very rare complication. We report a case of adult with a complete disruption of the entire anterolateral abdominal wall muscle following the seatbelt injury. A 32-year-old male was wearing a seat belt in a high speed motor vehicle collision. Abdominal computed tomography (CT) scan revealed the complete disruption of bilateral abdominal wall musculatures including TAWH without visceral injury. However, injuries of small bowel and sigmoid colon were observed in the intra-operative field. The patient underwent the repair by primary closure of the defect with absorbable monofilament sutures. This case suggests that especially in TAWH patients, even if a CT scan is normal, clinicians should keep the possibility of bowel injury in mind, and choose a treatment based on the clinical findings.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Blunt Transection of the Entire Anterolateral Abdominal Wall Musculature Following Seatbelt-Related Injury

Kim

et al. 2020

J Trauma Inj

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“…We agree that immediate surgical repair is not always straightforward. As long as no associated intra-abdominal injury exists, achievement of the best surgical repair must be considered based on the size and site of the defect and the timing of repair [ 11 ]. For cases without hollow viscus injuries, relatively large defects, and tension for direct closure, primary mesh repair should be considered [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…In our case, we avoided a laparoscopic approach to explore other highly suspected organ injuries in the abdominal cavity. In fact, Gutteridge et al reviewed their cases of traumatic abdominal wall hernia and reported that none of their cases were able to be managed by laparoscopy alone [ 11 ]. The laparoscopic approach versus laparotomy must be carefully dictated by the mechanism of injury, co-existing injuries, extent of injuries, and the skill base of the surgeons at each respective center.…”

Section: Discussionmentioning

confidence: 99%

A case of traumatic abdominal wall hernia with delayed bowel obstruction

et al. 2015

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BackgroundTraumatic abdominal hernia is rare and difficult to diagnose from physical symptoms.PatientA 60-year-old woman was admitted to the emergency department with complaints of vomiting after falling off a bicycle and hitting her abdomen against one of the handlebars 2 days earlier. Computed tomography (CT) demonstrated abdominal wall hernia from blunt trauma to the left upper abdomen. The patient underwent exploratory laparotomy, and the herniated bowel loop was not found to be perforated or gangrenous. Primary hernia repair without resection of the bowel loop was performed.ResultsPostoperative course was uneventful.ConclusionSurgical exploration with primary repair of the defect is the definitive treatment in the present case, as the hernia contained an incarcerated loop of small bowel. The use of abdominal CT to confirm the diagnosis before operative repair of the hernia appears to be a safe and efficacious adjunct to physical examination.

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“…[ 2 ] However, other investigators have observed higher frequency of abdominal wall herniation, hollow viscus, thoracic, and neck injuries in restraint individuals. [ 4 5 ] Abbas et al . [ 6 ] observed that injuries of spine, abdomen or pelvic region are mainly associated with seatbelt sign and such patients should be thoroughly evaluated to rule-out the occult intra-abdominal injuries.…”

Section: Introductionmentioning

confidence: 99%

Seatbelt versus seatbelt and airbag injuries in a single motor vehicle crash

Afifi

El‐Menyar

Al-Thani

et al. 2015

Int J Crit Illn Inj Sci

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Seatbelt restraints are important for occupant safety which substantially reduces morbidity and mortality in severe motor vehicle crashes (MVC). Though, it has been established that the air bag and seatbelt use reduce injury severity and mortality but still there is limited information on the pattern of injury by restraint type. Herein, we presented two case reports which describe the injury pattern of two patients (both were restrained but only driver had airbag) involved in a single MVC. Both of them had severe traumatic injuries, however, the restrained passenger without airbag, sustained more severe injuries of intestine, kidney and spinal cord. In addition to seatbelt, airbag provides considerable protection against severe blunt abdominal trauma. Therefore, installation of airbags especially for front seat passenger is imperative for minimizing the risk of significant traumatic injuries.

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Traumatic abdominal wall herniation: case series review and discussion

Cited by 13 publications

References 16 publications

Blunt Transection of the Entire Anterolateral Abdominal Wall Musculature Following Seatbelt-Related Injury

Blunt Transection of the Entire Anterolateral Abdominal Wall Musculature Following Seatbelt-Related Injury

A case of traumatic abdominal wall hernia with delayed bowel obstruction

Seatbelt versus seatbelt and airbag injuries in a single motor vehicle crash

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