Traumatic Spigelian Hernia Due to Handlebar Injury in a Child: A Case Report and Review of Literature

Abstract

Traumatic abdominal wall hernia is a rare clinical entity despite the high incidence of blunt abdominal trauma. In children, traumatic abdominal wall injury can occur even after minor trauma without any associated intra-abdominal injury. We report a case of Spigelian hernia due to a handlebar injury in a male child of 9 years, who came for treatment 5 weeks after the injury. Ultrasonography confirmed the clinical diagnosis of traumatic Spigelian hernia. The case was taken up for open surgery and anatomical repair was done with prolene. The patient had an uneventful postoperative course.

Mesh repair of a large traumatic lateral abdominal wall hernia in an 8‐day‐old foal

“…Traumatic abdominal wall hernias usually appear immediately as a reducible swelling protruding through the disrupted muscles and fascia following a blunt trauma that does not penetrate the skin (Thakur et al . ). Delay in diagnosis increases morbidity and mortality rates (Van Bemmel et al .…”

“…; Thakur et al . ). Otherwise, laparoscopic closure may represent an interesting approach to these cases and is associated with a reduced convalescence period (Lopez et al .…”

“…Larger hernias resulting from low velocity impact with no internal injury may be repaired through an incision overlying the defect (Thakur et al . ; Aravinda et al . ).…”

“…The literature in man contains numerous reports of traumatic abdominal wall hernias (TAWH). Traumatic abdominal wall hernias usually appear immediately as a reducible swelling protruding through the disrupted muscles and fascia following a blunt trauma that does not penetrate the skin (Thakur et al 2013). Delay in diagnosis increases morbidity and mortality rates (Van Bemmel et al 2011;Cabry et al 2014) and these cases should be managed rapidly.…”

Traumatic Spigelian hernia with perforated jejunum

“…It has been previously noted that the majority of Spigelian hernias are acquired and require urgent surgical repair due to high risk of strangulation . Traumatic Spigelian hernias described to date have been caused by focal blunt force trauma to the lower abdominal wall, such as falling over onto the handlebars of a bicycle or onto a tree branch …”