Traumatic Abdominal Wall Hernia: A Case Report of High-Energy Type without Surgical Repair
نویسندگان
چکیده
Repair of traumatic abdominal wall hernia (TAWH) has been reported to be necessary. Reported here is one case of TAWH without repair. A 27-year-old man was accidentally sandwiched between a rock and a truck and admitted to our emergency department. There was a swelling of 10 cm in the right upper quadrant of the abdomen. The enhanced computed tomographic scan demonstrated a large abdominal wall muscular defect, transverse colon protrusion, and the presence of subcutaneous emphysema at the site. Based on these findings, lacerated transverse colon entrapped in TAWH was diagnosed. The patient underwent emergency laparotomy for laceration of the transverse colon, duodenum and pancreas, and open book fracture of the pelvis. Repair of the hernia was not performed because of the possibility of abscess formation by stool contamination. However, the hernia disappeared and the patient is doing well without recurrence of hernia 16 months after injury.
منابع مشابه
هرنی جدار شکم به دنبال ترومای بلانت شکمی
Traumatic abdominal wall hernia is a rare type of hernia, which follows blunt trauma to the abdomen, where disruption of the musculature and fascia occurs with the overlying skin remaining intact. Diagnosis of this problem is very difficult and delayed. Traumatic hernia is often diagnosed during laparatomy or laparascopy, but CT scan also has a role in distinguishing this pathology. Delay in d...
متن کاملAnesthetic management of diaphragmatic hernia repair in a dog: a case report and literature review of anesthetic techniques
This case report describes the anesthetic management and ventilation technique in the surgical treatmentof traumatic diaphragmatic hernia in a dog. A 5-month-old 8-kg female terrier with a history of car accidentwas presented for femoral fracture repair. Before anesthetic induction, marked tachypnea and dyspnea werenoted. Diaphragmatic hernia was diagnosed based upon radiographic and ultrasonog...
متن کاملA case of traumatic abdominal wall hernia with delayed bowel obstruction
BACKGROUND Traumatic abdominal hernia is rare and difficult to diagnose from physical symptoms. PATIENT A 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....
متن کاملA Traumatic Abdominal Wall Hernia Repair: A Laparoscopic Approach
BACKGROUND Traumatic abdominal wall hernias from blunt trauma usually occur as a consequence of motor vehicle collisions where the force is tangential, sudden, and severe. Although rare, these hernias can go undetected due to preservation of the skin overlying the hernia defect. Open repairs can be challenging and unsuccessful due to avulsion of muscle directly from the iliac crest, with or wit...
متن کاملLaparoscopic Repair of Blunt Traumatic Anterior Abdominal Wall Hernia
Traumatic abdominal wall hernia is a relatively uncommon finding secondary to blunt trauma. We report a unique case of laparoscopic diagnosis and immediate repair of a traumatic anterior abdominal wall hernia after blunt abdominal trauma.
متن کامل