scholarly journals Complete Abdominal Wall Disruption With Herniation Following Blunt Injury: Case Report and Review of the Literature

2015 ◽  
Vol 100 (3) ◽  
pp. 531-539 ◽  
Author(s):  
Thomas Surya Suhardja ◽  
Mohamed Anwar Atalla ◽  
Warren Matthew Rozen
Keyword(s):  
Abdominal Wall ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
English Literature ◽  
Abdominal Wall Hernia ◽  
Blunt Injury ◽  
Solid Organ ◽  
Review Of The Literature ◽  
Traumatic Abdominal Wall Hernia ◽  
Rare Type

Acute traumatic abdominal wall hernia (TAWH) is a rare type of hernia that occurs after a low- or high-velocity impact of the abdominal wall against a blunt object. With few cases reported, a consensus in diagnosis and management has not been established in the literature. A systematic review of the literature for adult cases of traumatic abdominal wall hernia due to blunt abdominal trauma was undertaken. All original articles were reviewed and data were compiled and tabulated qualitatively. Diagnostic imaging modalities and their reported description of the abdominal wall hernia were detailed correlated with the laparotomy findings. We also report a case of TAWH following blunt abdominal trauma, and describe integration of this management into clinical practice. Fifty-five cases of adult TAWH were found in the English literature. Most hernias contained either small bowel (69%) or large bowel (36%), with 16% of TAWH containing both. Concurrent intra-abdominal injuries were seen in 60% of cases, with an almost equal number of associated bowel (44%) and solid organ (35%) injuries. Twenty percent of diagnosis of TAWH was delayed, ranging from 2 days to 9 years. While TAWH is uncommon, a high index of suspicion is required in patients who present with blunt abdominal trauma. A staging system for TAWH can facilitate appropriate management priorities and treatment. CT scanning is crucial in the diagnosis of TAWH, and aids in definitive management of these patients. The literature supports immediate surgical exploration for most TAWH.

scholarly journals Blunt abdominal trauma leading to acute abdominal wall hernia: a case report

2020 ◽  
Vol 5 (1) ◽  
pp. 86-90
Author(s):  
D Sharma ◽  
Santosh Shrestha ◽  
R Ghimire
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Abdominal Wall Hernia ◽  
Abdominal Hernia ◽  
Traumatic Abdominal Wall Hernia ◽  
Traumatic Abdominal Hernia

Acute traumatic abdominal wall hernia is a rare but serious diagnosis resulting from blunt abdominal trauma. The challenge of managing acute traumatic abdominal hernia is approach and timing of repair. We describe a 32 years male patient’s acute traumatic abdominal wall hernia and its management.

EP.FRI.35 Traumatic abdominal wall hernia (TAWH) in a 16 year old boy

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Elmurtada Ahmed ◽  
Simon Shaw
Keyword(s):  
Abdominal Wall ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Abdominal Wall Defect ◽  
Rare Complication ◽  
Vital Signs ◽  
Abdominal Wall Hernia ◽  
Skin Penetration ◽  
Traumatic Abdominal Wall Hernia ◽  
Visceral Injury

Abstract Definition Traumatic abdominal wall hernia is defined as: herniation of viscera through disrupted musculature & fascia associated with forceful trauma without skin penetration & no evidence of prior hernia defect prior to trauma  Introduction There are only about 30 reported cases of TAWH due to handlebar injury, it is a rare complication of blunt abdominal trauma it involves disruption of abdominal wall muscles with bowel loops herniating through the abdominal wall defect & may be accompanied by serious or lethal complications  Case report A 16 year old boy received trauma while cycling at about: 5 miles/hour & landed in the handle-bar with his right lower abdominal wall against the handle, the patient's vital signs were stable but there was bruising in the area, the diagnosis was missed by A&E doctor, but I saw him O/E there was a positive cough impulse & the diagnosis was confirmed by US examination, his haematological & biochemical investigations were normal, patient was taken to theatre & the hernia was repaired (image 2 & 3) Conclusion our case highlights the importance of clinical examination in blunt abdominal trauma & high index of suspicion plus using US/CT as appropriate to rule out mesenteric or visceral injury 

Traumatic abdominal wall hernia after blunt abdominal trauma caused by a handlebar in children: A well-visualized case report

Surgery ◽  
2012 ◽  
Vol 151 (6) ◽  
pp. 899-900 ◽  
Author(s):  
Sebastian Decker ◽  
Carsten Engelmann ◽  
Christian Krettek ◽  
Christian W. Müller
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Abdominal Wall Hernia ◽  
Traumatic Abdominal Wall Hernia

Traumatic abdominal wall hernia: delayed presentation in two cases and a review of the literature.

Hernia ◽  
2005 ◽  
Vol 9 (4) ◽  
pp. 388-391 ◽  
Author(s):  
H. J. Belgers ◽  
K. W. E. Hulsewé ◽  
P. A. M. Heeren ◽  
A. G. M. Hoofwijk
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Hernia ◽  
Delayed Presentation ◽  
Review Of The Literature ◽  
Traumatic Abdominal Wall Hernia

scholarly journals What We Know About Management of Traumatic Abdominal Wall Hernia: Review of the Literature and Case Report

2015 ◽  
Vol 100 (2) ◽  
pp. 233-239 ◽  
Author(s):  
Alireza Hamidian Jahromi ◽  
Justin Skweres ◽  
Guillermo Sangster ◽  
Lester Johnson ◽  
Navdeep Samra
Keyword(s):  
Abdominal Wall ◽  
Traffic Accident ◽  
English Language ◽  
Medical Literature ◽  
Road Traffic ◽  
Abdominal Wall Hernia ◽  
Review Of The Literature ◽  
Traumatic Abdominal Wall Hernia ◽  
Management Options ◽  
High Level

Traumatic abdominal wall hernia (TAWH) is an uncommon form of hernia caused by blunt traumatic disruption of the abdominal wall musculature/fascia and abdominal organ herniation. Diagnosis of TAWH is challenging and requires a high level of suspicion. This form of hernia seems to be underrepresented in the English-language medical literature. There is currently no consensus on the optimal management for TAWH. In this article, we discuss the management of a 36-year-old motorcycle driver who was involved in a road traffic accident. On evaluation at our trauma center, he was found to have TAWH. Diagnostic criteria, imaging modalities and different management options for TAWH will be discussed.

scholarly journals A concealed small bowel perforation in an adult secondary to bicycle handlebar trauma

2013 ◽  
Vol 95 (4) ◽  
pp. e4-e5 ◽  
Author(s):  
SC Ghosh ◽  
GJ Nolan ◽  
RR Simpson
Keyword(s):  
Small Bowel ◽  
Abdominal Wall ◽  
Bowel Perforation ◽  
Abdominal Wall Hernia ◽  
Solid Organ ◽  
Small Bowel Perforation ◽  
Traumatic Abdominal Wall Hernia ◽  
Close Inspection ◽  
Rare Injury ◽  
Low Threshold

Traumatic abdominal wall hernia (TAWH) secondary to bicycle handlebar is a rare injury. The majority of the literature describes abdominal wall herniation in children. We present a rare case of TAWH in an adult with a concealed small bowel perforation. Although clinical examination in conjunction with computed tomography can exclude the majority of solid organ injuries, small bowel injuries can often be missed. Our case initially revealed a serosal tear in the small bowel but, on close inspection, a separate 3mm perforation was identified, hidden in the small bowel mesentery. We strongly support a low threshold for operative intervention if there is any suspicion. Moreover, we stress the importance of meticulous examination during laparotomy as this injury could have been easily missed, resulting in potential morbidity or mortality in a patient sustaining such an injury.

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