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

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.

Traumatic Abdominal Hernia Masquerading as Strangulated Spigelian Hernia

ABSTRACT Spigelian hernia is a rare hernia constituting 0.1 to 2% of all hernias and needs high degree of clinical suspicion to diagnose. It has high chances of strangulation and hence operative management is advised. Traumatic abdominal wall hernia (TAWH) is yet another type of rare hernia usually occurring due to blunt trauma. This patient presented with TAWH with features of strangulation, at the anatomical site of Spigelian hernia mimicking a strangulated Spigelian hernia. He underwent emergency exploratory laparotomy, resection and anastomosis of involved small bowel segment with anatomical repair of defect. Patient recovered uneventfully in postoperative period. How to cite this article Nagarajan D, Chandrasekhar M, Jebakumar J, Menon A. Traumatic Abdominal Hernia Masquerading as Strangulated Spigelian Hernia. Panam J Trauma Crit Care Emerg Surg 2015;4(2):103-106.

Fixation of pelvic floor fractures in cats

Summary Objectives: To retrospectively evaluate the outcome of internal fixation of trauma-related pelvic floor fractures using a ventral abdominal approach in cats. Methods: Clinical examination and radio-graphic findings at presentation, after surgery, and at follow-up were assessed. Information gathered included concurrent injuries, surgical technique used, lameness and pain scores, and radiographic signs of implant stability. Results: Ten European shorthair cats were included in the study. Pelvic floor fractures were stabilised using locking plates in nine cats, and symphyseal separation was fixated using hemicerclage wire in one cat. Additional procedures included reduction of sacroiliac luxation in nine cats with positional screws placed in six cats, and plate stabilization of sacral fractures in one cat.All cats were able to walk within five days of surgery. No orthopaedic or neurological deficits were observed in seven cats at follow-up. Neurological deficits were observed in one cat. Signs of pain at implant sites due to inadequate surgical technique were noted in two cats. Anatomical reduction of the pelvic floor was achieved in eight cats. Clinical significance: Stabilization of the pelvic floor and repair of sacroiliac luxation and other injuries by a ventral abdominal approach in cats led to an overall successful outcome. Fixation of the pelvic floor in cats with intact acetabular and ilial bones should be considered in patients with multiple pelvic fractures in combination with sacroiliac joint luxation or sacral fracture, pelvic canal narrowing, traumatic abdominal hernia, and other abdominal injuries.