Traumatic abdominal wall hernia - Four cases and a review of the literature

Hardcastle T.C. ; Du Toit D.F. ; Malherbe C. ; Coetzee G.N. ; Hoogerboord M. ; Warren B.L. ; Modin C.C. (2005)


Objective. To review blunt traumatic abdominal wall hernias (TAWHs) in our institution. Method. Retrospective review of blunt abdominal trauma cases over a 6-month period. Results. Four patients with TAWH were identified. The mean age was 36 years. Three had been involved in vehicular collisions, and 1 had been assaulted with a large stone. All were diagnosed on presentation, 3 by computed tomography scan and 1 clinically. Two were repaired as emergencies, and 1 was repaired after 4 months. The 4th patient refused surgery. Conclusion. This uncommon injury requires a high index of suspicion and a low threshold for intervention. CT scan offers the best imaging potential.

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