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

Date
2005
Authors
Hardcastle T.C.
Du Toit D.F.
Malherbe C.
Coetzee G.N.
Hoogerboord M.
Warren B.L.
Modin C.C.
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
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.
Description
Keywords
abdominal blunt trauma, abdominal wall hernia, adult, case report, clinical feature, computer assisted tomography, diagnostic imaging, disease course, elective surgery, emergency surgery, human, retrospective study, review, Abdominal Injuries, Accidents, Traffic, Adult, Female, Hernia, Ventral, Humans, Male, Retrospective Studies, Time Factors, Tomography, X-Ray Computed, Wounds, Nonpenetrating
Citation
South African Journal of Surgery
43
2