Traumatic abdominal hernia: Report of three cases and review of the literature

Traumatic handlebar hernia: A rare abdominal wall hernia

“…These include the absence of a preexisting hernia in the same location, evidence of abdominal wall injury at presentation, immediate or delayed development of a hernia (usually close to the site of injury), and variable presence of a peritoneal sac. 5,8 Diffuse abdominal trauma can result in traumatic hernias that present with intraabdominal injury. 2 However, for the majority of the cases described, traumatic handlebar hernias do not present with significant intraabdominal injury.…”

“…4 Some clinicians also have described discovering a hernia at the time of laparotomy or peritoneal lavage done for associated injuries. 5,9 Regardless of the various diagnostic modalities available, the key to prompt diagnosis still relies on a thorough history and physical examination. Definitive treatment requires surgical exploration to prevent complications such as bowel obstruction, incarceration, or strangulation with resultant bowel ischemia.…”

“…To date, there have only been 21 reported cases in the literature. [1][2][3][4][5][6] We present a case of traumatic handlebar hernia; its presentation, diagnosis, and management; and a review of the literature.…”

Delayed Presentation of a Traumatic Lumbar Hernia Caused by Seat Belt

“…Traumatic abdominal wall hernia secondary to blunt trauma is a relatively rare injury despite the prevalence of blunt traumatic injury to the abdomen [1][2][3]. Approximately fewer than 100 cases have been described over the past century.…”

“…Midline hernias in the setting of blunt abdominal trauma are rare and, when present, almost always associated with significant shearing forces. Associated intraabdominal injuries have been reported in up to two thirds of patients with diffuse traumatic abdominal wall hernia [1][2][3][4][5][6][7][8][9][10]. The presence of this type of injury, whether detected immediately or on tertiary survey, should heighten the surgeon's index of suspicion for concomitant injury and dictate the use of adjunctive modalities in the diagnostic workup.…”