Traumatic abdominal wall hernia secondary to handlebar injury: a case report

Kuo, Hsu-Tung; Lee, Chao-Te; Chen, Jenn-Perng; Chen, His-Fu; Lin, Tsung-Hsing; Xu, Jianming

doi:10.1136/emj.2009.089847

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…TAWH develops following the inertia of sudden, high-energy blunt trauma during road traffic accidents; or focused low-energy impact, such as handlebar injury. It can also be caused by deceleration injuries such as seat belt syndrome [1] . Increased intraabdominal pressure combined with a tangential force can result in muscle and fascial disruption.…”

Section: Introductionmentioning

confidence: 99%

Traumatic abdominal wall hernia after impact from handlebar: A case report

Chan

Subramaniam

Hayati

2021

Trauma Case Reports

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Traumatic abdominal wall hernia (TAWH) is a rare type of hernia resulting from blunt abdominal trauma. It develops following the inertia of sudden, high-energy blunt trauma or focused low-energy impact. A 22-year-old motorcyclist presented to the emergency department following a collision with an automobile. Clinical examination demonstrated a bulging mass at the lower abdomen, resulting from impact with the motorcycle handlebar. A contrast-enhanced CT scan of the abdomen revealed a disruption of both rectus abdominis muscle and linea alba at the lower abdomen with loops of small bowels and mesentery herniating through the defect, associated with multiple air pockets and pneumoperitoneum. Exploratory laparotomy showed TAWH containing loops of small bowel and mesentery in addition to mesenteric tears. Small bowel resection with primary anastomosis and repair of the anterior abdominal wall defect using interrupted polypropylene sutures was performed. The patient recovered well postoperatively and was discharged home three days later. A follow-up at 1 year showed no evidence of recurrence.

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Section: Introductionmentioning

confidence: 99%

Traumatic abdominal wall hernia after impact from handlebar: A case report

Chan

Subramaniam

Hayati

2021

Trauma Case Reports

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

Suhardja

Atalla

Rozen

2015

International Surgery

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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.

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Traumatic abdominal wall hernia secondary to handlebar injury: a case report

Cited by 2 publications

References 11 publications

Traumatic abdominal wall hernia after impact from handlebar: A case report

Traumatic abdominal wall hernia after impact from handlebar: A case report

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

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