Complete abdominal wall disruption with herniation following blunt injury: case report and review of the literature

International Surgery
Thomas Surya SuhardjaWarren Matthew Rozen

Abstract

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 patie...Continue Reading

References

Sep 1, 1979·The Journal of Trauma·H Dajee, D M Nicholson
Mar 1, 1976·The Journal of Trauma·B D MartinezS R Rakower
May 11, 1992·The American Journal of Emergency Medicine·P SahdevJ P Welch
Mar 1, 1989·Journal of the Royal Society of Medicine·P R TaylorI McColl
Nov 1, 1989·The American Journal of Emergency Medicine·B V JonesD Vinh
Dec 1, 1987·Archives of Emergency Medicine·P S Rao, B M Kapur
Mar 1, 1983·The Journal of Trauma·H R Guly, I P Stewart
Jan 1, 1984·The Journal of Emergency Medicine·J C FullertonJ B Peacock
Jan 1, 1981·The Journal of Trauma·P M Dubois, J B Freeman
Apr 1, 1983·The Journal of Trauma·M A Malangoni, R E Condon
Sep 1, 1980·The Journal of Trauma·W DimyanC MacKay
Jul 1, 1994·The Journal of Trauma·T J Esposito, I Fedorak
Feb 1, 1994·The Journal of Trauma·D D DamschenR T Stolee
Jul 2, 2002·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J E LosanoffJ W Jones
Mar 14, 2003·The Journal of Trauma·Olivier BorensElyazid Mouhsine
Mar 1, 1959·American Journal of Surgery·T H WILSON
Nov 25, 2003·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A MahajnaM M Krausz
Jan 22, 2004·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A KumarR Parshad
Jul 1, 2004·Yonsei Medical Journal·Rajdeep SinghA K Attri
Oct 20, 2004·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·A L WagenblastS Schulze
Oct 28, 2004·The Kaohsiung Journal of Medical Sciences·Ching-Wen HuangChung-Chou Juan
Oct 21, 2005·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H J BelgersA G M Hoofwijk
Nov 14, 2006·The Journal of Trauma·Fernando A C Spencer NettoLorraine N Tremblay
Nov 17, 2006·Emergency Radiology·Daisuke OkamotoYoshihiro Edamoto
Jan 31, 2007·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Nikhil TalwarPuneet Dargan
Jun 28, 2007·Yonsei Medical Journal·Hong-Jo ChoiGhap-Joong Jung
Dec 6, 2007·Australasian Radiology·M PijpersD Vroegindeweij
Jul 29, 2008·Annals of Emergency Medicine·Trang Truong, Thomas G Costantino
Jan 21, 2009·Hernia : the Journal of Hernias and Abdominal Wall Surgery·I SallK Sair
Feb 28, 2009·American Journal of Surgery·Ryan W DennisRoxie M Albrecht
Jan 1, 2008·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Khairi A F HassanAbdulaziz AlQurain
Oct 16, 2009·Journal of Medical Case Reports·Nitin AgarwalMriganka Sekhar Sharma
May 5, 2010·Hernia : the Journal of Hernias and Abdominal Wall Surgery·D den HartogP Patka
Sep 17, 2010·Emergency Medicine Journal : EMJ·Hsu-Tung KuoJian-Ming Xu
Oct 6, 2010·Acta chirurgica Belgica·J HenrotayM Meurisse
Mar 18, 2011·The Cochrane Database of Systematic Reviews·Stefan SauerlandMarc Miserez
May 28, 2011·Journal of Pediatric Surgery·Erin E Rowell, Anthony C Chin
Jun 3, 2011·Journal of Emergencies, Trauma, and Shock·Rikki SingalSamita Gupta
Nov 16, 2011·Clinical Medicine Insights. Case Reports·Hideyuki AjisakaMasahiro Wakasugi

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Citations

May 3, 2019·The Journal of Trauma and Acute Care Surgery·Thomas ClementsRohan Lall
Aug 21, 2018·Case Reports in Surgery·Kevin L ChowJames Doherty
Dec 24, 2019·World Journal of Emergency Surgery : WJES·Steffi KarhofFalco Hietbrink
Aug 6, 2020·Journal of Pediatric Surgery·Niloufar HafeziBrian W Gray
Jul 29, 2021·Journal of Surgical Case Reports·Barbara Yordanis Hernandez CervantesMary Meah

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