Traumatic abdominal wall hernia secondary to seatbelt injury: a case successfully managed by delayed surgical mesh repair and complicated by intervening pregnancy

BMJ Case Reports
Stanislau MakarankaNaveen Cavale

Abstract

Traumatic abdominal wall hernia (TAWH) is a rare type of hernia occurring secondary to blunt trauma. We report a case of seatbelt-associated TAWH in a 20-year-old woman who was presented to hospital via ambulance following a road traffic collision with a distended abdomen, peritonitis and free gas, with an associated TAWH identified on CT imaging. The patient underwent delayed surgical repair of her hernia using biological mesh, without recurrence, with a clinical course complicated by pregnancy. We use this report to demonstrate late repair as a safe and effective option for management of TAWH in pregnancy, with active surveillance and a multidisciplinary approach by the obstetric, plastic surgery and trauma teams.

References

Feb 5, 2008·American Journal of Surgery·Jeffrey S BenderRoxie M Albrecht
Feb 28, 2009·American Journal of Surgery·Ryan W DennisRoxie M Albrecht
Sep 26, 2013·The Journal of Emergency Medicine·Joseph Shiber, Jonathan Journey
Dec 11, 2014·The Journal of Trauma and Acute Care Surgery·Drew Honaker, John Green
Apr 12, 2015·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K K JensenL N Jorgensen
Mar 25, 2016·The Indian Journal of Surgery·Soner AkbabaMehmet Oduncu

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Citations

Aug 18, 2020·Plastic and Reconstructive Surgery. Global Open·Aaron M Kearney, Gregory A Dumanian

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