Traumatic Abdominal Wall Hernia with Acute Intestinal Obstruction: A Rare Presentation
Abstract
Introduction: TAWH is defined as herniation through disrupted musculature and fascia without skin penetration, and no evidence of a prior hernial defect at the injury site (1). TAWH is a rare clinical entity but quite vital for experts treating trauma patients.
Patient: A 29-year male complained of abdominal pain and vomiting following blunt trauma abdomen in a road traffic accident. Computed tomography revealed small bowel obstruction secondary to an infra-umbilical hernia with small bowel as the content. Exploratory laparotomy with hernioplasty was done.
Results: Postoperative course remained uneventful.
Conclusion: To avoid complications associated with TAWH, it must be identified and managed promptly.
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References
2. Netto FA, Hamilton P and Rizoli SB, et al. "Traumatic Abdominal Wall Hernia: Epidemiology and Clinical Implications." J Trauma, 2006; 61: 1058-61.
3. Guly HR, and IP Stewart. "Traumatic Hernia." J Trauma, 1983; 23: 250-2.
4. Matalon SA, R Askari and JD Gates, et al. "Don't Forget the Abdominal Wall: Imaging Spectrum of Abdominal Wall Injuries after Nonpenetrating Trauma." Radiographics, 2017; 37: 1218-35.
5. Hickey NA, Ryan MF and Hamilton PA, et al. "Computed Tomography of Traumatic Abdominal Wall Hernia and Associated Deceleration Injuries." Can Assoc Radiol J, 2002; 53: 153-9.
6. Lane CT, Cohen AJ and Cinat ME. Management of traumatic abdominal wall hernia. Am Surg, 2003; 69: 73-6
7. Akbaba S, Gundogdu RH and Temel H, et al. "Traumatic Abdominal Wall Hernia: Early or Delayed Repair?" Indian J Surg, 2015; 77: 963-6.
8. Brenneman, Frederick D and Boulanger BR, et al. "Surgical Management of Abdominal Wall Disruption after Blunt Trauma." J Trauma Acute Care Surg, 1995; 39: 539-44.

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