Cargando…

Traumatic abdominal wall hernia in two adults: a case series

INTRODUCTION: Traumatic hernia of the abdominal wall is a rare entity. A large proportion of reported cases are in children with a particular type of injury, i.e. from a handlebar injury. In adults, the presentation can vary substantially and the diagnosis is difficult. We present two cases in adult...

Descripción completa

Detalles Bibliográficos
Autores principales: Agarwal, Nitin, Kumar, Sunil, Joshi, Mohit Kumar, Sharma, Mriganka Sekhar
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2726548/
https://www.ncbi.nlm.nih.gov/pubmed/19830187
http://dx.doi.org/10.4076/1752-1947-3-7324
_version_ 1782170623892520960
author Agarwal, Nitin
Kumar, Sunil
Joshi, Mohit Kumar
Sharma, Mriganka Sekhar
author_facet Agarwal, Nitin
Kumar, Sunil
Joshi, Mohit Kumar
Sharma, Mriganka Sekhar
author_sort Agarwal, Nitin
collection PubMed
description INTRODUCTION: Traumatic hernia of the abdominal wall is a rare entity. A large proportion of reported cases are in children with a particular type of injury, i.e. from a handlebar injury. In adults, the presentation can vary substantially and the diagnosis is difficult. We present two cases in adults, with widely varying presentations and management. CASE PRESENTATIONS: A 40-year-old woman from rural north India presented with a low-velocity blunt injury to the lower abdomen. She was attacked by a bull. She had a clinically evident abdominal fascial disruption with intact skin, and was hemodynamically stable. An emergency mesh repair of the defect was performed, and she recovered well. A 38-year-old man from rural north India presented with blunt trauma to the abdomen following a motor vehicle accident. He was stable, with a central abdominal parietal wall swelling and bruising. A computed tomography scan revealed herniation of bowel loops in the area with minor intra-abdominal injuries. A laparotomy, resection-anastomosis of the ischemic bowel, and primary repair of the defect was performed and he recovered well. CONCLUSION: Following blunt abdominal trauma, particularly high-velocity injuries, a high index of suspicion must be reserved for parietal wall swellings, as missed hernias in this setting have a high risk of strangulation. Computed tomography is the best aid to diagnosis. Management of each case needs to be individualized.
format Text
id pubmed-2726548
institution National Center for Biotechnology Information
language English
publishDate 2009
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-27265482009-10-14 Traumatic abdominal wall hernia in two adults: a case series Agarwal, Nitin Kumar, Sunil Joshi, Mohit Kumar Sharma, Mriganka Sekhar J Med Case Reports Case report INTRODUCTION: Traumatic hernia of the abdominal wall is a rare entity. A large proportion of reported cases are in children with a particular type of injury, i.e. from a handlebar injury. In adults, the presentation can vary substantially and the diagnosis is difficult. We present two cases in adults, with widely varying presentations and management. CASE PRESENTATIONS: A 40-year-old woman from rural north India presented with a low-velocity blunt injury to the lower abdomen. She was attacked by a bull. She had a clinically evident abdominal fascial disruption with intact skin, and was hemodynamically stable. An emergency mesh repair of the defect was performed, and she recovered well. A 38-year-old man from rural north India presented with blunt trauma to the abdomen following a motor vehicle accident. He was stable, with a central abdominal parietal wall swelling and bruising. A computed tomography scan revealed herniation of bowel loops in the area with minor intra-abdominal injuries. A laparotomy, resection-anastomosis of the ischemic bowel, and primary repair of the defect was performed and he recovered well. CONCLUSION: Following blunt abdominal trauma, particularly high-velocity injuries, a high index of suspicion must be reserved for parietal wall swellings, as missed hernias in this setting have a high risk of strangulation. Computed tomography is the best aid to diagnosis. Management of each case needs to be individualized. BioMed Central 2009-06-30 /pmc/articles/PMC2726548/ /pubmed/19830187 http://dx.doi.org/10.4076/1752-1947-3-7324 Text en Copyright ©2009 licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case report
Agarwal, Nitin
Kumar, Sunil
Joshi, Mohit Kumar
Sharma, Mriganka Sekhar
Traumatic abdominal wall hernia in two adults: a case series
title Traumatic abdominal wall hernia in two adults: a case series
title_full Traumatic abdominal wall hernia in two adults: a case series
title_fullStr Traumatic abdominal wall hernia in two adults: a case series
title_full_unstemmed Traumatic abdominal wall hernia in two adults: a case series
title_short Traumatic abdominal wall hernia in two adults: a case series
title_sort traumatic abdominal wall hernia in two adults: a case series
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2726548/
https://www.ncbi.nlm.nih.gov/pubmed/19830187
http://dx.doi.org/10.4076/1752-1947-3-7324
work_keys_str_mv AT agarwalnitin traumaticabdominalwallherniaintwoadultsacaseseries
AT kumarsunil traumaticabdominalwallherniaintwoadultsacaseseries
AT joshimohitkumar traumaticabdominalwallherniaintwoadultsacaseseries
AT sharmamrigankasekhar traumaticabdominalwallherniaintwoadultsacaseseries