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

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 au...

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Autores principales: Kheng Hooi Chan, Sentilnathan Subramaniam, Firdaus Hayati
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Lenguaje:EN
Publicado: Elsevier 2021
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spelling oai:doaj.org-article:888a3b4b93ce4379aa8b2b758ad18ba72021-11-28T04:34:34ZTraumatic abdominal wall hernia after impact from handlebar: A case report2352-644010.1016/j.tcr.2021.100557https://doaj.org/article/888a3b4b93ce4379aa8b2b758ad18ba72021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S235264402100162Xhttps://doaj.org/toc/2352-6440Traumatic 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.Kheng Hooi ChanSentilnathan SubramaniamFirdaus HayatiElsevierarticleAbdominal wall herniaAccidental injuriesHerniorrhaphyTraumaSurgeryRD1-811ENTrauma Case Reports, Vol 36, Iss , Pp 100557- (2021)
institution DOAJ
collection DOAJ
language EN
topic Abdominal wall hernia
Accidental injuries
Herniorrhaphy
Trauma
Surgery
RD1-811
spellingShingle Abdominal wall hernia
Accidental injuries
Herniorrhaphy
Trauma
Surgery
RD1-811
Kheng Hooi Chan
Sentilnathan Subramaniam
Firdaus Hayati
Traumatic abdominal wall hernia after impact from handlebar: A case report
description 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.
format article
author Kheng Hooi Chan
Sentilnathan Subramaniam
Firdaus Hayati
author_facet Kheng Hooi Chan
Sentilnathan Subramaniam
Firdaus Hayati
author_sort Kheng Hooi Chan
title Traumatic abdominal wall hernia after impact from handlebar: A case report
title_short Traumatic abdominal wall hernia after impact from handlebar: A case report
title_full Traumatic abdominal wall hernia after impact from handlebar: A case report
title_fullStr Traumatic abdominal wall hernia after impact from handlebar: A case report
title_full_unstemmed Traumatic abdominal wall hernia after impact from handlebar: A case report
title_sort traumatic abdominal wall hernia after impact from handlebar: a case report
publisher Elsevier
publishDate 2021
url https://doaj.org/article/888a3b4b93ce4379aa8b2b758ad18ba7
work_keys_str_mv AT khenghooichan traumaticabdominalwallherniaafterimpactfromhandlebaracasereport
AT sentilnathansubramaniam traumaticabdominalwallherniaafterimpactfromhandlebaracasereport
AT firdaushayati traumaticabdominalwallherniaafterimpactfromhandlebaracasereport
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