title: Computed tomography of traumatic abdominal wall hernia and associated deceleration injuries.
abstract: We retrospectively reviewed the computed tomographic (CT) examinations of 15 cases of abdominal wall hernia due to abdominal trauma; 13 patients had been injured in motor vehicle accidents (11 of those were belted in). All hernias were correctly identified on CT and confirmed intraoperatively. Traumatic abdominal wall hernia proved an important indicator of associated visceral injury, especially to the bowel (n = 6) and mesentery (n = 10). Careful review of the bowel and mesentery should thus be undertaken when disruption of the abdominal wall is documented. Radiologists should be aware, however, that CT findings may correlate poorly with severity of injury in these areas. In these instances, close clinical correlation and, sometimes, rescanning may be necessary.
authors.affiliation: Department of Medical Imaging, Sunnybrook & Women's College Health Sciences Centre, University of Toronto, Toronto, Ont.
authors.forename: Neil A
authors.initials: NA
authors.lastname: Hickey
authors.forename: Max F
authors.initials: MF
authors.lastname: Ryan
authors.forename: Paul A
authors.initials: PA
authors.lastname: Hamilton
authors.forename: Carl
authors.initials: C
authors.lastname: Bloom
authors.forename: John P
authors.initials: JP
authors.lastname: Murphy
authors.forename: Frederic
authors.initials: F
authors.lastname: Brenneman
mesh_terms: D000007:Abdominal Injuries / Q000150:complications*; D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D003654:Deceleration; D005260:Female; D006555:Hernia, Ventral / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed