title: A case of a traumatic abdominal wall hernia that could not be identified until exploratory laparoscopy was performed.
abstract: Traumatic abdominal wall hernia (TAWH) is a rare condition secondary to blunt abdominal trauma in children. We herein report an 8-year-old boy who developed TAWH after falling onto a bicycle handlebar. Neither physical examination nor radiological findings suggested a diagnosis of TAWH at first presentation. TAWH in the right lower quadrant could not be identified until exploratory laparoscopy was performed. An open surgical repair was done, and the postoperative course was uneventful. The literature on pediatric TAWH is briefly reviewed and the findings discussed.
authors.affiliation: Department of Emergency and Critical Care Medical Center, Niigata City General Hospital, Shichiku-yama 2-6-1, 950-8739 Niigata City, Niigata, Japan. iinuma@hosp.niigata.niigata.jp
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Iinuma
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Yamazaki
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Hirose
authors.forename: Hidenori
authors.initials: H
authors.lastname: Kinoshita
authors.forename: Ken
authors.initials: K
authors.lastname: Kumagai
authors.forename: Toshiharu
authors.initials: T
authors.lastname: Tanaka
authors.forename: Mamoru
authors.initials: M
authors.lastname: Miyajima
authors.forename: Koju
authors.initials: K
authors.lastname: Nitta
authors.forename: Shinichi
authors.initials: S
authors.lastname: Naitoh
authors.forename: Kumiko
authors.initials: K
authors.lastname: Kobayashi
mesh_terms: D000007:Abdominal Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000058:Accidental Falls; D001642:Bicycling; D002648:Child; D003937:Diagnosis, Differential; D046449:Hernia, Abdominal / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis / Q000601:surgery