A case of a traumatic abdominal wall hernia that could not be identified until exploratory laparoscopy was performed.
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.
Iinuma
Yasushi
Y
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
Yamazaki
Yoshihiko
Y
Hirose
Yasuo
Y
Kinoshita
Hidenori
H
Kumagai
Ken
K
Tanaka
Toshiharu
T
Miyajima
Mamoru
M
Nitta
Koju
K
Naitoh
Shinichi
S
Kobayashi
Kumiko
K
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