Traumatic abdominal wall hernia (TAWH): a case study highlighting surgical management.
We report a rare case of traumatic abdominal wall hernia (TAWH) caused by a traffic accident. A 47-year-old woman presented to the emergency room soon after a traffic accident. She complained of diffuse, dull abdominal pain and mild nausea. She had no history of prior abdominal surgery or hernia. We found a bulging mass on her right abdomen. Plain abdominal films demonstrated a protrusion of hollow viscus beyond the right paracolic fat plane. Computed tomography (CT) showed intestinal herniation through an abdominal wall defect into the subcutaneous space. She underwent an exploratory surgery, followed by a layer-by-layer interrupted closure of the wall defect using absorbable monofilament sutures without mesh and with no tension, despite the large size of the defect. Her postoperative course was uneventful.
Choi
Hong-Jo
HJ
Department of Surgery, Dong-A University College of Medicine, 3-1 Dongdaeshin- dong, Seo-gu, Busan 602-714, Korea.
Park
Ki-Jae
KJ
Lee
Hak-Youn
HY
Kim
Ki-Han
KH
Kim
Sung-Heun
SH
Kim
Min-Chan
MC
Kim
Young-Hoon
YH
Cho
Se-Heun
SH
Jung
Ghap-Joong
GJ
D000007:Abdominal Injuries / Q000150:complications; D034861:Abdominal Wall / Q000473:pathology / Q000601:surgery*; D005260:Female; D046449:Hernia, Abdominal / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome