title: Abdominal wall hernia and aortic injury secondary to blunt trauma: Case report and review of the literature.
abstract: BACKGROUND
  Traumatic abdominal wall hernia (TAWH) and traumatic abdominal aortic injury (TAAI) are two uncommon complications secondary to blunt trauma. In both TAWH and TAAI, reported cases are often associated with poly-trauma. TAWH may be initially missed if more pressing issues are identified during the patient's primary survey. TAAI may be an incidental finding on imaging or, if severe, a cause of an acute abdomen and hemodynamic abnormality.
  
  
  METHODS
  A 54-year-old white male suffered a TAWH and TAAI (pseudoaneurysm) due to severe blunt trauma. TAWH was apparent on physical exam and the TAAI was suspected on computed tomography (CT). The patient's TAWH was managed with a series of abdominal explorations and the TAAI was repaired with endovascular stenting.
  
  
  CONCLUSIONS
  TAWH and TAAI are commonly due to severe blunt trauma from motor vehicle collisions. Diagnosis is made through physical exam, imaging studies, or surgical exploration. A variety of surgical techniques achieve technical success.
  
  
  CONCLUSIONS
  The patient with blunt trauma to the abdomen is at risk for TAWH and TAAI, which are often associated with other injuries. Investigations should include thorough clinical exam through secondary survey and radiologic imaging in the hemodynamically normal patient.
authors.affiliation: School of Medicine, Louisiana State University Health-Shreveport, 1501 Kings Highway, Shreveport, LA 71130, United States.
authors.forename: David H
authors.initials: DH
authors.lastname: Ballard
authors.affiliation: School of Medicine, Louisiana State University Health-Shreveport, 1501 Kings Highway, Shreveport, LA 71130, United States.
authors.forename: Nadine M
authors.initials: NM
authors.lastname: Kaskas
authors.affiliation: Department of Surgery, Louisiana State University Health-Shreveport, 1501 Kings Highway, Shreveport, LA 71130, United States.
authors.forename: Alireza
authors.initials: A
authors.lastname: Hamidian Jahromi
authors.affiliation: Department of Radiology, Louisiana State University Health-Shreveport, 1501 Kings Highway, Shreveport, LA 71130, United States.
authors.forename: Justin
authors.initials: J
authors.lastname: Skweres
authors.affiliation: Chandler Regional Medical Center, 1955 W Frye Rd, Chandler, AZ 85224, United States; University of Arizona College of Medicine-Phoenix, 550 E. Van Buren Street, Phoenix, AZ 85004, United States. Electronic address: asseryou@gmail.com.
authors.forename: Asser M
authors.initials: AM
authors.lastname: Youssef
keywords: Abdominal aortic pseudoaneurysm; Blunt abdominal aortic injury; Blunt abdominal trauma; General surgery; Trauma surgery; Traumatic abdominal wall hernia