title: Traumatic abdominal wall hernia with concealed colonic perforation.
abstract: Traumatic abdominal wall hernia (TAWH) is a rare clinical entity in terms of aetiology. It occurs following a blunt abdominal injury with energy high enough to cause disruption of the musculoaponeurotic layer but not the elastic skin layer. It is often associated with underlying intra-abdominal injuries, which can be diagnosed either clinically or radiologically. We report a case of TAWH in a young man with associated large bowel transection, which remained undiagnosed in the preoperative period owing to its masked features. He was managed surgically, with no recurrence to date. Considering the high volume of blunt abdominal trauma cases that present to the accident and emergency department, only few cases of TAWH have been reported in the literature. Confusion still exists regarding the timing and mode of management of this condition.
authors.affiliation: RG Kar Medical College , Kolkata , India.
authors.forename: D
authors.initials: D
authors.lastname: Pathak
authors.affiliation: RG Kar Medical College , Kolkata , India.
authors.forename: R
authors.initials: R
authors.lastname: Mukherjee
authors.affiliation: RG Kar Medical College , Kolkata , India.
authors.forename: P
authors.initials: P
authors.lastname: Das
authors.affiliation: Burdwan Medical College , India.
authors.forename: D
authors.initials: D
authors.lastname: Pathak
authors.affiliation: RG Kar Medical College , Kolkata , India.
authors.forename: A
authors.initials: A
authors.lastname: Gangopadhyay
authors.affiliation: RG Kar Medical College , Kolkata , India.
authors.forename: S
authors.initials: S
authors.lastname: Das
mesh_terms: D000328:Adult; D003106:Colon / Q000000981:diagnostic imaging / Q000293:injuries*; D046449:Hernia, Abdominal / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology; D008297:Male; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging
keywords: Abdominal hernia; Abdominal wall; Aetiology; Motorcycles; Traffic accidents