Traumatic abdominal wall hernia - four cases and a review of the literature
AbstractObjective: To review blunt traumatic abdominal wall hernias (TAWHs) in our institution.
Method: Retrospective review of blunt abdominal trauma cases over a 6-month period.
Results: Four patients with TAWH were identified. The mean age was 36 years. Three had been involved in vehicular collisions, and 1 had been assaulted with a large stone. All were diagnosed on presentation, 3 by computed tomography scan and 1 clinically. Two were repaired as emergencies, and 1 was repaired after 4 months. The 4th patient refused surgery.
Conclusion: This uncommon injury requires a high index of suspicion and a low threshold for intervention. CT scan offers the best imaging potential.
South African Journal of Surgery Vol. 93(2) 2005: 41-43