Traumatic Abdominal Wall Hernia (TAWH): A Case Study Highlighting Surgical Management.
10.3349/ymj.2007.48.3.549
- Author:
Hong Jo CHOI
1
;
Ki Jae PARK
;
Hak Youn LEE
;
Ki Han KIM
;
Sung Heun KIM
;
Min Chan KIM
;
Young Hoon KIM
;
Se Heun CHO
;
Ghap Joong JUNG
Author Information
1. Department of Surgery, Dong-A University College of Medicine, 3-1 Dongdaeshin- dong, Seo-gu, Busan 602-714, Korea. gspark@dau.ac.kr
- Publication Type:Case Report ; Research Support, Non-U.S. Gov't
- Keywords:
Traumatic abdominal wall hernia;
primary closure
- MeSH:
Abdominal Injuries/complications;
Abdominal Wall/pathology/*surgery;
Female;
Hernia, Abdominal/etiology/radiography/*surgery;
Humans;
Middle Aged;
Tomography, X-Ray Computed;
Treatment Outcome
- From:Yonsei Medical Journal
2007;48(3):549-553
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
