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Published on: October 2, 2017
Traumatic abdominal wall hernia--four cases and a review of the literature
T C Hardcastle1, D F Du Toit, C Malherbe
1Department of Surgery and Section of Trauma, Stellenbosch University, Tygerberg, W Cape.
Objective:
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.
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