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Related Concept Videos

Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...
Herniated Intervertebral Disc l: Introduction01:29

Herniated Intervertebral Disc l: Introduction

Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Appendicitis01:19

Appendicitis

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Muscles of the Abdomen01:21

Muscles of the Abdomen

The abdominal wall encircles the abdominal cavity, providing flexible protection and shielding the internal organs from harm. It is bordered at the top by the xiphoid process and costal margins, at the back by the vertebral column, and at the bottom by the pelvic bones and inguinal ligament. The abdominal wall is divided into two regions — the anterolateral and posterior regions.
Anterolateral Region
The anterolateral region comprises five paired muscles classified into the lateral and anterior...

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Related Experiment Video

Updated: Jul 11, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

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Traumatic abdominal wall herniation.

E Y Tan1, S Kaushal, W Y Siow

  • 1Department of General Surgery, Tan Tock Seng Hospital, 11 Tan Tock Seng Road, Singapore 308433.

Singapore Medical Journal
|October 3, 2007
PubMed
Summary
This summary is machine-generated.

Traumatic abdominal wall herniation can occur from low-velocity blunt trauma. A high index of suspicion is crucial, even with negative initial CT scans, to diagnose this condition promptly.

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Area of Science:

  • Trauma Surgery
  • Abdominal Imaging
  • Surgical Case Reports

Background:

  • Traumatic abdominal wall herniation (TAWH) is uncommon, often resulting from high-impact injuries like seatbelt or handlebar incidents.
  • Diagnosis typically relies on physical examination or advanced imaging such as computed tomography (CT).

Observation:

  • A 59-year-old male presented with low-velocity blunt abdominal trauma.
  • Initial assessment suggested a rectus sheath hematoma, with CT revealing soft tissue swelling but no herniation.
  • TAWH was diagnosed four days later, confirmed by CT, revealing a gangrenous sigmoid colon segment herniated through a rectus muscle defect.

Findings:

  • The patient underwent a left hemicolectomy and primary defect repair.
  • Delayed diagnosis of TAWH can lead to severe complications such as bowel strangulation and gangrene.

Implications:

  • This case underscores the importance of considering TAWH in low-velocity blunt abdominal trauma, even with initially negative imaging.
  • Clinicians should maintain a high index of suspicion for occult herniations that may not be immediately apparent on CT scans.
  • Prompt diagnosis and surgical intervention are critical to prevent life-threatening complications in traumatic abdominal wall herniation.