Traumatic abdominal wall hernia: a case report.

Area of Science:

• Trauma Surgery
• Abdominal Wall Injuries
• Hernia Repair

Background:

• Traumatic abdominal wall hernias are infrequent injuries, even with numerous blunt abdominal trauma cases.
• The injury mechanism involves elevated intra-abdominal pressure and significant shear forces on the abdominal wall.

Purpose of the Study:

• To report a rare case of traumatic anterior abdominal wall hernia.
• To describe the clinical presentation, diagnosis, and successful management of this injury.

Main Methods:

• Case report of a 42-year-old woman with blunt upper abdominal trauma.
• Clinical diagnosis based on localized pain, bruising, reducible swelling, and cough impulse.
• Emergency surgical repair using mesh for the fascial defect.

Main Results:

• The patient presented with a clinically evident abdominal fascial disruption but intact skin.
• She was hemodynamically stable throughout the initial assessment.
• Successful emergency mesh repair resulted in a good recovery.

Conclusions:

• Traumatic abdominal wall hernias require prompt diagnosis and surgical intervention.
• Mesh repair is an effective treatment for traumatic abdominal wall defects.
• This case underscores the importance of considering rare injuries in trauma patients.