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[Post traumatic anterior abdominal wall hernia].

Zeineb Mzoughi1, Rached Bayar1, Hamdi Khmiri1

  • 1Université de Tunis El Manar, Faculté de Médecine de Tunis, 1007, Tunis, Tunisie, Service de Chirurgie Digestive et Hépatobiliaire, CHU Mongi Slim, La Marsa.

The Pan African Medical Journal
|November 1, 2016
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Summary
This summary is machine-generated.

Post-traumatic anterior abdominal wall hernias may be overlooked in emergencies. This case highlights a large hernia missed on initial exam, successfully repaired surgically despite complications.

Keywords:
Hernialaparoscopyprosthesistrauma

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Area of Science:

  • Trauma Surgery
  • Abdominal Wall Reconstruction
  • Hernia Repair

Background:

  • Post-traumatic anterior abdominal wall hernias are uncommon and can be missed in emergency settings.
  • Delayed diagnosis can lead to larger defects and potential complications.

Observation:

  • A 32-year-old male with obesity (BMI 30 kg/m2) presented with an anterior abdominal wall hernia after a road accident.
  • The hernia was not detected during the initial clinical examination.
  • Abdominal computed tomography (CT) revealed an 8 cm defect, with surgery identifying a 12 cm musculoaponeurotic defect.

Findings:

  • Surgical repair was performed using interrupted sutures.
  • The patient experienced postoperative skin necrosis, which became secondarily infected.
  • The wound healed satisfactorily after directed cicatrization.

Implications:

  • This case underscores the importance of thorough evaluation for abdominal wall injuries in trauma patients, even in emergency settings.
  • Prompt diagnosis and surgical intervention are crucial for successful hernia repair.
  • Management of complications like skin necrosis is vital for optimal patient outcomes.