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Traumatic inguinal hernia: An uncommonly reported entity.

Devendra Jadav¹, Asharam Gorchiya¹, Raghvendra Singh Shekhawat¹

¹Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, India.

Medicine, Science, and the Law

|July 15, 2020

Summary

This summary is machine-generated.

Traumatic inguinal herniation is a rare consequence of high-energy thoraco-abdominal trauma. Forensic pathologists should consider abdominal contents in the scrotum following severe road traffic collisions.

Keywords:

Traffic accident abdominal injury autopsy blunt injury traumatic inguinal hernia

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Area of Science:

Forensic Pathology
Trauma Surgery

Background:

Traumatic abdominal wall herniation, particularly in the groin, is uncommon.
It typically arises from significant force impacting the abdominal wall.

Observation:

A fatal case involved a motorcyclist in a high-energy road traffic collision with a lorry.
The victim presented with multiple thoracic and abdominal injuries, including traumatic inguinal herniation causing scrotal distension.

Findings:

Autopsy revealed lacerations to thoracic and abdominal organs and disruption of the right inguinal canal.
The terminal ileum was found within the scrotal sac, indicating herniation of abdominal contents.

Implications:

This case highlights a rare but severe outcome of thoraco-abdominal trauma.
Forensic pathologists must consider traumatic inguinal herniation when scrotal distension is present after high-energy incidents.