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Traumatic abdominal wall hernia after impact from handlebar: A case report
Kheng Hooi Chan1, Sentilnathan Subramaniam2, Firdaus Hayati3
1Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
A rare traumatic abdominal wall hernia (TAWH) in a motorcyclist was successfully repaired. This case highlights the importance of prompt diagnosis and surgical intervention for blunt abdominal trauma injuries.
Area of Science:
- Trauma Surgery
- Abdominal Wall Reconstruction
- Emergency Medicine
Background:
- Traumatic abdominal wall hernia (TAWH) is a rare injury caused by blunt abdominal trauma.
- It can result from high-energy impacts or focused low-energy blows.
Observation:
- A young motorcyclist sustained a TAWH after a collision.
- Clinical exam revealed a lower abdominal bulge; CT confirmed rectus abdominis and linea alba disruption with herniated bowel and pneumoperitoneum.
Findings:
- Exploratory laparotomy identified TAWH with bowel and mesenteric tears.
- Surgical repair involved small bowel resection, anastomosis, and abdominal wall defect closure with polypropylene sutures.
Implications:
- This case demonstrates successful surgical management of TAWH.
- Prompt diagnosis and intervention are crucial for favorable outcomes in traumatic abdominal injuries.
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