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Acute traumatic abdominal hernia: case reports

D D Damschen1, J Landercasper, T H Cogbill

  • 1Department of Surgery, Gundersen Clinic, Ltd., LaCrosse, Wisconsin 54601.

The Journal of Trauma
|February 1, 1994
PubMed
Summary
This summary is machine-generated.

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Traumatic abdominal hernias are rare injuries. An individualized approach to diagnosis and management is appropriate, as immediate surgery doesn't always prevent complications.

Area of Science:

  • Trauma Surgery
  • Abdominal Wall Injuries

Background:

  • Traumatic abdominal hernias are infrequently reported, often as isolated cases.
  • This study reviews five cases over 22 years at a single trauma center.

Observation:

  • Physical exams showed abdominal tenderness and ecchymosis, but imaging confirmed hernias in most cases.
  • Muscle avulsion from the iliac crest occurred in two patients, possibly linked to obesity and seatbelt use.
  • Computed tomography (CT) scans were crucial for diagnosing three of the five hernias.

Findings:

  • Three patients underwent surgical repair, while two were managed non-surgically.
  • Diagnosis can be challenging, requiring advanced imaging like CT scans.
  • Early surgical intervention does not preclude the development of late sequelae.

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Implications:

  • An individualized, case-by-case approach is recommended for managing traumatic abdominal hernias.
  • Diagnostic challenges necessitate a high index of suspicion and appropriate imaging.
  • Management strategies should consider potential late complications, not just immediate repair.