Traumatic abdominal wall hernia:a rare and often missed diagnosis in blunt trauma

作     者：Sohil Pothiawala Sunder Balasubramaniam Mujeeb Taib Savitha Bhagvan Sohil Pothiawala;Sunder Balasubramaniam;Mujeeb Taib;Savitha Bhagvan

作者机构：Trauma ServiceAuckland City HospitalAuckland 1023New Zealand 

出 版 物：《World Journal of Emergency Medicine》 (世界急诊医学杂志（英文）)

年 卷 期：2022年第13卷第6期

页      面：492-494页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：injuries abdominal diagnosis 

摘      要：Dear editor,Traumatic abdominal wall hernia(TAWH)is defined as disruption of the abdominal wall musculature and fascia with herniation of intra-abdominal contents,in the absence of surgery to that area of the abdominal wall.[1]It is rare,with an incidence of 0.17%-0.90%in patients with blunt abdominal trauma.[2,3]Deceleration forces caused by falls from height or seat belt injuries are the most common causes of TAWH.[4]Low-energy blunt injuries from bicycle or motorcycles handlebars or charging animals are less frequent *** to the rare incidence and complex presentation of this condition with other distracting injuries,this diagnosis is often not considered,resulting in missed or delayed *** present a case of a 46-year-old male who suffered major abdominal trauma,and was found to have TAWH as well as intra-abdominal organ injury.