AI Article Synopsis

  • * A case study of a 45-year-old man revealed a significant left lateral abdominal wall hernia after a mountaineering accident, diagnosed using ultrasound and CT scans.
  • * The patient successfully underwent open surgical mesh repair, highlighting the need for awareness and diagnosis of TAWH, which often goes untreated due to its rarity in blunt abdominal trauma cases.

Article Abstract

Traumatic abdominal wall hernia (TAWH) following blunt injury is a rare clinical entity, induced by traumatic disruption of the abdominal wall's muscle and fascia, alongside abdominal organ herniation. A thorough clinical examination and a high level of suspicion are necessary for the diagnosis. We present the case of a 45-year-old individual who presented to the surgical outpatient clinic with a left lateral bulge in his belly caused by a mountaineering accident. After obtaining a thorough history of the mechanism of injury and clinical assessment, abdominal ultrasonography and computed tomography (CT) scan revealed a significant traumatic left lateral abdominal wall hernia. The patient subsequently underwent an open surgical mesh repair, followed by anatomical and functional restoration of the muscular deficit over the mesh, with an uneventful postoperative course. TAWH constitutes a diagnostic challenge, and in many cases remains untreated for long periods of time. Considering that TAWH occurs in less than 1% of all blunt abdominal trauma, many surgeons are unaware of this rare manifestation. Here we suggest that elective surgery with an open, tension-free polypropylene mesh repair appears to be an appropriate therapeutic option.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10182834PMC
http://dx.doi.org/10.7759/cureus.37534DOI Listing

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