Only 38 cases of blunt traumatic rupture of the anterior abdominal wall musculature have been described in the literature to date. We describe a patient who sustained a complete transection of the right and a partial disruption of the left rectus abdominis muscle as well as multiple associated injuries secondary to blunt, crushing trauma. Postoperatively, he experienced several complications and developed a ventral and right flank hernia. The former was repaired with a rectus abdominis muscle flap and polypropylene mesh. The flank hernia was initially repaired with polypropylene mesh and a recurrence was repaired with latissimus dorsi fascia.
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