Road Traffic Accident Traumatic Vehicle Seat Belt Abdominal Wall Hernia

Autor: R. Manasra, Mahmoud, E. Farah, Roua, A. Abufara, Arein, M. AbuIrayyeh, Bara, E. Farah, Rahaf, A. Maraqa, Mohammed
Zdroj: Case Reports In Surgery; 2024, Vol. 2024 Issue: 1
Abstrakt: Traumatic abdominal wall hernia (TAWH) is a rare type of hernia with an incidence of about <1.5%, resulting from blunt abdominal trauma, which leads to an increase in the intra-abdominal pressure and rupture in the abdominal musculature and fascia with herniation of the abdominal organs into the defect. Most TAWH contained either a small bowel (69%) or a large bowel (36%), with 16% containing both. This condition is often not present as an isolated case, as 30% to 60% of the cases are accompanied by other intra-abdominal injuries. The typical manner of presentation is a tender subcutaneous swelling across the abdomen wall with overlaying bruising and ecchymosis. The radiological investigative modality of CT scan has the highest index of diagnosing accompanied intra-abdominal visceral injuries. We present a rare case of a 23-year-old male patient diagnosed with TAWH containing both small bowel and sigmoid colon associated with psoas hematoma caused by a seat belt postroad traffic accident (RTA).
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