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KMID : 0311120070480030549
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Yonsei Medical Journal
2007 Volume.48 No. 3 p.549 ~ p.553
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Traumatic Abdominal Wall Hernia (TAWH): A Case Study Highlighting Surgical Management
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Choi Hong-Jo
Park Ki-Jae
Lee Hak-Youn
Kim Ki-Han
Kim Sung-Heun
Kim Min-Chan
Kim Young-Hoon
Joh Se-Heon
Jung Ghap-Joong
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Abstract
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We report a rare case of traumatic abdominal wall hernia (TAWH) caused by a traffic accident. A 47-year-old woman presented to the emergency room soon after a traffic accident. She complained of diffuse, dull abdominal pain and mild nausea. She had no history of prior abdominal surgery or hernia. We found a bulging mass on her right abdomen. Plain abdominal films demonstrated a protrusion of hollow viscus beyond the right paracolic fat plane. Computed tomography (CT) showed intestinal herniation through an abdominal wall defect into the subcutaneous space. She underwent an exploratory surgery, followed by a layer-by-layer interrupted closure of the wall defect using absorbable monofilament sutures without mesh and with no tension, despite the large size of the defect. Her postoperative course was uneventful.
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KEYWORD
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Traumatic abdominal wall hernia, primary closure
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