PDF(Pubmed)
Abstract：
Traumatic abdominal wall hernia (TAWH) also known as blunt abdominal TAWH is uncommon. The clinical diagnosis is difficult. The authors present a case report of posthigh-energy abdominal blunt trauma causing a TAWH.
UNASSIGNED: A 36-year-women, with unremarkable past medical history, was presented to the Emergency Department after a stuck in high-speed two automobiles. She was hemodynamic, respiratory, and neurologically stable. The BMI was 36 kg/m². The abdomen was not distended with an ecchymotic lesion on the right flank. The thoracic abdominal and pelvic computed tomography (CT) scan revealed a rupture in the lateral abdominal wall muscles with a TAWH in the location of the skin ecchymoses. There was no visceral lesion or intraperitoneal fluid. A conservative treatment was indicated. The follow-up was uneventful, with hematoma resorption and no cellulitis or abscess. The patient was discharged after 1 week. An abdominal repair will be planned using a mesh.
UNASSIGNED: TAWH is a rare entity. The best imaging modality for diagnosis is the CT scan allowing classification of the hernia and a screen for other injuries. The presence of an isolated TAWH must lower the threshold to closely monitor or to operatively explore, given the high rate of false-negative findings at imaging features.
UNASSIGNED: TAWH should be suspected behind any blunt abdominal trauma with high energy. CT scan and ultrasound were helpful for diagnosis and the only curative treatment is surgery to avoid complications.
UNASSIGNED: A 36-year-women, with unremarkable past medical history, was presented to the Emergency Department after a stuck in high-speed two automobiles. She was hemodynamic, respiratory, and neurologically stable. The BMI was 36 kg/m². The abdomen was not distended with an ecchymotic lesion on the right flank. The thoracic abdominal and pelvic computed tomography (CT) scan revealed a rupture in the lateral abdominal wall muscles with a TAWH in the location of the skin ecchymoses. There was no visceral lesion or intraperitoneal fluid. A conservative treatment was indicated. The follow-up was uneventful, with hematoma resorption and no cellulitis or abscess. The patient was discharged after 1 week. An abdominal repair will be planned using a mesh.
UNASSIGNED: TAWH is a rare entity. The best imaging modality for diagnosis is the CT scan allowing classification of the hernia and a screen for other injuries. The presence of an isolated TAWH must lower the threshold to closely monitor or to operatively explore, given the high rate of false-negative findings at imaging features.
UNASSIGNED: TAWH should be suspected behind any blunt abdominal trauma with high energy. CT scan and ultrasound were helpful for diagnosis and the only curative treatment is surgery to avoid complications.
摘要：
外伤性腹壁疝（TAWH）也称为钝性腹部TAWH并不常见。临床诊断困难。作者提出了一例大腿能量腹部钝器伤导致TAWH的病例报告。
■36岁女性,过去的病史平淡无奇，在一辆高速的两辆汽车被困后被提交给急诊室。她是血液动力学的,呼吸,神经稳定。BMI为36kg/m²。腹部没有扩张，右侧有瘀斑。胸部腹部和骨盆计算机断层扫描（CT）扫描显示，外侧腹壁肌肉破裂，皮肤瘀斑位置有TAWH。无内脏病变或腹腔积液。需要保守治疗。后续行动顺利,伴有血肿吸收，无蜂窝织炎或脓肿。患者1周后出院。将使用网格计划进行腹部修复。
■TAWH是一种罕见的实体。诊断的最佳成像方式是CT扫描，可以对疝气进行分类并筛查其他损伤。孤立的TAWH的存在必须降低阈值以密切监测或操作探索，鉴于影像学特征的假阴性发现率高。
■TAWH应该被怀疑在任何高能量的钝性腹部创伤之后。CT扫描和超声检查有助于诊断，唯一的治疗方法是手术以避免并发症。
■36岁女性,过去的病史平淡无奇，在一辆高速的两辆汽车被困后被提交给急诊室。她是血液动力学的,呼吸,神经稳定。BMI为36kg/m²。腹部没有扩张，右侧有瘀斑。胸部腹部和骨盆计算机断层扫描（CT）扫描显示，外侧腹壁肌肉破裂，皮肤瘀斑位置有TAWH。无内脏病变或腹腔积液。需要保守治疗。后续行动顺利,伴有血肿吸收，无蜂窝织炎或脓肿。患者1周后出院。将使用网格计划进行腹部修复。
■TAWH是一种罕见的实体。诊断的最佳成像方式是CT扫描，可以对疝气进行分类并筛查其他损伤。孤立的TAWH的存在必须降低阈值以密切监测或操作探索，鉴于影像学特征的假阴性发现率高。
■TAWH应该被怀疑在任何高能量的钝性腹部创伤之后。CT扫描和超声检查有助于诊断，唯一的治疗方法是手术以避免并发症。
