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Acute traumatic abdominal wall hernia
Authors:D. den Hartog  W. E. Tuinebreijer  P. P. Oprel  P. Patka
Affiliation:1. Department of Surgery and Traumatology, Erasmus MC, University Medical Center Rotterdam, Office H-960, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands
2. Relweg 59, 1949 EC, Wijk aan Zee, The Netherlands
Abstract:Although blunt abdominal trauma is frequent, traumatic abdominal wall hernias (TAWH) are rare. We describe a large TAWH with associated intra-abdominal lesions that were caused by high-energy trauma. The diagnosis was missed by clinical examination but was subsequently revealed by a computed tomography (CT) scan. Repair consisted of an open anatomical reconstruction of the abdominal wall layers with reinforcement by an intraperitoneal composite mesh. The patient recovered well and the results of a post-operative CT scan are presented.
Keywords:
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