• Yun-Xiao Lyu and Hui-Yang Ma.
• Department of Hepatobiliary Surgery, Dongyang People's Hospital, Dongyang, Jinhua, Zhejiang, China.
• Medicine (Baltimore). 2018 Dec 1; 97 (50): e13402.

RationaleTraumatic abdominal wall hernia (TAWH) is a rare form of hernia that is caused by disruption of the abdominal wall musculature and fascia. The diagnostic criteria and classification of TAWH are still unclear; furthermore, the ideal timing and method of surgical treatment are still unclear. Herein, we report a case of TAWH and describe the surgical approach used.Patient ConcernsA 71-year-old Han Chinese female presented for swelling in the right lower abdominal quadrant. The patient underwent exploratory laparotomy because of a car collision before 1 year ago.DiagnosisShe was finally diagnosed with TAWH according to the abdominal computed tomography (CT) and surgery.InterventionsShe was performed with an open surgery to repair the TAWH.OutcomesThe patient was discharged without complications and showed no recurrence or complications during a follow-up period of 6 months.LessonsTAWH is a rare form of hernia that presents a diagnostic and therapeutic challenge. The appropriate timing and approach of surgical treatment for TAWH depend on a case-by-case basis. This case highlights that delayed selective surgery may be more suitable for stable patients.

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