• Hong-Jo Choi, Ki-Jae Park, Hak-Youn Lee, Ki-Han Kim, Sung-Heun Kim, Min-Chan Kim, Young-Hoon Kim, Se-Heun Cho, and Ghap-Joong Jung.
• Department of Surgery, Dong-A University College of Medicine, 3-1 Dongdaeshin- dong, Seo-gu, Busan 602-714, Korea.
• Yonsei Med. J. 2007 Jun 30; 48 (3): 549-53.

AbstractWe 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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