• S Afr J Surg · May 2005

    Review Case Reports

    Traumatic abdominal wall hernia--four cases and a review of the literature.

    • T C Hardcastle, D F Du Toit, C Malherbe, G N Coetzee, M Hoogerboord, B L Warren, and C C Modin.
    • Department of Surgery and Section of Trauma, Stellenbosch University, Tygerberg, W Cape.
    • S Afr J Surg. 2005 May 1;43(2):41-3.

    ObjectiveTo review blunt traumatic abdominal wall hernias (TAWHs) in our institution.MethodRetrospective review of blunt abdominal trauma cases over a 6-month period.ResultsFour patients with TAWH were identified. The mean age was 36 years. Three had been involved in vehicular collisions, and 1 had been assaulted with a large stone. All were diagnosed on presentation, 3 by computed tomography scan and 1 clinically. Two were repaired as emergencies, and 1 was repaired after 4 months. The 4th patient refused surgery.ConclusionThis uncommon injury requires a high index of suspicion and a low threshold for intervention. CT scan offers the best imaging potential.

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