A series of traumatic abdominal wall hernias

Abstract

Traumatic abdominal wall hernias (TAWHs) are extremely uncommon type of abdominal wall hernia. In this study, we evaluated three patients who presented to our  hospital with blunt injury abdomen with abdominal wall hernias. Three male patients of ages 20, 27 34 admitted with blunt injury abdomen following road traffic accident. First  patient had a traumatic hernia in the right inguinal region, the second patient in the right hypochondrial region and third patient in the right lumbar region. The first two patients had associated mesenteric injuries. All three patients underwent emergency surgery with reduction of contents and primary repair. Mesh was placed in the lumbar hernia patient alone. All three patients had an uneventful and complete post         operative recovery. TAWH should be suspected in a patient with tender, localized swellings of the abdominal wall               following blunt trauma. USG and computed tomography of the abdominal are the helpful investigations to diagnose the  hernia and associated intra-abdominal injuries. In all cases of wall defects with bowel herniation, one must take up urgent surgical measures to prevent further bowel injury and to avoid complications.