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Case Reports

Traumatic abdominal wall hernia causing proximal jejunal necrosis

Year : January - April 2015 | Volume : 3 | Issue : 2 Page : 29 - 31

Ch. Ram Prasad1, P Sajani2, , Ch.Ravindar Rao3 , Y. Narendra4

1,2Postgraduate student,3Professor,4Associate Professor, Department of General Surgery, Prathima Institute of Medical Sciences,Karimnagar,Telangana,India.

Address for correspondence: Dr.Ch.Ram Prasad,Post graduate student, Department of General Surgery,Prathima Institute of Medical Sciences,Karimnagar,Telanagana,India

Email: ramprasadchrk@gmail.com

Abstract

Traumatic abdominal wall hernia (TAWH) is produced by a sudden application of blunt force that is insufficient to penetrate skin but strong enough to disrupt the abdominal muscle and fascia1. Traumatic abdominal wall hernia is a very rare complication of blunt abdominal trauma. The first case was reported in 1906 and ever since 46 have been reported2. Handle bar hernia is even rarer variety of TAWH with only 33 reported cases2. Mesenteric avulsion is very rare and occurs in less than 5% of cases2. We present a rare case of a large TAWH with bowel herniation through a defect in abdominal wall after a high energy motor vehicle accident. CECT was useful in arriving at diagnosis. Laparotomy was done immediately.

Keywords :Traumatic abdominal wall hernia, Handle bar hernia, Mesenteric avulsion

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