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Case Reports
. 2024 Nov 23;16(11):e74292.
doi: 10.7759/cureus.74292. eCollection 2024 Nov.

Traumatic Right Iliac Fossa Abdominal Wall Hernia Containing Meckel's Diverticulum and Sigmoid Colon: A Case Report

Shaunak Tuvar  1 , Ajay Nimbalkar  1 , Ratnadip Sonawane  1
Affiliations
Case Reports

Traumatic Right Iliac Fossa Abdominal Wall Hernia Containing Meckel's Diverticulum and Sigmoid Colon: A Case Report

Shaunak Tuvar et al. Cureus. .

Abstract

Traumatic abdominal wall hernia (TAWH) is a rare but serious condition resulting from blunt abdominal trauma, characterized by the herniation of bowel or abdominal organs through a disrupted musculature and fascia without skin penetration. This report describes a unique case of a 24-year-old man who sustained a high-velocity blunt abdominal injury from a motorcycle handlebar during a road traffic accident. The clinical presentation, diagnostic challenges, surgical intervention, and postoperative recovery are discussed to emphasize the importance of the early recognition and management of TAWH in trauma patients.

Keywords: abdominal wall surgery; general trauma surgery; hernia; sigmoid colon; trauma.

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Conflict of interest statement

Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Traumatic abdominal wall hernia: (A) anterior view and (B) lateral view.
Figure 2
Figure 2. CT scan of the abdomen shows the hernia defect and the protruding contents of the hernia through the defect.
CT: computed tomography
Figure 3
Figure 3. The herniated Meckel's diverticulum (arrow) along with the ileum.
Figure 4
Figure 4. The ischemic sigmoid colon that was resected.
See this image and copyright information in PMC

References

    1. Traumatic abdominal wall hernia: a rare and often missed diagnosis in blunt trauma. Pothiawala S, Balasubramaniam S, Taib M, Bhagvan S. World J Emerg Med. 2022;13:492–494. - PMC - PubMed
    1. Traumatic anterior abdominal wall hernia: a report of three rare cases. Singal R, Dalal U, Dalal AK, et al. J Emerg Trauma Shock. 2011;4:142–145. - PMC - PubMed
    1. Traumatic abdominal wall hernia: epidemiology and clinical implications. Netto FA, Hamilton P, Rizoli SB, Nascimento B Jr, Brenneman FD, Tien H, Tremblay LN. J Trauma. 2006;61:1058–1061. - PubMed
    1. Traumatic abdominal wall hernia with concealed colonic perforation. Pathak D, Mukherjee R, Das P, Pathak D, Gangopadhyay A, Das S. Ann R Coll Surg Engl. 2016;98:0–5. - PMC - PubMed
    1. Traumatic abdominal wall hernias: a single-center case series of surgical management. Chow KL, Omi EC, Santaniello J, et al. Trauma Surg Acute Care Open. 2020;5:0. - PMC - PubMed

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