A case of a traumatic abdominal wall hernia that could not be identified until exploratory laparoscopy was performed

Traumatic abdominal wall hernia (TAWH) is a rare condition secondary to blunt abdominal trauma in children. We herein report an 8-year-old boy who developed TAWH after falling onto a bicycle handlebar. Neither physical examination nor radiological findings suggested a diagnosis of TAWH at first pres...

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Bibliographic Details
Published in:Pediatric surgery international 2005-01, Vol.21 (1), p.54-57
Main Authors: Iinuma, Yasushi, Yamazaki, Yoshihiko, Hirose, Yasuo, Kinoshita, Hidenori, Kumagai, Ken, Tanaka, Toshiharu, Miyajima, Mamoru, Nitta, Koju, Naitoh, Shinichi, Kobayashi, Kumiko
Format: Article
Language:English
Subjects:
Abdominal Injuries - complications
Abdominal Injuries - diagnosis
Abdominal Injuries - surgery
Accidental Falls
Bicycling
Child
Diagnosis, Differential
Hernia, Abdominal - diagnosis
Hernia, Abdominal - etiology
Hernia, Abdominal - surgery
Humans
Laparoscopy - methods
Male
Radiography, Abdominal
Tomography, X-Ray Computed
Wounds, Nonpenetrating - complications
Wounds, Nonpenetrating - diagnosis
Wounds, Nonpenetrating - surgery
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Summary:Traumatic abdominal wall hernia (TAWH) is a rare condition secondary to blunt abdominal trauma in children. We herein report an 8-year-old boy who developed TAWH after falling onto a bicycle handlebar. Neither physical examination nor radiological findings suggested a diagnosis of TAWH at first presentation. TAWH in the right lower quadrant could not be identified until exploratory laparoscopy was performed. An open surgical repair was done, and the postoperative course was uneventful. The literature on pediatric TAWH is briefly reviewed and the findings discussed.
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-004-1264-x