Belgers H J, Hulsewé K W E, Heeren P A M, Hoofwijk A G M
Department of General Surgery, Maasland Hospital, PO Box 5500, 6130MB, Sittard, The Netherlands.
Hernia. 2005 Dec;9(4):388-91. doi: 10.1007/s10029-005-0338-6. Epub 2005 Oct 20.
Blunt and penetrating abdominal traumas are an important source of morbidity and mortality in the western world, especially in the young populations. Although most attention during the (primary) diagnostic process is directed toward the detection of internal injuries of the abdomen, blunt or penetrating trauma to the abdomen may result in defects of the abdominal wall. The diagnosis of traumatic abdominal wall hernia (TAWH) is rarely made. Morbidity due to TAWH, however, may be significant. In this article we report the delayed diagnosis of a TAWH in two patients after abdominal wall trauma and present a review of the literature concerning the diagnostic workup and treatment.
钝性和穿透性腹部创伤是西方世界发病和死亡的重要原因,尤其是在年轻人群中。尽管在(初步)诊断过程中,大多数注意力都集中在检测腹部内部损伤上,但钝性或穿透性腹部创伤可能会导致腹壁缺损。创伤性腹壁疝(TAWH)的诊断很少见。然而,TAWH引起的发病率可能很高。在本文中,我们报告了两例腹壁创伤后TAWH的延迟诊断,并对有关诊断检查和治疗的文献进行了综述。