Brett D, Seybold D, Michalski S, Muhr G
Chirurgische Klinik und Poliklinik, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Bochum, Germany.
Unfallchirurg. 2008 May;111(5):361-4. doi: 10.1007/s00113-007-1370-z.
Traumatic abdominal wall hernias are rare injuries despite the high incidence of blunt abdominal traumas. The mechanism of this injury includes a sudden increase in intra-abdominal pressure and extensive shear forces applied to the abdominal wall. The typical location is found at anatomic weak areas in the lower abdomen. Often, significant intra-abdominal injuries or injuries of the pelvis and chest are associated. We describe a case of an abdominal contusion trauma leading to a traumatic abdominal wall hernia beside the rectal sheath. In this case, parts of the small bowel penetrated through the ruptured muscle of the abdominal wall up to the subcutis. After appropriate diagnosis, the defect was repaired using a sheet of synthetic mesh to stabilize the abdominal wall. Based on this case, the management of blunt abdominal wall hernias and the literature are discussed.
尽管钝性腹部创伤的发生率很高，但创伤性腹壁疝却很少见。这种损伤的机制包括腹内压突然升高以及施加于腹壁的广泛剪切力。典型位置见于下腹部的解剖薄弱区域。通常，会伴有严重的腹内损伤或骨盆和胸部损伤。我们描述了一例腹部挫伤导致直肠鞘旁创伤性腹壁疝的病例。在该病例中，部分小肠穿过腹壁破裂的肌肉直至皮下组织。经过适当诊断后，使用一片合成补片修复缺损以稳定腹壁。基于此病例，讨论了钝性腹壁疝的处理方法及相关文献。
