Manasra Mahmoud R, Farah Roua E, Abufara Arein A, AbuIrayyeh Bara M, Farah Rahaf E, Maraqa Mohammed A
Palestine Polytechnic University College of Medicine and Health Science, Hebron, Palestine, Israel.
Case Rep Surg. 2024 Feb 16;2024:4408980. doi: 10.1155/2024/4408980. eCollection 2024.
Traumatic abdominal wall hernia (TAWH) is a rare type of hernia with an incidence of about <1.5%, resulting from blunt abdominal trauma, which leads to an increase in the intra-abdominal pressure and rupture in the abdominal musculature and fascia with herniation of the abdominal organs into the defect. Most TAWH contained either a small bowel (69%) or a large bowel (36%), with 16% containing both. This condition is often not present as an isolated case, as 30% to 60% of the cases are accompanied by other intra-abdominal injuries. The typical manner of presentation is a tender subcutaneous swelling across the abdomen wall with overlaying bruising and ecchymosis. The radiological investigative modality of CT scan has the highest index of diagnosing accompanied intra-abdominal visceral injuries. We present a rare case of a 23-year-old male patient diagnosed with TAWH containing both small bowel and sigmoid colon associated with psoas hematoma caused by a seat belt postroad traffic accident (RTA).
创伤性腹壁疝（TAWH）是一种罕见的疝，发病率约<1.5%，由腹部钝性创伤引起，导致腹内压升高，腹部肌肉和筋膜破裂，腹腔脏器疝入缺损处。大多数TAWH包含小肠（69%）或大肠（36%），16%同时包含两者。这种情况通常并非孤立存在，因为30%至60%的病例伴有其他腹内损伤。典型的表现方式是腹壁上有压痛的皮下肿胀，并伴有瘀斑和瘀点。CT扫描的放射学检查方式对诊断伴有腹内脏器损伤的指数最高。我们报告一例罕见病例，一名23岁男性患者被诊断为TAWH，包含小肠和乙状结肠，并伴有因安全带导致的道路交通事故（RTA）引起的腰大肌血肿。
