Olesen Karen E G, Ashraf Tuba, Johannsen Line Kannegaard, Kårhus Martin Lund
Department of Anesthesiology, Holbaek Sygehus, Smedelundsgade 60, Holbaek 4300, Denmark.
Department of Gastrosurgery, Holbaek Sygehus, Smedelundsgade 60, Holbaek 4300, Denmark.
J Surg Case Rep. 2025 Apr 8;2025(4):rjaf212. doi: 10.1093/jscr/rjaf212. eCollection 2025 Apr.
Pediatric traumatic abdominal wall hernias (TAWHs) are rare injuries that result from both low- and high-energy trauma. TAWHs have a wide presentation, ranging from isolated hernias to cases involving severe associated intraabdominal injury. With a limited number of case reports, correct management and prediction of outcome are difficult. This case report describes a 5-year-and-9-month-old girl who developed a TAWH following a 2-m fall onto a stick. Computed tomography of the abdomen was avoided due to the low-energy mechanism, absence of pain, and lack of physical findings beyond a minor abrasion. Serial sonographic evaluation confirmed bowel herniation without evidence of associated intraabdominal injury. After an observational period of 24 hours without complications, the patient was discharged. Ten days later, an uncomplicated elective open herniotomy was performed. Two-month follow-up revealed no additional contacts to the hospital.
小儿创伤性腹壁疝（TAWHs）是由低能量和高能量创伤导致的罕见损伤。TAWHs的表现形式多样，从单纯疝到伴有严重腹腔内损伤的病例都有。由于病例报告数量有限，正确的处理和预后预测都很困难。本病例报告描述了一名5岁9个月大的女孩，她在从2米高处跌落到一根木棍上后发生了TAWH。由于损伤机制为低能量、无疼痛且除轻微擦伤外无其他体格检查发现，因此未进行腹部计算机断层扫描。系列超声检查证实有肠疝形成，但无腹腔内损伤相关证据。经过24小时的观察期且无并发症后，患者出院。10天后，进行了一次无并发症的择期开放性疝修补术。两个月的随访显示患者未再次入院。
