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Delayed Presentation of the Traumatic Abdominal Wall Hernia; Dilemma in the Management – Review of Literature

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Abstract

Traumatic abdominal wall hernia is a rare entity, and an uncommon type of abdominal wall hernia as far as the etiology is concerned. It is caused by blunt trauma and disrupts the fascial layers, but does not disrupt the elastic skin. In this study, we report the case of a 60-year-old female, diagnosed with traumatic abdominal wall hernia with delayed presentation. In this case, herniation of the bowels was present through the defect in the left iliac region. She was surgically well-managed. During the follow-up of 1 year, there was no recurrence. In the Western medical literature, only a few cases have been reported, especially with intra-abdominal injuries. Confusion still exists in the management of such a disease as to whether to treat the condition at an early or later stage.

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References

  1. Damschen DD, Landercasper J, Cogbill TH, Stolee RT (1994) Acute traumatic abdominal hernia: case reports. J Trauma 36:273–276

    Article  PubMed  CAS  Google Scholar 

  2. Haimovici L, Papafragkou S, Kessler E, Angus G (2007) Handlebar hernia: traumatic abdominal wall hernia with multiple enterotomies. A case report and review of the literature. J Pediatr Surg 42:567–569

    Article  PubMed  Google Scholar 

  3. Belgers HJ, Hulsewe KW, Heeren PA, Hoofwijk AG (2005) Traumatic abdominal wall hernia: delayed presentation in two cases and a review of the literature. Hernia 9:388–391

    Article  PubMed  CAS  Google Scholar 

  4. Mahajna A, Ofer A, Krausz MM (2004) Traumatic abdominal hernia associated with large bowel strangulation: case report and review of the literature. Hernia 8:80–82

    Article  PubMed  CAS  Google Scholar 

  5. Dimyan MB, Robb J, Mckay C (1980) Handlebar hernia. J Trauma 20:812–813

    Article  PubMed  CAS  Google Scholar 

  6. Aggarwal N, Kumar S, Joshi MK, Sharma MS (2009) Traumatic abdominal wall hernia in two adults: a case series. J Med Case Reports 3:7324

    Article  Google Scholar 

  7. Losanoff JE, Richman BW, Jones JW (2002) Handlebar hernia: ultrasonography aided diagnosis. Hernia 6:36–38

    Article  PubMed  CAS  Google Scholar 

  8. Kumar A, Hazrah P, Bal S, Seth A, Parshad R (2004) Traumatic abdominal wall hernia: a reappraisal. Hernia 8(3):277–280

    Google Scholar 

  9. Martinez BD, Stubbe N, Rakower SR (1976) Delayed appearance of traumatic ventral hernia: a case report. J Trauma 16:242–243

    Article  PubMed  CAS  Google Scholar 

  10. Al-Qasabi QO, Tandon RC (1988) Traumatic hernia of the abdominal wall. J Trauma 28:875–876

    Article  PubMed  CAS  Google Scholar 

  11. Dreyfuss DC, Flancbaum L, Krasna IH, Tell B, Trooskin SZ (1986) Acute trans-rectus traumatic hernia. J Trauma 26:1134–1136

    Article  PubMed  CAS  Google Scholar 

  12. Selby CD (1906) Direct abdominal hernia of traumatic origin. JAMA 47:1485–1486

    Article  Google Scholar 

  13. Clain A (1964) Traumatic hernia. Br J Surg 51:549–550

    Article  PubMed  CAS  Google Scholar 

  14. Lane CT, Cohen AJ, Cinat ME (2003) Management of traumatic abdominal wall hernia. Am Surg 69:73–76

    PubMed  Google Scholar 

  15. Singal R, Dalal U, Dalal AK, Gupta R, Gupta A, Naredi B, Gupta S (2011) Traumatic anterior abdominal wall hernia: a report of three rare cases. J Emerg Trauma Shock 4:142–145

    Article  PubMed  Google Scholar 

  16. Hassan KA, Elsharawy MA, Moghazy K, AlQurain A (2008) Handlebar hernia: a rare type of abdominal wall hernia. Saudi J Gastroenterol 14:33–35

    Article  PubMed  Google Scholar 

  17. Drago SP, Nuzzo M, Grassi GB (1999) Traumatic ventral hernia: report of a case, with special reference to surgical treatment. Surg Today 29:1111–1114

    Article  PubMed  CAS  Google Scholar 

  18. Guly HR, Stewart IP (1983) Traumatic hernia. J Trauma 23:250–252

    Article  PubMed  CAS  Google Scholar 

  19. Ganchi PA, Orgill DP (1996) Auto penetrating hernia: a novel form of traumatic abdominal wall hernia: case report and review of the literature. J Trauma 41:1064–1066

    Article  PubMed  CAS  Google Scholar 

  20. Kubalak G (1994) Handlebar hernia: case report and review of the literature. J Trauma 36:438–439

    Article  PubMed  CAS  Google Scholar 

  21. Yarbrough DR (1996) Intra-abdominal injury with handlebar hernia: case report and literature review. J Trauma 40:116–118

    Article  PubMed  Google Scholar 

  22. Huang CW, Nee CH, Juan TK, Pan CK, Ker CG, Juan CC (2004) Handlebar hernia with jejunal and duodenal injuries: a case report. Kaohsiung J Med Sci 20:461–464

    Article  PubMed  Google Scholar 

  23. Fraser N, Milligan S, Arthur RJ, Crabbe DC (2002) Handlebar hernia masquerading as inguinal haematoma. Hernia 6:39–41

    Article  PubMed  CAS  Google Scholar 

  24. Wood RJ, Ney AL, Bubrick MP (1988) Traumatic abdominal hernia: a case report and review of the literature. Am Surg 54:648–651

    PubMed  CAS  Google Scholar 

  25. Gill IS, Toursarkissian B, Johnson SB, Kearney PA (1993) Traumatic ventral abdominal hernia associated with small bowel gangrene: case report. J Trauma 35:145–147

    Article  PubMed  CAS  Google Scholar 

  26. Tiwari VS, Singhal VK, Varma MM (1982) Traumatic hernias. J Indian Med Assoc 78:135–137

    PubMed  CAS  Google Scholar 

  27. Perez VM, McDonald AD, Ghani A, Bleacher JH (1998) Handlebar hernia: a rare traumatic abdominal wall hernia. J Trauma 44:568

    Article  PubMed  CAS  Google Scholar 

  28. Killen KL, Girard S, DeMeo JH, Shanmuganathan K, Mirvis SE (2000) Using CT to diagnose traumatic lumbar hernia. Am J Roentgenol 174:1413–1415

    Google Scholar 

  29. Walcher F, Rose S, Roth R, Lindemann W, Mutschler W, Marzi I (2000) Double traumatic abdominal wall hernia and colon laceration due to a pelvic fracture. Injury 31:253–256

    Article  PubMed  CAS  Google Scholar 

  30. Herbert RJ, Turner FW (1973) Traumatic abdominal wall hernia in a 7-year-old child. J Pediatr Surg 8:975–976

    Article  PubMed  CAS  Google Scholar 

  31. Barden BE, Maull KI (2000) Traumatic lumbar hernia. South Med J 93:1067–1069

    PubMed  CAS  Google Scholar 

  32. Shiomi H, Hase T, Matsuno S, Izumi M, Tatsuta T, Ito F et al (1999) Handlebar hernia with intra-abdominal extraluminal air presenting as a novel form of traumatic abdominal wall hernia: report of a case. Surg Today 29:1280–1284

    Article  PubMed  CAS  Google Scholar 

  33. Hickey NA, Ryan MF, Hamilton PA, Bloom C, Murphy JP, Brenneman F (2002) Computed tomography of traumatic abdominal wall hernias and associated deceleration injuries. Can Assoc Radiol J 53:153–159

    PubMed  Google Scholar 

  34. Tonsi AF, Alkusheh M, Reddy K, Owen ER (2010) Bicycle handlebar hernia with multiple enterotomies: a case report. Acta Chir Belg 110:243–245

    PubMed  CAS  Google Scholar 

  35. Matsuo S, Okada S, Matsumata T (2007) Successful conservative treatment of a bicycle-handlebar hernia: report of a case. Surg Today 37:349–351

    Article  PubMed  Google Scholar 

  36. Bender JS, Dennis RW, Albrecht RM (2008) Traumatic flank hernias: acute and chronic management. Am J Surg 195:414–417

    Article  PubMed  Google Scholar 

  37. Sall I, El Kaoui H, Bouchentouf SM, Ait Ali A, Bounaim A, Hajjouji A et al (2009) Delayed repair for traumatic abdominal wall hernia: is it safe? Hernia 13:447–449

    Article  PubMed  CAS  Google Scholar 

  38. Jinxing Yu, Fulcher AS, Turner MA, Cockrell C, Halvorsen RA (2011) Blunt bowel and mesenteric injury: MDCT diagnosis. Abdom Imaging 36:50–61

    Article  Google Scholar 

  39. Yi-Kang Ku, Wong Y-C, Wang Li-Jen, Fang J-F, Lin B-C (2007) MDCT of blunt abdominal trauma: the correlation of extraluminal air, fluid, and unexplained fluid with bowel perforation. Chin J Radiol 32:57–62

    Google Scholar 

  40. Aucar JA, Biggers B, Silliman WR, Losanoff JE (2004) Traumatic abdominal wall hernia: same-admission laparoscopic repair. Surg Laparosc Endosc Percutan Tech 14:98–100

    Article  PubMed  Google Scholar 

  41. Chen HY, Sheu MH, Tseng LM (2005) Bicycle-handlebar hernia: a rare traumatic abdominal wall hernia. J Chin Med Assoc 68:283–285

    Article  PubMed  Google Scholar 

  42. Rao PS, Kapur BM (1987) Traumatic intermuscular hernia in the anterior abdominal wall. Arch Emerg Med 4:237–239

    PubMed  CAS  Google Scholar 

  43. Vargo D, Schurr M, Harms B (1996) Laparoscopic repair of a traumatic ventral hernia. J Trauma 41:353–355

    Article  PubMed  CAS  Google Scholar 

  44. Esposito TJ, Fedorak I (1994) Traumatic lumbar hernia: case report and literature review. J Trauma 37:123–126

    Article  PubMed  CAS  Google Scholar 

  45. Netto FA, Hamilton P, Rizoli SB, Nascimento B, Brenneman FD, Tien H et al (2006) Traumatic abdominal wall hernia: epidemiology and clinical implications. J Trauma 61:1058–1061

    Article  PubMed  Google Scholar 

  46. Truong T, Costantino TG (2008) Images in emergency medicine: traumatic abdominal wall hernias. Ann Emerg Med 52:182–186

    Article  PubMed  Google Scholar 

  47. Goh Steven CJ, Welch C, Houlden CJ, Gosling DC (2008) Traumatic bicycle handlebar hernia. Eur J Emerg Med 15:179–180

    Article  PubMed  CAS  Google Scholar 

  48. Date R, Clement WDB (2003) Traumatic abdominal wall hernia still a diagnostic dilemma. Ir Med J 96:57–58

    PubMed  CAS  Google Scholar 

  49. Munshi IA, Ravi SP, Earle DR (2002) Laparoscopic repair of blunt traumatic abdominal wall hernia. JSLS 6:385–388

    PubMed  Google Scholar 

  50. Mc Whorter G (1939) Inguinal hernia due to direct trauma: a technique of operation. Am J Surg 45:316–319

    Article  Google Scholar 

  51. Wilson TH (1959) Traumatic hernia of the abdominal wall. Am J Surg 97:340–341

    Article  PubMed  Google Scholar 

  52. Vasquez JC, Halasz NA, Chu P (1999) Traumatic abdominal wall hernia caused by persistent cough. South Med J 92:907–908

    Article  PubMed  CAS  Google Scholar 

  53. Payne DD, Resnicoff SA, States JD, Williams JS (1973) Seat belt abdominal wall muscular avulsion. J Trauma 13:262–267

    Article  PubMed  CAS  Google Scholar 

  54. Ehalt W (1939) A case of pure traumatic hernia. Am J Surg 45:135–136

    Article  Google Scholar 

  55. Hurwitt ES, Silver CE (1965) Seat-belt hernia. A ventral hernia following an automobile crash. JAMA 194:829–831

    Article  PubMed  CAS  Google Scholar 

  56. Goliath J, Mittal V, McDonough J (2004) Traumatic handlebar hernia: a rare abdominal wall hernia. J Pediatr Surg 39:20–22

    Article  Google Scholar 

  57. Santora TA, Roslyn JJ (1993) Incisional hernia. Surg Clin North Am 73:557–570

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Distt-Ambala, Haryana, India

    Rikki Singal & Bir Singh

  2. Department of Surgery, Adesh Institute of Medical Science and Research, Bathinda, Punjab, India

    Raman Gupta

  3. Department of Radiodiagnosis and Imaging, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Distt-Ambala, Pin Code-13303, Haryana, India

    Amit Mittal, Samita Gupta & Gagan Mittal

  4. Department of Anatomy, Adesh Institute of Medical Science and Research, Bathinda, Punjab, India

    Anupama Gupta

  5. Department of Orthopedics, Adesh Institute of Medical Science and Research, Bathinda, Punjab, India

    Rajinder Pal Singal

  6. C/o Dr Kundan Lal Hospital, Ahmedgarh, Distt-Sangrur, Pin code-148021, Punjab, India

    Rikki Singal

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  1. Rikki Singal
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Correspondence to Rikki Singal.

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Singal, R., Gupta, R., Mittal, A. et al. Delayed Presentation of the Traumatic Abdominal Wall Hernia; Dilemma in the Management – Review of Literature. Indian J Surg 74, 149–156 (2012). https://doi.org/10.1007/s12262-011-0365-8

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  • DOI: https://doi.org/10.1007/s12262-011-0365-8

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