Hérnia traumática da parede abdominal / Traumatic abdominal hernia
Rev. Col. Bras. Cir
;
26(5): 319-31, set.-out. 1999. ilus
Article
in Portuguese
| LILACS
| ID: lil-275093
ABSTRACT
A rare case of blunt traumatic abdominal hernia is presented in which jejunal loops herniated through the abdominal wall. The patient had a serious motor vehicle accident seven years ago, while wearing the seat belt. He developed a traumatic hernia in the anterior lateral abdominal wall, which was operated, and relapsed after some months. The patient was reoperated and we observed the unattachment of the anterior lateral abdominal musculature from the ilium crest. After the hernial sac treatment, the defect was solved with the use of a polypropylene mesh. The postoperative evolution was good and four months later there were no signs of recurrence. Traumatic abdominal hernia remains a rare clinical entity, despite the increase in blunt abdominal trauma. Traumatic abdominal wall hernia falls into two general categories small lower quadrant abdominal defects, typically the result of blunt trauma with bicycle handlebars, and larger abdominal wall defects related to motor vehiche accidents. The diagnosis may be often established by the physical examination alone. Conventional radiology and computerized tomography usefulness have been proved. In the vast majority of cases, early repair is recommended. The appropriate treatment is the reduction of the herniated bowel into the abdomen, the debridment of nonviable tissues, and a primary tension-free closure of the defect
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Hernia, Ventral
Type of study:
Diagnostic study
Limits:
Humans
/
Male
Language:
Portuguese
Journal:
Rev. Col. Bras. Cir
Journal subject:
General Surgery
Year:
1999
Type:
Article
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