Abstract
Traumatic abdominal wall hernia (TAWH) from high speed mechanism is a unique finding
in adult trauma, and exceedingly rare in pediatrics. The majority of reports are of
low-speed “handlebar” hernias associated with direct injury by bicycle handlebars.
We report a series of three pediatric patients in motor vehicle collisions (MVC) who
experienced TAWH by lap-belt and associated intra-abdominal injuries necessitating
immediate operative intervention. Different operative approaches were used in each
case to manage the varying types of disruptions. This adds to the pediatric literature
the largest series of its kind.
Key words
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References
- Abdominal wall injuries occurring after blunt trauma: incidence and grading system.Am J Surg. 2009; 197: 413-417
- Acute traumatic abdominal hernia: case reports.J Trauma. 1994; 36: 273-276
- Conservative management of a traumatic abdominal wall hernia after a bicycle handlebar injury (case report and literature review).J Pediatr Surg. 2008; 43: E31-E32
Decker S, Engelmann C, Krettek C, et al. Traumatic abdominal wall hernia after blunt abdominal trauma caused by a handlebar in children: a well-visualized case report. Surgery (in press).
- Traumatic abdominal wall hernia: epidemiology and clinical implications.J Trauma. 2006; 61: 1058-1061
- Immediate laparoscopic repair of a traumatic abdominal wall hernia in a 2-year-old child.J Laparoendosc Adv Surg Tech A. 2011; 21: 881-883
- Case report of a traumatic abdominal wall hernia resulting from falling onto a flat surface.Ulus Travma Acil Cerrahi Derg. 2010; 16: 571-574
- Auto penetrating hernia: a novel form of traumatic abdominal wall hernia: case report and review of the literature.J Trauma. 1996; 41: 1064-1066
- Traumatic hernia.Br J Surg. 1964; 51: 549-550
- The impact of obesity on severely injured children and adolescents.J Pediatr Surg. 2006; 41 ([discussion 88–91]): 88-91
- Childhood obesity: a risk factor for injuries observed at a level-1 trauma center.J Pediatr Surg. 2009; 44: 1601-1605
- Injury patterns in obese versus nonobese children presenting to a pediatric emergency department.Pediatrics. 2010; 125: 681-685
- Effects of obesity on seat belt fit.Traffic Inj Prev. 2012; 13: 364-372
- Traumatic abdominal wall hernia: delayed presentation in two cases and a review of the literature.Hernia. 2005; 9: 388-391
- Seat-belt syndrome revisited.Int J Clin Pract. 2001; 55: 573-575
Article info
Publication history
Accepted:
February 3,
2013
Received in revised form:
January 7,
2013
Received:
October 26,
2012
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
