case-reports-physicians-surgeons-2018-posters

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I n t e r n a t i o n a l C o n f e r e n c e o n

Physicians, Surgeons and

Case Reports

November 19-20 , 2018

Par i s , France

Medical Case Reports

ISSN: 2471-8041

PSCR 2018

Background:

Traumatic abdominal wall hernia (TAWH) is a rare type of hernia occurring secondary to blunt trauma, with a

reported incidence of 0.2% on presentation CT scan. There is currently no consensus regarding the optimum time for repair,

though conservative management with serial imaging +/- expectant elective repair has been favoured.

Methods:

We present a case of a 20-year old female who was a seatbelt restrained rear-seat passenger in a road traffic collision

and sustained two areas of Grade-5 TAWH along with bowel and colonic injuries. The patient was taken for an emergency

laparotomy with initial conservative management of TAWH.

Results: Four years post-index admission, the patient’s abdominal wall was closed using Strattice Mesh. Delay was due to the

inability of the patient to reach the 100-110 kg goal operative weight and a pregnancy. During her pregnancy, the patient was

managed by active surveillance involving the obstetric, plastics and trauma team.

A case of traumatic abdominal wall hernia

secondary to seatbelt injury: multidisciplinary

management by delayed surgical mesh repair,

complicated by intervening pregnancy

Stanislau Makaranka

, Pennylouise Hever

and Naveen Cavale

King’s College Hospital, UK

Salisbury District Hospital, UK

Med Case Rep. 2018, Volume:4

DOI: 10.21767/2471-8041-C2-006

Figure 1a:

Coronal CT slice demonstrating TAWH

in the seatbelt distribution

Figure 1b:

Axial CT slice demonstrating a Grade

5 TAWH