Medical Case Reports

A case of traumatic abdominal wall hernia secondary to seatbelt injury: multidisciplinary management by delayed surgical mesh repair, complicated by intervening pregnancy

International Conference on Physicians, Surgeons and Case Reports
November 19-20, 2018 Paris, France

Stanislau Makaranka, Pennylouise Hever and Naveen Cavale

King’s College Hospital, UK Salisbury District Hospital, UK

Posters & Accepted Abstracts: Med Case Rep

DOI: 10.21767/2471-8041-C2-006

Abstract

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.

Biography

E-mail: stanislau.makaranka@nhs.net