Case Report
Traumatic Abdominal Wall Hernia-A Rare Case Managed with Preperitoneal Mesh Placement Using Stoppa Technique
Satpal Hans, Manjit Singh Khalsa, NIrmal Singh, Anoop Handa and Amiy Arnav*General Surgery, Government medical College Amritsar, India
- Corresponding Author:
- Amiy Arnav
Government medical College Amritsar
General Surgery, Room no. 29, F block
Boys Hostel, Government Medical College
Amritsar,Punjab 143001, India
Tel: +918289025045
E-mail: arnavamiy@gmail.com
Received Date: June 03, 2015; Accepted Date: January 22, 2016; Published Date: January 25, 2016
Citation: Hans S, Khalsa MS, Singh N, Handa A, Arnav A (2016) Traumatic Abdominal Wall Hernia-A Rare Case Managed with Preperitoneal Mesh Placement Using Stoppa Technique . J Clin Diagn Res 4:123. doi: 10.4172/2376-0311.1000123
Copyright: © 2016 Hans S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Introduction: Traumatic hernia of the abdominal wall is a rare entity and over the past century~50 have been reported in the literature. In adults, the presentation can vary substantially and the diagnosis is difficult. We present a rare case of traumatic hernia in an adult repaired successfully with meshplasty using stoppa technique.
Case presentation: A 30-year-old man presented with blunt trauma to the abdomen following a Motor vehicle accident. He was hemodynamically stable, with a central abdominal parietal wall swelling and bruising. A computed tomography scan revealed herniation of bowel loops in the area with minor intra-abdominal injuries. Urgent laparotomy with preperitoneal meshplasty using stoppa technique and layered fascial closure done and patient recovered well.
Conclusion: Following blunt abdominal trauma, particularly high-velocity injuries, a high index of suspicion must be reserved for parietal wall swellings, as missed hernias in this setting have a high risk of strangulation. Computed tomography is the best aid to diagnosis. Management of each case needs to be individualized and meshplasty using stoppa technique can be used as an effective method.
