Blunt Transection of the Entire Anterolateral Abdominal Wall Musculature Following Seatbelt-Related Injury
Traumatic abdominal wall hernias (TAWHs) are uncommon and the incidence of this, which is rarely encountered in clinical practice, has been estimated at 1%. Furthermore, blunt transection of the entire abdominal wall musculature caused by seatbelt is a very rare complication. We report a case of adu...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2020-06-01
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| Series: | Journal of Trauma and Injury |
| Subjects: | |
| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-2020-0006.pdf |
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| author | Hohyun Kim Jae Hun Kim Gil Hwan Kim Hyun-Woo Sun Chan Ik Park Sung Jin Park Chan Kyu Lee Suk Kim |
| author_facet | Hohyun Kim Jae Hun Kim Gil Hwan Kim Hyun-Woo Sun Chan Ik Park Sung Jin Park Chan Kyu Lee Suk Kim |
| author_sort | Hohyun Kim |
| collection | DOAJ |
| description | Traumatic abdominal wall hernias (TAWHs) are uncommon and the incidence of this, which is rarely encountered in clinical practice, has been estimated at 1%. Furthermore, blunt transection of the entire abdominal wall musculature caused by seatbelt is a very rare complication. We report a case of adult with a complete disruption of the entire anterolateral abdominal wall muscle following the seatbelt injury. A 32-year-old male was wearing a seat belt in a high speed motor vehicle collision. Abdominal computed tomography (CT) scan revealed the complete disruption of bilateral abdominal wall musculatures including TAWH without visceral injury. However, injuries of small bowel and sigmoid colon were observed in the intra-operative field. The patient underwent the repair by primary closure of the defect with absorbable monofilament sutures. This case suggests that especially in TAWH patients, even if a CT scan is normal, clinicians should keep the possibility of bowel injury in mind, and choose a treatment based on the clinical findings. |
| format | Article |
| id | doaj-art-9e047ea9471147cf989b1797c3417e3b |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2020-06-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-9e047ea9471147cf989b1797c3417e3b2025-02-03T11:12:23ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832020-06-0133212813310.20408/jti.2020.00061022Blunt Transection of the Entire Anterolateral Abdominal Wall Musculature Following Seatbelt-Related InjuryHohyun Kim0Jae Hun Kim1Gil Hwan Kim2Hyun-Woo Sun3Chan Ik Park4Sung Jin Park5Chan Kyu Lee6Suk Kim7 Department of Trauma Surgery and Surgical Critical Care, Pusan National University Hospital, Busan, Korea Department of Trauma Surgery and Surgical Critical Care, Pusan National University Hospital, Busan, Korea Department of Trauma Surgery and Surgical Critical Care, Pusan National University Hospital, Busan, Korea Department of Trauma Surgery and Surgical Critical Care, Pusan National University Hospital, Busan, Korea Department of Trauma Surgery and Surgical Critical Care, Pusan National University Hospital, Busan, Korea Department of Trauma Surgery and Surgical Critical Care, Pusan National University Hospital, Busan, Korea Department of Trauma Surgery and Surgical Critical Care, Pusan National University Hospital, Busan, Korea Biomedical Research Institute, Pusan National University Hospital, Busan, KoreaTraumatic abdominal wall hernias (TAWHs) are uncommon and the incidence of this, which is rarely encountered in clinical practice, has been estimated at 1%. Furthermore, blunt transection of the entire abdominal wall musculature caused by seatbelt is a very rare complication. We report a case of adult with a complete disruption of the entire anterolateral abdominal wall muscle following the seatbelt injury. A 32-year-old male was wearing a seat belt in a high speed motor vehicle collision. Abdominal computed tomography (CT) scan revealed the complete disruption of bilateral abdominal wall musculatures including TAWH without visceral injury. However, injuries of small bowel and sigmoid colon were observed in the intra-operative field. The patient underwent the repair by primary closure of the defect with absorbable monofilament sutures. This case suggests that especially in TAWH patients, even if a CT scan is normal, clinicians should keep the possibility of bowel injury in mind, and choose a treatment based on the clinical findings.http://www.jtraumainj.org/upload/pdf/jti-2020-0006.pdfhernia, abdominalseat beltsabdominal musclesherniorrhaphymultiple trauma |
| spellingShingle | Hohyun Kim Jae Hun Kim Gil Hwan Kim Hyun-Woo Sun Chan Ik Park Sung Jin Park Chan Kyu Lee Suk Kim Blunt Transection of the Entire Anterolateral Abdominal Wall Musculature Following Seatbelt-Related Injury Journal of Trauma and Injury hernia, abdominal seat belts abdominal muscles herniorrhaphy multiple trauma |
| title | Blunt Transection of the Entire Anterolateral Abdominal Wall Musculature Following Seatbelt-Related Injury |
| title_full | Blunt Transection of the Entire Anterolateral Abdominal Wall Musculature Following Seatbelt-Related Injury |
| title_fullStr | Blunt Transection of the Entire Anterolateral Abdominal Wall Musculature Following Seatbelt-Related Injury |
| title_full_unstemmed | Blunt Transection of the Entire Anterolateral Abdominal Wall Musculature Following Seatbelt-Related Injury |
| title_short | Blunt Transection of the Entire Anterolateral Abdominal Wall Musculature Following Seatbelt-Related Injury |
| title_sort | blunt transection of the entire anterolateral abdominal wall musculature following seatbelt related injury |
| topic | hernia, abdominal seat belts abdominal muscles herniorrhaphy multiple trauma |
| url | http://www.jtraumainj.org/upload/pdf/jti-2020-0006.pdf |
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