Traumatic hernia of the abdominal wall. Case report

Hernia traumática de la pared abdominal. Reporte de caso.

Armand Ugon Bigi, Gustavo - Ferreira Pozzi, Martín Eduardo - Arciénega Yañez, Pilar - González González, Daniel

Resumen:

Male, 21 years old. Motorcycle driver, at 70 km / hour falls to the pavement, maximum impact on the right half body. ABCD-normal. Right traumatic hernia of the abdominal wall diagnosed by tomography (detachment of the broad muscles of the iliac crest, contains ileum, without elements of intestinal occlusion). Delayed laparotomic hernioplasty, polypropylene mesh placed in the preperitoneal-retromuscular plane. Very rare pathology, of clinical and / or imaging diagnosis, upon admission or delayed, traffic accidents are responsible for 78% of cases. Parietal repair, its type and timing, will be carried out depending on the patient's condition and the concomitant injuries


Masculino, 21 años. Conductor de moto, a 70 km/hora cae al pavimento, máximo impacto en hemicuerpo derecho. ABCD-normales. Hernia traumática derecha de la pared abdominal diagnosticada por tomografía (desprendimiento de los músculos anchos de la cresta ilíaca, contiene íleon, sin elementos de oclusión intestinal). Hernioplastia laparotómica en diferido, malla de polipropileno colocada en plano preperitoneal-retromuscular. Patología muy poco frecuente, de diagnóstico clínico y/o imagenológico, al ingreso o en diferido, los accidentes de tránsito son responsables del 78% de los casos. La reparación parietal, su tipo y oportunidad, se realizará en función del estado del paciente y de las lesiones concomitantes.


Detalles Bibliográficos
2021
hernia
cirugía abdominal
traumatismos
urgencia
hernia
abdominal surgery
traumatisms
emergency
Español
Sociedad de Cirugía del Uruguay
Revista Cirugía del Uruguay
https://revista.scu.org.uy/index.php/cir_urug/article/view/4659
Acceso abierto
CreativeCommons by-nc/4.0
Resumen:
Sumario:Male, 21 years old. Motorcycle driver, at 70 km / hour falls to the pavement, maximum impact on the right half body. ABCD-normal. Right traumatic hernia of the abdominal wall diagnosed by tomography (detachment of the broad muscles of the iliac crest, contains ileum, without elements of intestinal occlusion). Delayed laparotomic hernioplasty, polypropylene mesh placed in the preperitoneal-retromuscular plane. Very rare pathology, of clinical and / or imaging diagnosis, upon admission or delayed, traffic accidents are responsible for 78% of cases. Parietal repair, its type and timing, will be carried out depending on the patient's condition and the concomitant injuries