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Gastrointestinal
Diagnosis
Peritoneum, Mesentery, and Abdominal Wall
Trauma
Traumatic Abdominal Wall Hernia
Traumatic Abdominal Wall Hernia
Siva P. Raman, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Traumatic abdominal wall hernia (TAWH)

          • Definitions

            • Traumatic disruption of musculature and fascia of anterior abdominal wall due to blunt trauma (in absence of penetrating injury) ± herniation of bowel or visceral organs into subcutaneous space
            • Handlebar hernia: Localized abdominal wall hernia caused by handlebar (or similar) injury

          IMAGING

          • General Features

            • CT Findings

              DIFFERENTIAL DIAGNOSIS

                PATHOLOGY

                • General Features

                  • Staging, Grading, & Classification

                    CLINICAL ISSUES

                    • Presentation

                      • Demographics

                        • Natural History & Prognosis

                          • Treatment

                            DIAGNOSTIC CHECKLIST

                            • Consider

                              Selected References

                              1. Chow KL et al: Traumatic abdominal wall hernias: a single-center case series of surgical management. Trauma Surg Acute Care Open. 5(1):e000495, 2020
                              2. Steenburg SD et al: Traumatic abdominal wall injuries-a primer for radiologists. Emerg Radiol. 28(2):361-71, 2020
                              3. Matalon SA et al: Don't forget the abdominal wall: imaging spectrum of abdominal wall injuries after nonpenetrating trauma. Radiographics. 37(4):1218-35, 2017
                              4. Gutteridge I et al: Traumatic abdominal wall herniation: case series review and discussion. ANZ J Surg. 84(3):160-5, 2014
                              5. Persano G et al: Traumatic abdominal wall hernia. Indian J Pediatr. 81(12):1409-10, 2014
                              6. Griffin LA et al: Traumatic abdominal wall hernia from a handlebar injury. Am Surg. 79(5):E192-3, 2013
                              7. Kulvatunyou N et al: Traumatic abdominal wall hernia classification. J Trauma Acute Care Surg. 75(3):536, 2013
                              8. Liasis L et al: Traumatic abdominal wall hernia: is the treatment strategy a real problem? J Trauma Acute Care Surg. 74(4):1156-62, 2013
                              9. Dennis RW et al: Abdominal wall injuries occurring after blunt trauma: incidence and grading system. Am J Surg. 197(3):413-7, 2009
                              10. Netto FA et al: Traumatic abdominal wall hernia: epidemiology and clinical implications. J Trauma. 61(5):1058-61, 2006
                              11. Aguirre DA et al: Abdominal wall hernias: imaging features, complications, and diagnostic pitfalls at multi-detector row CT. Radiographics. 25(6):1501-20, 2005
                              12. Belgers HJ et al: Traumatic abdominal wall hernia: delayed presentation in two cases and a review of the literature. Hernia. 9(4):388-91, 2005
                              13. Mahajna A et al: Traumatic abdominal hernia associated with large bowel strangulation: case report and review of the literature. Hernia. 8(1):80-2, 2004
                              14. Losanoff JE et al: Handlebar hernia: ultrasonography-aided diagnosis. Hernia. 6(1):36-8, 2002
                              15. Vasquez JC et al: Traumatic abdominal wall hernia caused by persistent cough. South Med J. 92(9): 907-8, 1999
                              16. Damschen DD et al: Acute traumatic abdominal hernia: case reports. J Trauma. 36(2): 273-6, 1994
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              KEY FACTS

                              • Terminology

                                • Imaging

                                  • Pathology

                                    • Clinical Issues

                                      TERMINOLOGY

                                      • Abbreviations

                                        • Traumatic abdominal wall hernia (TAWH)

                                      • Definitions

                                        • Traumatic disruption of musculature and fascia of anterior abdominal wall due to blunt trauma (in absence of penetrating injury) ± herniation of bowel or visceral organs into subcutaneous space
                                        • Handlebar hernia: Localized abdominal wall hernia caused by handlebar (or similar) injury

                                      IMAGING

                                      • General Features

                                        • CT Findings

                                          DIFFERENTIAL DIAGNOSIS

                                            PATHOLOGY

                                            • General Features

                                              • Staging, Grading, & Classification

                                                CLINICAL ISSUES

                                                • Presentation

                                                  • Demographics

                                                    • Natural History & Prognosis

                                                      • Treatment

                                                        DIAGNOSTIC CHECKLIST

                                                        • Consider

                                                          Selected References

                                                          1. Chow KL et al: Traumatic abdominal wall hernias: a single-center case series of surgical management. Trauma Surg Acute Care Open. 5(1):e000495, 2020
                                                          2. Steenburg SD et al: Traumatic abdominal wall injuries-a primer for radiologists. Emerg Radiol. 28(2):361-71, 2020
                                                          3. Matalon SA et al: Don't forget the abdominal wall: imaging spectrum of abdominal wall injuries after nonpenetrating trauma. Radiographics. 37(4):1218-35, 2017
                                                          4. Gutteridge I et al: Traumatic abdominal wall herniation: case series review and discussion. ANZ J Surg. 84(3):160-5, 2014
                                                          5. Persano G et al: Traumatic abdominal wall hernia. Indian J Pediatr. 81(12):1409-10, 2014
                                                          6. Griffin LA et al: Traumatic abdominal wall hernia from a handlebar injury. Am Surg. 79(5):E192-3, 2013
                                                          7. Kulvatunyou N et al: Traumatic abdominal wall hernia classification. J Trauma Acute Care Surg. 75(3):536, 2013
                                                          8. Liasis L et al: Traumatic abdominal wall hernia: is the treatment strategy a real problem? J Trauma Acute Care Surg. 74(4):1156-62, 2013
                                                          9. Dennis RW et al: Abdominal wall injuries occurring after blunt trauma: incidence and grading system. Am J Surg. 197(3):413-7, 2009
                                                          10. Netto FA et al: Traumatic abdominal wall hernia: epidemiology and clinical implications. J Trauma. 61(5):1058-61, 2006
                                                          11. Aguirre DA et al: Abdominal wall hernias: imaging features, complications, and diagnostic pitfalls at multi-detector row CT. Radiographics. 25(6):1501-20, 2005
                                                          12. Belgers HJ et al: Traumatic abdominal wall hernia: delayed presentation in two cases and a review of the literature. Hernia. 9(4):388-91, 2005
                                                          13. Mahajna A et al: Traumatic abdominal hernia associated with large bowel strangulation: case report and review of the literature. Hernia. 8(1):80-2, 2004
                                                          14. Losanoff JE et al: Handlebar hernia: ultrasonography-aided diagnosis. Hernia. 6(1):36-8, 2002
                                                          15. Vasquez JC et al: Traumatic abdominal wall hernia caused by persistent cough. South Med J. 92(9): 907-8, 1999
                                                          16. Damschen DD et al: Acute traumatic abdominal hernia: case reports. J Trauma. 36(2): 273-6, 1994