Traumatic abdominal wall hernia and bowel perforation leading to shock: a case report

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dc.contributor.authorAli, Nen_US
dc.contributor.authorRayoo, Sen_US
dc.contributor.authorKaleem, Aen_US
dc.contributor.authorSingh, Ten_US
dc.contributor.authorHussain, Z.en_US
dc.date.accessioned2024-11-30T05:56:02Z
dc.date.available2024-11-30T05:56:02Z
dc.date.issued2024-09
dc.description.abstractTraumatic abdominal wall hernia (TAWH) is a rare clinical entity resulting from blunt force trauma that disrupts the abdominal wall muscles and fascia, leading to the protrusion of intra-abdominal contents without skin penetration. It accounts for approximately 0.07% of all abdominal trauma cases and often presents diagnostic challenges due to its rarity and association with other injuries. We present a case of a 66-year-old male who presented with a TAWH and small bowel perforation after being struck by a bull. He exhibited hemodynamic instability and abdominal tenderness. Imaging revealed a strangulated hernia. Surgical exploration found a 5 cm abdominal wall defect with herniated, gangrenous small bowel, with jejunal perforation. The affected bowel segment was resected, and the abdominal wall was repaired. The patient stabilized postoperatively and was discharged on day 14. TAWH requires a high index of suspicion for diagnosis, especially in the presence of blunt abdominal trauma. Immediate surgical intervention is often necessary to prevent complications such as bowel strangulation and peritonitis. This case underscores the importance of early recognition and timely surgical management to improve outcomes in patients with TAWH complicated by bowel perforation. Early diagnosis and prompt surgical intervention are crucial in managing TAWH, particularly when accompanied by bowel perforation. This case highlights the need for vigilance and rapid response in emergency settings to mitigate the significant morbidity and potential mortality associated with this rare condition.en_US
dc.identifier.affiliationsDepartment of Surgery, Government Medical College, Jammu, Jammu and Kashmir, Indiaen_US
dc.identifier.affiliationsDepartment of Surgery, Government Medical College, Jammu, Jammu and Kashmir, Indiaen_US
dc.identifier.affiliationsDepartment of Surgery, Government Medical College, Jammu, Jammu and Kashmir, Indiaen_US
dc.identifier.affiliationsDepartment of Surgery, Government Medical College, Jammu, Jammu and Kashmir, Indiaen_US
dc.identifier.affiliationsDepartment of Surgery, Government Medical College, Jammu, Jammu and Kashmir, Indiaen_US
dc.identifier.citationAli N, Rayoo S, Kaleem A, Singh T, Hussain Z.. Traumatic abdominal wall hernia and bowel perforation leading to shock: a case report . International Surgery Journal. 2024 Sept; 11(9): 1551-1554en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2920
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/236305
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber9en_US
dc.relation.volume11en_US
dc.source.urihttps://doi.org/10.18203/2349-2902.isj20242460en_US
dc.subjectTAWHen_US
dc.subjectJejunal perforationen_US
dc.subjectShocken_US
dc.subjectEmergency laparotomyen_US
dc.subjectEarly surgical interventionen_US
dc.titleTraumatic abdominal wall hernia and bowel perforation leading to shock: a case reporten_US
dc.typeJournal Articleen_US
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