Traumatic Abdominal Wall Hernia-A Rare Case Managed with Preperitoneal Mesh Placement Using Stoppa Technique

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.