Traumatic Ventral Hernia: A Case Repor

ABSTRACT

A 12-year-old boy was rushed into the accident and emergency (A&E) unit of our facility following a fall from a bicycle with an associated handlebar injury to the right inguinal region. He was hemodynamically stable. Essential findings were an abrasion in the right inguinal region with an adjacent tender non-reducible swelling. The rest of the abdomen was normal. He was resuscitated and had an abdominal ultrasound done, which suggested bowel herniation, and normal intra-abdominal organs, with no free fluid collection. Via a supra-inguinal incision, local exploration was done. A hyperemic loop of the bowel was found in the subcutaneous tissue protruding through a 5 cm defect in the abdominal muscles, just above the internal ring. There was no mesenteric injury. The bowel was reduced with ease and the wound closed in layers; the fascia with continuous Prolene 1 suture. Post-operative recovery was uneventful. Follow-up at five years revealed no complications.