Acta Scientific Paediatrics (ISSN: 2581-883X)

Case Report Volume 3 Issue 4

Traumatic Ventral Hypogastric Hernia: A Case Report and Review of Literature in Pediatrics

Muhammad Elsayed Abdelhafez Mahmoud1,2*

1Pediatric Surgery Department, Al-Houssain University Hospital, Al-Azhar University, Cairo, Egypt
2Pediatric Surgery Department, Prince Mohammed bin Abdulaziz Hospital (PMAH), Riyadh, KSA

*Corresponding Author: Muhammad Elsayed Abdelhafez Mahmoud, Pediatric Surgery Department, Al-Houssain University Hospital, Al-Azhar University, Cairo, Egypt.

Received: March 16, 2020; Published: March 31, 2020

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Abstract

Background:Pediatric traumas are routinely categorized into blunt and penetrating types. Bicycle handlebar exerts a biphasic or dual effect (it is primarily a blunt mechanism but due to its focused effect, it disrupts the muscles without cutting the skin). In 1964, Roberts reported a 9-year-old boy with acquired abdominal wall hernia after a fall upon a bicycle handlebar to be the second case of traumatic abdominal wall hernia after Landry report in 1956. Since then, more than 66 pediatric cases have been reported. In dealing with cases having this type of injury, radiologic studies are warranted to reveal the injured parieties and organs, address these injuries, and achieve optimum case stabilization. Here in this article, we present our experience in management of pediatric traumatic abdominal wall hernia case and literature review.

Case Presentation: An 11-years-old boy presented to the ER of Al-Houssain university hospital with traumatic ventral hypogastric hernia caused by bicycle handlebar impact to his lower abdomen. The case was initially assessed, stabilized, managed operatively and followed until improved and became ready for discharge.

Conclusion: Traumatic abdominal wall hernias occurs in response to concentrated impact by handlebar to the abdomen leading to muscle yielding but the resilient elastic nature of the skin keeps it intact. These injuries should be suspected in the setting of suggestive trauma mechanism followed by abdominal swelling and should be dealt with timely and seriously on an individual basis to restore the disrupted anatomy.

Keywords: Traumatic Hernia; Bicycle Handlebar Injury; Ventral Hernia; Blunt Abdominal Trauma; Exploratory Laparotomy; Conservative Management

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Citation

Citation: Muhammad Elsayed Abdelhafez Mahmoud. “Traumatic Ventral Hypogastric Hernia: A Case Report and Review of Literature in Pediatrics” Acta Scientific Paediatrics 3.4 (2020): 43-50.



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