Autopenetrating hernia: a novel form of traumatic abdominal wall hernia--case report and review of the literature

J Trauma. 1996 Dec;41(6):1064-6. doi: 10.1097/00005373-199612000-00024.

Abstract

Traumatic abdominal wall hernias remain relatively rare entities despite the increased incidence of blunt trauma. Mechanisms reported in the literature include a combination of a sudden increase in intra-abdominal pressure and powerful shear forces applied to the abdominal wall. These hernias are noteworthy in that they may be associated with significant intra-abdominal injuries. We describe a novel form of traumatic hernia with a unique mechanism. A blunt force leads to the fracture of a rib and penetration of the abdominal wall by the jagged costal remnant, creating a hernia defect. This autopenetrating hernia is presented in the context of a classification scheme for traumatic abdominal wall hernias.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Accidents, Occupational*
  • Hernia, Ventral / classification*
  • Hernia, Ventral / etiology
  • Hernia, Ventral / physiopathology
  • Hernia, Ventral / surgery*
  • Humans
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed