A TRAUMATIC SPIGELIAN HERNIA WITH LOW VELOCITY BLUNT TRAUMA: A CASE REPORT

Traumatic abdominal wall hernia (TAWH) is a rare unusual type of hernia resulting from blunt abdominal trauma. It develops following the inertia of sudden, high-energy blunt trauma or focused low-energy encounter. A 55-year-old cyclist presented to the emergency department following handle bar trauma. Clinical examination demonstrated a bulging mass at the right lower abdomen, resulting from impact with the bicycle handlebar. A ultrasonogram scan of the abdomen revealed a disruption of both rectus abdominis muscle and linea alba at the lower abdomen with loops of small bowels and omentum herniating through the defect. Exploratory laparotomy showed TAWH containing loops of small bowel and omentum , no associated bowel injury . Reposition of bowel with repair of the posterior abdominal wall defect using interrupted polydiaxone sutures was performed. The patient recovered well postoperatively and was discharged twelve days later. A follow-up at 2 month showed no evidence of recurrence.