Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Blunt Transection of the Entire Anterolateral Abdominal Wall Musculature Following Seatbelt-Related Injury

  • Kim, Hohyun (Department of Trauma Surgery and Surgical Critical Care, Pusan National University Hospital) ;
  • Kim, Jae Hun (Department of Trauma Surgery and Surgical Critical Care, Pusan National University Hospital) ;
  • Kim, Gil Hwan (Department of Trauma Surgery and Surgical Critical Care, Pusan National University Hospital) ;
  • Sun, Hyun-Woo (Department of Trauma Surgery and Surgical Critical Care, Pusan National University Hospital) ;
  • Park, Chan Ik (Department of Trauma Surgery and Surgical Critical Care, Pusan National University Hospital) ;
  • Park, Sung Jin (Department of Trauma Surgery and Surgical Critical Care, Pusan National University Hospital) ;
  • Lee, Chan Kyu (Department of Trauma Surgery and Surgical Critical Care, Pusan National University Hospital) ;
  • Kim, Suk (Biomedical Research Institute, Pusan National University Hospital)
  • Received : 2020.05.08
  • Accepted : 2020.06.26
  • Published : 2020.06.30
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Abstract

Traumatic abdominal wall hernias (TAWHs) are uncommon and the incidence of this, which is rarely encountered in clinical practice, has been estimated at 1%. Furthermore, blunt transection of the entire abdominal wall musculature caused by seatbelt is a very rare complication. We report a case of adult with a complete disruption of the entire anterolateral abdominal wall muscle following the seatbelt injury. A 32-year-old male was wearing a seat belt in a high speed motor vehicle collision. Abdominal computed tomography (CT) scan revealed the complete disruption of bilateral abdominal wall musculatures including TAWH without visceral injury. However, injuries of small bowel and sigmoid colon were observed in the intra-operative field. The patient underwent the repair by primary closure of the defect with absorbable monofilament sutures. This case suggests that especially in TAWH patients, even if a CT scan is normal, clinicians should keep the possibility of bowel injury in mind, and choose a treatment based on the clinical findings.

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References

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