English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Definition Traumatic abdominal wall hernia is defined as: herniation of viscera through disrupted musculature &amp; fascia associated with forceful trauma without skin penetration &amp; no evidence of prior hernia defect prior to trauma  Introduction There are only about 30 reported cases of TAWH due to handlebar injury, it is a rare complication of blunt abdominal trauma it involves disruption of abdominal wall muscles with bowel loops herniating through the abdominal wall defect &amp; may be accompanied by serious or lethal complications  Case report A 16 year old boy received trauma while cycling at about: 5 miles/hour &amp; landed in the handle-bar with his right lower abdominal wall against the handle, the patient's vital signs were stable but there was bruising in the area, the diagnosis was missed by A&amp;E doctor, but I saw him O/E there was a positive cough impulse &amp; the diagnosis was confirmed by US examination, his haematological &amp; biochemical investigations were normal, patient was taken to theatre &amp; the hernia was repaired (image 2 &amp; 3) Conclusion our case highlights the importance of clinical examination in blunt abdominal trauma &amp; high index of suspicion plus using US/CT as appropriate to rule out mesenteric or visceral injury 

EP.FRI.35 Traumatic abdominal wall hernia (TAWH) in a 16 year old boy