Citation

Moremen JR, Nakayama DK, Ashley DW, Astin M, Nolan TL. J. Pediatr. Surg. 2013; 48(4): e21-4.

Affiliation

Mercer University School of Medicine and Medical Center of Central Georgia, Departments of Surgery, Trauma and Surgical Critical Care, and Emergency Medicine, Macon, GA, USA. Electronic address: jrmoremen@gmail.com.

Copyright

(Copyright © 2013, Elsevier Publishing)

DOI

10.1016/j.jpedsurg.2013.02.039

PMID

23583160

Abstract

Traumatic abdominal wall hernia (TAWH) from high speed mechanism is a unique finding in adult trauma, and exceedingly rare in pediatrics. The majority of reports are of low-speed "handlebar" hernias associated with direct injury by bicycle handlebars. We report a series of three pediatric patients in motor vehicle collisions (MVC) who experienced TAWH by lap-belt and associated intra-abdominal injuries necessitating immediate operative intervention. Different operative approaches were used in each case to manage the varying types of disruptions. This adds to the pediatric literature the largest series of its kind.

Language: en