Travmatik Karýn Duvarý Hernisi: Olgu Sunumu

Travmatik karýn duvarý hernisi (TKDH) künt karýn travmasý sonucu oluþan nadir bir herni tipidir. Taný koymadaki zorluk, eþlik edebilen organ yaralanmasý ve fýtýklaþan baðýrsaðýn strangulasyonu gibi sebeplerle ciddi morbidite ve mortaliteye sebep olabilmektedir. Bu nedenle onarým zamanlamasý ve uygulanacak cerrahi yöntemleri tartýþmalý olan 55 yaþýnda bir kadýn TKDH olgusu sunulmuþtur. Hastada hemodinamik stabiliteyi bozmayan ve cerrahi tedavi gerektirmeyen böbrek yaralanmasý da saptanmýþ olup, klinik ve radyolojik deðerlendirme ile içi boþ organ yaralanmasý ve strangulasyon düþünülmemiþtir. Hasta gereksiz acil laparatomiden kaçýnýlarak, elektif lokal yaklaþým ile bariyerli mesh onarýmý uygulanarak tedavi edilmiþtir.

Traumatic abdominal wall hernia: a case report

Traumatic abdominal wall hernia ( TAWH ) is a rare type of hernia caused by blunt abdominal trauma. Difficulty in the diagnosis, associated organ injury and strangulation of the herniated intestine can cause severe morbidity and mortality. Therefore, the timing of repair and surgical methods are still controversial. A 55 years old woman with TAWH has been presented. The patient has also associated renal injury which caused no hemodynamic instability and required no surgical intervention. Clinical and radiological evaluation showed no hollow organ injury and strangulation. The patient was treated with elective local approach applying the barrier mesh repair while avoiding unnecessary emergency laparotomy.