Traumatic hernia associated with Morel-Lavallé lesion in closed abdominal trauma: case report

Leonel L. Lugo; César I. G. Ramírez; Laura A. De la M. Marrufo

doi:10.18203/2349-2902.isj20253460

Authors

Leonel L. Lugo Department of General Surgery, Mexican Institute of Social Health. UMAE, 71 Torreon Coahuila, Mexico
César I. G. Ramírez Department of General Surgery, Mexican Institute of Social Health. UMAE, 71 Torreon Coahuila, Mexico
Laura A. De la M. Marrufo Department of General Surgery, Mexican Institute of Social Health. UMAE, 71 Torreon Coahuila, Mexico

DOI:

https://doi.org/10.18203/2349-2902.isj20253460

Keywords:

Morel-Lavallee, Traumatic abdominal hernia, Traumatic hernia, Closed trauma, Closed abdominal trauma

Abstract

The traumatic hernia, is an important cause of laparotomy exploration between all the trauma cases that the trauma surgeon is get used to it. In this case we review a patient case where a traumatic hernia was associated with a morel-Lavalle lesion, these two injuries are associated with an increase in the morbidity sometimes requiring a reconstruction of the abdominal wall with multiples surgeries between, this is a review of the actual guidelines and surgery treatments emphasizing the complex panorama and the even evolving treatments with this kind of injuries.

Metrics

Metrics Loading ...

References

Electronic Presentations in Radiology Exchange Platform. About the Poster System. Available at: https://piper.espacio-seram.com/index.php/seram/ index. Accessed on 21 July 2025.

Chowdhury TK, Alam MA, Rahman MAM, Khastagir R, Khan R. Traumatic abdominal wall hernia. J Pediatric Surg Case Rep. 2020;59:101539. DOI: https://doi.org/10.1016/j.epsc.2020.101539

Villascusa Marín, S, Andrés García, B, Pastor F, Aguayo Albasini, JL. Hernia abdominal traumática. Cirugía Española. 1999;67(1):115-6.

Al Beteddini OS, Abdulla S, Omari O. Traumatic abdominal wall hernia: A case report and literature review. Int J Surg Case Rep. 2016;24:57-9. DOI: https://doi.org/10.1016/j.ijscr.2016.03.038

Lampros Liasis, Ioannis Tierris, Lazarioti FG, Clark CE, Papaconstantinou HT. Traumatic abdominal wall hernia. J Trauma Acute Care Surg. 2013;74(4):1156-62. DOI: https://doi.org/10.1097/TA.0b013e318283d88d

Selby CD. Direct abdominal hernia of traumatic origin. JAMA. 1906;XLVII(18):1485-5. DOI: https://doi.org/10.1001/jama.1906.25210180061002c

Le PB, Mayan D, Mujadzic T, Mujadzic MM. Traumatic Abdominal Wall Hernia Repair with Dermal Autograft within a Morel-Lavallée Lesion. Plastic Reconstructive Surg - Global Open. 2022;10(2):e4119. DOI: https://doi.org/10.1097/GOX.0000000000004119

Hamidian Jahromi A, Skweres J, Sangster G, Johnson L, Samra N. What We Know About Management of Traumatic Abdominal Wall Hernia: Review of the Literature and Case Report. Int Surg. 2015;100(2):233-9. DOI: https://doi.org/10.9738/INTSURG-D-13-00239.1

Dennis RW, Marshall A, Deshmukh H, Bender JS, Narong Kulvatunyou, Lees J, et al. Abdominal wall injuries occurring after blunt trauma: incidence and grading system. Am J Surg. 2009;197(3):413-7. DOI: https://doi.org/10.1016/j.amjsurg.2008.11.015

Rosen MJ, Krpata DM, Ermlich B, Blatnik JA. A 5-Year Clinical Experience With Single-Staged Repairs of Infected and Contaminated Abdominal Wall Defects Utilizing Biologic Mesh. Annals Surg. 2013;257(6):991-6. DOI: https://doi.org/10.1097/SLA.0b013e3182849871

Yadav S, Jain SK, Arora JK, Sharma P, Sharma A, Bhagwan J, et al. Traumatic abdominal wall hernia. Int J Surg Case Rep. 2013;4(1):36-9. DOI: https://doi.org/10.1016/j.ijscr.2012.10.004

Wilson KL, Davis MK, Rosser JC. A Traumatic Abdominal Wall Hernia Repair: A Laparoscopic Approach. J Soc Laparoendosc Surg. 2012;16(2):287-91. DOI: https://doi.org/10.4293/108680812X13427982377346

Chan KH, Subramaniam S, Hayati F. Traumatic abdominal wall hernia after impact from handlebar: A case report. Trauma Case Rep. 2021;36:100557. DOI: https://doi.org/10.1016/j.tcr.2021.100557

Nishimura T, Nakao A, Okamoto A, Fujisaki N, Kotani J. A case of traumatic abdominal wall hernia with delayed bowel obstruction. Surg Case Rep. 2015;1(1). DOI: https://doi.org/10.1186/s40792-015-0023-7

Suhardja TS, Atalla MA, Rozen WM. Complete abdominal wall disruption with herniation following blunt injury: case report and review of the literature. Int Surg. 2015;100(3):531-9. DOI: https://doi.org/10.9738/INTSURG-D-14-00079.1

Bodda AK, Sasmal PK, Mishra S, Shettar A. Mesh hernioplasty in emergency repair of traumatic abdominal wall hernia following bull horn injury. BMJ Case Rep. 2021;14(7):e244384. DOI: https://doi.org/10.1136/bcr-2021-244384

Makaranka S, Hever P, Cavale N. Traumatic abdominal wall hernia secondary to seatbelt injury: a case successfully managed by delayed surgical mesh repair and complicated by intervening pregnancy. BMJ Case Rep. 2018;bcr-224880. DOI: https://doi.org/10.1136/bcr-2018-224880

Suraj KC, Gupta RK, Khanal B, Kumar A, Lamichhane S, Bhusal A, et al. Traumatic Abdominal wall hernia with ileal perforation following blunt trauma abdomen: A rare case report and review of literature. Radiol Case Rep. 2024;19(5):1819-22. DOI: https://doi.org/10.1016/j.radcr.2024.01.081

Jeong E, Jang H, Jo Y, Park Y, Lee N, Kim J. Traumatic abdominal wall hernia with hemoperitoneum caused by blunt injury: laparoscopic exploration with mini-laparotomy repair. A case report. J Trauma Injury. 2022;35(1):61-5. DOI: https://doi.org/10.20408/jti.2021.0062

Ajisaka H, Okura S, Wakasugi M. Traumatic Abdominal Wall Hernia: A Case Report of High-Energy Type without Surgical Repair. Clin Med Insights Case Rep. 2011;4:35-8. DOI: https://doi.org/10.4137/CCRep.S7425

Yang Y, Tang T. The Morel‐Lavallée Lesion: Review and Update on Diagnosis and Management. Orthopaedic Surg. 2023;15(10):2485-91. DOI: https://doi.org/10.1111/os.13826

Alhadeedi O, Gruner L, Lasseur A, Olivier Monneuse. Traumatic Abdominal Wall Hernia–A Series of 12 Patients and a Review of the Literature. World J Surg. 2021;45(9):2742-6. DOI: https://doi.org/10.1007/s00268-021-06177-2