PMC6170212_01
Axial CT with evidence of left-sided traumatic flank hernia and no associated intra-abdominal injuries after motorcycle collision.
gr1.jpg
PMC6170212_01_gr1.jpg
fig0005
He was involved in a motorcycle collision (MCC) eight months prior with fractures of the left acetabulum and femur and a TAWH (Fig. 1).
Axial CT with enlarging left-sided traumatic flank hernia involving colon and small intestine eight months after motorcycle collision.
gr2.jpg
PMC6170212_01_gr2.jpg
fig0010
CT showed an enlarging left flank hernia involving colon and small intestine (Fig. 2).
Intraoperative laparoscopic view of left-sided traumatic flank hernia involving the descending and sigmoid colon.
gr3.jpg
PMC6170212_01_gr3.jpg
fig0015
Operative steps included reduction of the hernia sac, mobilization of the descending and sigmoid colon, retroperitoneal dissection defining the boundaries of the defect, and wide synthetic mesh overlap of the defect (Fig. 3).
Intraoperative laparoscopic view of left-sided traumatic flank hernia measuring 12 cm x 6 cm.
gr4.jpg
PMC6170212_01_gr4.jpg
fig0020
The defect measured 12 cm x 6 cm (Fig. 4).
Intraoperative laparoscopic view of left-sided traumatic flank hernia repair using synthetic mesh secured using a combination of transfascial sutures, absorbable and titanium tacks.
gr5.jpg
PMC6170212_01_gr5.jpg
fig0025
The fascial defect could not be closed (Fig. 5).