Özet:
This article reports a case of high-energy type traumatic
abdominal wall hernia (TAWH) associated with multiple
organ injuries including pelvic fractures, liver laceration
and ascending colon perforation. The cause of the trauma
was falling to the ground from a height of approximately 8
meters. Since the forces affecting the abdomen are unique
when falling on a flat surface, the mechanism of defect may
be different between a low-energy type handlebar hernia
and high-energy type TAWH. Only a few cases of highenergy
type TAWH exist in the literature, all reporting
falling on or hitting an angled or curved material. To our
knowledge, this is the only report of TAWH resulting from
falling onto a flat surface. The diagnosis and management
are summarized, the literature data are reviewed, and the
mechanism of action is discussed.
