Post-traumatic Transiliac Hernia

A 39-year-old woman with no prior history of interest was brought to the Emergency Department of our hospital due to polytrauma caused by a car accident.

Full-body CT scan identified multiple bone fractures in addition to moderate hemoperitoneum. Emergency exploratory laparotomy revealed multiple hepatic and renal lacerations. Hemostatic control and abdominal cavity lavage were performed. The patient's condition progressed favorably and she was discharged 40 days after hospitalization.

At the follow-up visits, the patient reported pain and a lump on the right iliac crest. A CT scan (Fig. 1) demonstrated a fracture of the iliac bone and protrusion of the cecum through the fracture.

Fig. 1

The patient underwent scheduled surgery involving hernioplasty with a Perfix prosthesis attached to the periosteum and iliac muscle plane (Fig. 2).

Fig. 2