Alec K Donohue, Elizabeth I Andersen, Adam Jared Kaplan
{"title":"Traumatic Incarceration of a Right Inguinal Hernia Due to a Deceleration Injury Following Airborne Operations: A Case Report.","authors":"Alec K Donohue, Elizabeth I Andersen, Adam Jared Kaplan","doi":"10.1093/milmed/usaf483","DOIUrl":null,"url":null,"abstract":"<p><p>Anterior abdominal wall hernias are a common and well-described surgical pathology occurring in an estimated 5%-10% of the population. Here, we describe a patient found to have acute incarceration of omentum through a patent processus vaginalis (PPV) secondary to a high-energy deceleration injury following airborne operations. Many studies and meta-analyses have been performed to examine the association between occupational risk factors, patient factors, and precipitating events leading to acute hernia and found insufficient evidence to support a causal link between single strenuous events and acute hernia formation. This case underscores the need to consider occult inguinal hernia in high-energy trauma, particularly with a PPV, to enable timely diagnosis and intervention.</p>","PeriodicalId":18638,"journal":{"name":"Military Medicine","volume":" ","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Military Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/milmed/usaf483","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Anterior abdominal wall hernias are a common and well-described surgical pathology occurring in an estimated 5%-10% of the population. Here, we describe a patient found to have acute incarceration of omentum through a patent processus vaginalis (PPV) secondary to a high-energy deceleration injury following airborne operations. Many studies and meta-analyses have been performed to examine the association between occupational risk factors, patient factors, and precipitating events leading to acute hernia and found insufficient evidence to support a causal link between single strenuous events and acute hernia formation. This case underscores the need to consider occult inguinal hernia in high-energy trauma, particularly with a PPV, to enable timely diagnosis and intervention.
期刊介绍:
Military Medicine is the official international journal of AMSUS. Articles published in the journal are peer-reviewed scientific papers, case reports, and editorials. The journal also publishes letters to the editor.
The objective of the journal is to promote awareness of federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members’ writings.