Traumatic abdominal wall hernia - Applied Radiology
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An 8-year-old boy presented to the emergency department with right upper-quadrant abdominal pain and a laceration after falling onto the handlebars of his bicycle. A contrast-enhanced CT scan of the abdomen and pelvis demonstrated a right abdominal-wall defect with air tracking from the skin surface into the subcutaneous fat deep to the level of the rectus musculature. There was disruption of the semilunaris fascia and right internal and external oblique muscles with omental fat herniating between the inferior margins of the liver through the abdominal wall defect. Surgery was consulted for possible repair of a traumatic hernia. He was diagnosed with traumatic abdominal wall hernia

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