Traumatic abdominal wall hernia occurs rarely, despite an increased incidence of blunt abdomen trauma in modern society. The diagnosis largely depends on the history and the physical examination. Computed tomography, ultrasound androentgenography help establish the diagnosis and disclose associated injuries.
Herein, we present an abdominal wall herniation associated with intra-abdominal organ injury and diaphragm rupture. After repair of the disphragm and stomach, resection of the distal pancreas and spleen, the fascia defect andmusculature were simply sutured. Wound infection developed one week post-operatively. The wound was debrided twice and the edged re-approximated. A good result was obtained.