Henry Ford Hospital Medical Journal


Fractures of the pelvis occur commonly in patients who are involved in high speed vehicle accidents or who fall from a substantial height. Fortunately, with improved surgical management, these patients usually recover not only from the pelvic fractures but from associated visceral injuries as well. Some survivors of pelvic fractures subsequently develop unusual hernias. We report the case of a man who developed hernia of the urinary bladder following pelvic fracture. Two previous operations had failed to eliminate his hernia. We describe the technique of repair used successfully in this case and review similar reported cases. Surgeons who care for traumatized patients must be alert to the possible presence of a pelvic fracture whenever pelvic laparotomy is performed for visceral injury. Reduction of the fracture and internal fixation are necessary to prevent posttraumatic hernia.