Traumatic abdominal wall hernias in children: A case for early exploration

Retrospective analysis of 11 pediatric traumatic abdominal wall hernia cases over 10 years reveals 64% had concurrent intraabdominal injuries requiring operative management, despite CT imaging showing only 20% sensitivity for detecting associated injuries. Authors advocate for early surgical exploration given the high rate of occult intraabdominal injury in this rare but serious consequence of blunt abdominal trauma.