{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:46:19Z","timestamp":1791895579462,"version":"4.3.4"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Traumatic diaphragmatic hernias (TDHs) and traumatic abdominal wall hernias (TAWHs) are uncommon sequelae of blunt abdominal trauma (BAT) and may be missed during the initial evaluation. Delayed presentation can occur months to years later, resulting in incarceration, obstruction, or respiratory compromise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 61-year-old woman presented 1\u00a0year after a motor vehicle collision with abdominal pain, nausea, constipation, and dyspnea. Computed tomography demonstrated an incarcerated left diaphragmatic hernia containing colon and omentum, along with a right flank hernia containing ascending colon. Review of prior imaging revealed a flank hematoma and subtle abdominal wall disruption at the time of initial injury. The patient underwent urgent laparoscopic repair of the diaphragmatic hernia followed by elective robotic transabdominal preperitoneal repair of the flank hernia 2\u00a0months later.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case illustrates a pattern of delayed multi-compartment traumatic herniation resulting from thoracoabdominal force transmission. Diagnostic delays may occur because of competing priorities during polytrauma management, limitations of initial imaging, and delayed development of herniation, especially when the injuries are subtle. Findings such as rib fractures, pneumothorax, abdominal wall hematoma, and persistent symptoms should prompt continued surveillance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Delayed multi-compartment traumatic hernias represent a diagnostic challenge requiring a high index of suspicion, longitudinal surveillance, and individualized management. A staged operative approach based on symptom severity and anatomic location can effectively address differing levels of clinical urgency.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348261496610","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T07:12:36Z","timestamp":1791616356000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Delayed Multi-Compartment Traumatic Hernias After Blunt Abdominal Trauma: A Case-Based Review of Diagnosis and Staged Management"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1740-8015","authenticated-orcid":false,"given":"Colton M.","family":"Moore","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3248-5815","authenticated-orcid":false,"given":"Miranda","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Koppman","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jana","family":"Sacco","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruchir","family":"Puri","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,10]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2008.11.015"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.5812\/traumamon.7125"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000001924"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.21037\/ccts-25-13"},{"issue":"2","key":"e_1_3_3_6_2","first-page":"121","article-title":"Traumatic diaphragmatic injury: a review of CT signs and the difference between blunt and penetrating injury","volume":"20","author":"Panda A","year":"2014","unstructured":"Panda A, Kumar A, Gamanagatti S, Patil A, Kumar S, Gupta A. Traumatic diaphragmatic injury: a review of CT signs and the difference between blunt and penetrating injury. Diagn Interv Radiol. 2014;20(2):121-128.","journal-title":"Diagn Interv Radiol"},{"key":"e_1_3_3_7_2","first-page":"e91424","article-title":"Delayed traumatic diaphragmatic hernias: tomorrow\u2019s emergency","volume":"17","author":"Giangrosso GVJ","year":"2025","unstructured":"Giangrosso GVJ, Cassier T, Nakao Y, Denning D, Weaver AJ. Delayed traumatic diaphragmatic hernias: tomorrow\u2019s emergency. 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Am J Roentgenol Radium Ther Nucl Med. 1951;65:56-72.","journal-title":"Am J Roentgenol Radium Ther Nucl Med"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/ans.18017"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2024.06.087"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-026-02446-6"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2021.706824"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-017-1707-7"},{"issue":"8","key":"e_1_3_3_17_2","first-page":"54","article-title":"A novel mesh fixation approach for recurrent traumatic flank hernia","volume":"4","author":"Mathews AL","year":"2024","unstructured":"Mathews AL, Luchette FA. A novel mesh fixation approach for recurrent traumatic flank hernia. ACS Case Reviews in Surgery. 2024;4(8):54-58.","journal-title":"ACS Case Reviews in Surgery"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261496610","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348261496610","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261496610","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:53:02Z","timestamp":1791892382000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348261496610"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,10]]},"references-count":16,"alternative-id":["10.1177\/00031348261496610"],"URL":"https:\/\/doi.org\/10.1177\/00031348261496610","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,10]]},"article-number":"00031348261496610"}}