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Increased intra-abdominal pressure due to a direct blow to the abdomen

Document
Last amended 
3 June 2015

Inguinal hernia - Increased intra-abdominal pressure due to a direct blow to the abdomen Factor

The RMA definition is “acute or chronic (intermittent or continuous) elevation of pressure within the abdominal cavity due to …… physical trauma to the abdomen involving a direct blow to the abdomen”.  This would usually mean a direct hit to the abdomen or the abdomen hitting something such as in a fall.  It could also mean a sudden forceful push to the abdomen.

Blunt abdominal trauma is most commonly the result of vehicular trauma, assault, recreational accidents or falls.  This type of trauma can have serious consequences such as damage to other organs in the abdomen and rupture of the abdominal aorta.  Another cause is ‘iatrogenic trauma’; that is, trauma caused by treatment including cardiorespiratory resuscitation measures and the Heimlich manoeuvre (sudden upward pressure on the diaphragm to expel an obstruction in the throat).

The abdominal trauma may not have warranted medical treatment if the symptoms were mild at the time.  In more serious cases the presence of an inguinal hernia as a result of the direct blow to the abdomen may not be readily apparent until some weeks or months afterwards.

Last reviewed for CCPS 18 July 2005.

Investigative Documents
Type Title PDF Format Word Format
Claimant Report
Direct Blow to Abdomen - Inguinal Hernia
CR9245.pdf
CR9245.docx
Medical Report
Increased Intra-abdominal Pressue due to a Direct Blow to the Abdomen - Inguinal Hernia
MR9319.pdf
MR9319.docx
Preliminary questions [35007]

35044  the veteran has suffered increased intra-abdominal pressure due to a direct blow to the abdomen at some time.

35045  the veteran has established the causal connection between the increased intra-abdominal pressure due to a direct blow to the abdomen and VEA service for inguinal hernia.

35046   the veteran has established the causal connection between the increased intra-abdominal pressure due to a direct blow to the abdomen and VEA service for the clinical onset of inguinal hernia.

35048  the veteran has established the causal connection between the increased intra-abdominal pressure due to a direct blow to the abdomen and operational service for the clinical onset of inguinal hernia.

or

35049  the veteran has established the causal connection between the increased intra-abdominal pressure due to a direct blow to the abdomen and eligible service for the clinical onset of inguinal hernia.

or

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

35047   the veteran has established the causal connection between the increased intra-abdominal pressure due to a direct blow to the abdomen and VEA service for the clinical worsening of inguinal hernia.

35050  the veteran has established the causal connection between the increased intra-abdominal pressure due to a direct blow to the abdomen and operational service for the clinical worsening of inguinal hernia.

or

35051  the veteran has established the causal connection between the increased intra-abdominal pressure due to a direct blow to the abdomen and eligible service for the clinical worsening of inguinal hernia.

Clinical onset and operational service [35048]

35054 on operational service, the veteran suffered increased intra-abdominal pressure due to a direct blow to the abdomen.

35058 on operational service, the veteran suffered increased intra-abdominal pressure due to a direct blow to the abdomen within the thirty days before the clinical onset of the condition under consideration.

35064 the direct blow to the abdomen on operational service, which resulted in increased intra-abdominal pressure within the thirty days before the clinical onset of the condition under consideration, was due to the veteran's serious default, wilful act or serious breach of discipline.

or

35068 the direct blow to the abdomen which resulted in increased intra-abdominal pressure was due to an illness or injury which is identifiable.

35069 as a consequence of the identified illness or injury, the veteran experienced a direct blow to the abdomen which resulted in increased intra-abdominal pressure within the thirty days before the clinical onset of the condition under consideration.

35073  the identified illness or injury, as a consequence of which the veteran experienced a direct blow to the abdomen which resulted in increased intra-abdominal pressure, is causally related to operational service.

Clinical onset and eligible service [35049]

35055 on eligible service, the veteran suffered increased intra-abdominal pressure due to a direct blow to the abdomen.

35057 as a causal result of eligible service, the veteran suffered increased intra-abdominal pressure due to a direct blow to the abdomen.

35059 as a causal result of eligible service, the veteran suffered increased intra-abdominal pressure due to a direct blow to the abdomen within the three days before the clinical onset of the condition under consideration.

35065 the direct blow to the abdomen on eligible service, which resulted in increased intra-abdominal pressure within the three days before the clinical onset of the condition under consideration, was due to the veteran's serious default, wilful act or serious breach of discipline.

or

35068 the direct blow to the abdomen which resulted in increased intra-abdominal pressure was due to an illness or injury which is identifiable.

35070 as a consequence of the identified illness or injury, the veteran experienced a direct blow to the abdomen which resulted in increased intra-abdominal pressure within the three days before the clinical onset of the condition under consideration.

35074  the identified illness or injury, as a consequence of which the veteran experienced a direct blow to the abdomen which resulted in increased intra-abdominal pressure, is causally related to eligible service.

Clinical worsening and operational service [35050]

35054 on operational service, the veteran suffered increased intra-abdominal pressure due to a direct blow to the abdomen.

35056 as a causal result of operational service, the veteran suffered increased intra-abdominal pressure due to a direct blow to the abdomen.

35060 as a causal result of operational service, the veteran suffered increased intra-abdominal pressure due to a direct blow to the abdomen within the thirty days before the clinical worsening of the condition under consideration.

35062 the clinical onset of the condition under consideration occurred before the veteran suffered increased intra-abdominal pressure due to a direct blow to the abdomen on operational service.

35066 the direct blow to the abdomen on operational service, which resulted in increased intra-abdominal pressure within the thirty days before the clinical worsening of the condition under consideration, was due to the veteran's serious default, wilful act or serious breach of discipline.

or

35068 the direct blow to the abdomen which resulted in increased intra-abdominal pressure was due to an illness or injury which is identifiable.

35071 as a consequence of the identified illness or injury, the veteran experienced a direct blow to the abdomen which resulted in increased intra-abdominal pressure within the thirty days before the clinical worsening of the condition under consideration.

35073  the identified illness or injury, as a consequence of which the veteran experienced a direct blow to the abdomen which resulted in increased intra-abdominal pressure, is causally related to operational service.

35075 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury, as a consequence of which the veteran experienced a direct blow to the abdomen which resulted in increased intra-abdominal pressure, is causally related.

Clinical worsening and eligible service [35051]

35055 on eligible service, the veteran suffered increased intra-abdominal pressure due to a direct blow to the abdomen.

35057 as a causal result of eligible service, the veteran suffered increased intra-abdominal pressure due to a direct blow to the abdomen.

35061 as a causal result of eligible service, the veteran suffered increased intra-abdominal pressure due to a direct blow to the abdomen within the three days before the clinical worsening of the condition under consideration.

35063 the clinical onset of the condition under consideration occurred before the veteran suffered increased intra-abdominal pressure due to a direct blow to the abdomen on eligible service.

35067 the direct blow to the abdomen on eligible service, which resulted in increased intra-abdominal pressure within the three days before the clinical worsening of the condition under consideration, was due to the veteran's serious default, wilful act or serious breach of discipline.

or

35068 the direct blow to the abdomen which resulted in increased intra-abdominal pressure was due to an illness or injury which is identifiable.

35072 as a consequence of the identified illness or injury, the veteran experienced a direct blow to the abdomen which resulted in increased intra-abdominal pressure within the three days before the clinical worsening of the condition under consideration.

35074  the identified illness or injury, as a consequence of which the veteran experienced a direct blow to the abdomen which resulted in increased intra-abdominal pressure, is causally related to eligible service.

35076 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, as a consequence of which the veteran experienced a direct blow to the abdomen which resulted in increased intra-abdominal pressure, is causally related.