2010
DOI: 10.1007/s10029-010-0665-0
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Handlebar hernia: a case report and literature review on traumatic abdominal wall hernia in children

Abstract: A rare case of abdominal trauma, a handlebar hernia, is described, as well as a review of the pertinent literature. A 7-year-old boy presented to our emergency room after sustaining blunt force to the abdomen; he fell on the handlebar of his bicycle. Immediately after the accident, a bulge was noticeable at the point of impact. Handlebar hernia is a diagnosis that is easily missed, which can lead to strangulation and incarceration of the bowel. With this case report, we hope to augment the knowledge on traumat… Show more

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Cited by 28 publications
(42 citation statements)
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“…The use of computed tomographic scan has been recommended by most reports [11], although the use of abdominal x-ray and ultrasound has also been suggested in the literature [35]. Nonetheless, in 2 reports, the patient was taken to the operating room based on clinical suspicion alone [28,30].…”
Section: Discussionmentioning
confidence: 98%
See 1 more Smart Citation
“…The use of computed tomographic scan has been recommended by most reports [11], although the use of abdominal x-ray and ultrasound has also been suggested in the literature [35]. Nonetheless, in 2 reports, the patient was taken to the operating room based on clinical suspicion alone [28,30].…”
Section: Discussionmentioning
confidence: 98%
“…Repair during the initial hospitalization or as an outpatient has been described [36]. Most reports recommend immediate repair of the hernia to avoid complications such as incarceration.…”
Section: Discussionmentioning
confidence: 98%
“…Both spontaneous and traumatic Spigelian hernia in the paediatric age group is sporadically reported. As far as traumatic Spigelian hernia is concerned, 24 cases have been reported in the literature so far [6]. Diagnosis of spontaneous Spigelian hernia is often missed due to inconspicuous location and unexplained abdominal pain.…”
Section: Discussionmentioning
confidence: 99%
“…It occurs when the force of the handle bar is not enough to disrupt skin but enough to disrupt the underlying tissue via a tangential shearing stress [13,14]. It is usually diagnosed clinically but may require additional imaging for confirmation.…”
Section: Discussionmentioning
confidence: 99%