Handlebar hernia: case report and review of pediatric cases

Kubota, Akio; Shono, J.; Yonekura, Takeo; Hoki, Masanori; Asano, Souichi; Hirooka, Shinji; Kato, Megumi; Oyanagi, Harumasa

doi:10.1007/s003830050616

Cited by 25 publications

(16 citation statements)

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“…Computed tomography and US were useful for detecting the disruption of the abdominal wall musculature or the prolapsed intestine. [1][2][3][4][5][6][7][8][9][10][11] In our patient, no prolapsed bowel was found, but a disruption of the abdominal wall musculature was clearly seen on the CT scan. If the disruption of abdominal wall muscles is unclear, local dilated intestinal loops might indicate intestinal obstruction or herniation into the abdominal wall.…”

Section: Case Reportmentioning

confidence: 74%

“…In fact, there are only a few reports of associated injuries occurring. 3,4,7 According to the past reports, the diagnosis of TAWH is based mainly on physical examinations, US, and CT. In many cases, a tender bulging or swelling in the injured area was recognized as soon as the patient was examined.…”

Section: Case Reportmentioning

confidence: 99%

“…1,5,9 Only about 30 cases of handlebar hernia have been reported in the English literature. [1][2][3][4][5][6][7][8][9][10][11] More than 80% of TAWHs are caused by lower energy trauma as a result of bicycle-handlebar injuries. 9 It is noteworthy that this type of injury is infrequently associated with other organ injuries.…”

Section: Case Reportmentioning

confidence: 99%

“…In most reported cases, surgical repair was performed immediately. [1][2][3][4][5][6][7][8][9][10] We report a case of handlebar hernia managed conservatively with excellent results.…”

Section: Introductionmentioning

confidence: 95%

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Successful Conservative Treatment of a Bicycle-Handlebar Hernia: Report of a Case

Matsuo¹,

Okada²,

Murakami³

2007

Surg Today

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Handlebar hernia is a rare type of blunt traumatic abdominal wall hernia (TAWH). It involves a disruption of the abdominal wall muscles, with bowel loop herniation through the defect in the abdominal wall. We report a case of bicycle-handlebar hernia in a 9-year-old boy who had all layers of his abdominal wall disrupted after falling from his bicycle. He was brought to our hospital with lower abdominal pain and bulging. A physical examination revealed left lower quadrant bulging in a standing posture, and a palpable fascial defect, 3 cm in diameter. Computed tomography showed a disruption of the abdominal rectal muscle layer, but his skin and intra-abdominal organs were completely intact. The patient was treated conservatively with abdominal wall compression using a cotton cloth corset. Within 3 weeks, his abdominal wall hernia had healed without the need for any surgical intervention.

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Section: Case Reportmentioning

confidence: 74%

Section: Case Reportmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

“…In most reported cases, surgical repair was performed immediately. [1][2][3][4][5][6][7][8][9][10] We report a case of handlebar hernia managed conservatively with excellent results.…”

Section: Introductionmentioning

confidence: 95%

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Successful Conservative Treatment of a Bicycle-Handlebar Hernia: Report of a Case

Matsuo¹,

Okada²,

Murakami³

2007

Surg Today

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“…The use of mesh techniques is probably dependent on the size of the hernia and concomitant injury. Associated injuries are uncommon, but may be very serious [1][2][3][4].…”

Section: Discussionmentioning

confidence: 99%

A 7-year-old Boy with an Abdominal Wall Hernia and Ischemia of the Left Leg after a Bicycle Handle Bar Injury

Hulscher

Idu²,

Tytgat

et al. 2006

Eur J Trauma

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Traumatic abdominal wall hernia is a rare event. We describe a 7-year-old boy in whom this rare injury was combined with a traumatic dissection of the external iliac artery. The hernia was corrected by primary repair, the dissection by resection of the injured part and endto-end anastomosis. Case StudyA 7-year-old boy was transferred from another hospital after a blunt abdominal handle bar injury. He complained of tenderness in the left lower quadrant of his abdomen. Vital signs were stable. There was a pronounced hernia of the abdominal wall in the left lower quadrant with intact skin. The left leg was cold and pale, without palpable femoral artery or distal pulse. There were no neurologic or motor deficits. There were no associated injuries. Patient was transferred to our institution. Upon admission there was a good capillary refill in the left leg, and the discoloration and poililothermia, the signs of acute ischemia, gradually disappeared. The ankle-brachial index was 0.5 at the left side. Duplex scanning showed an occlusion of the external

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Traumatic abdominal wall hernia: an unusual bicycle handlebar injury

Mancel

Aslam

2003

Pediatric Surgery International

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Traumatic hernia of the abdominal wall is rare. The mechanism of injury can be severe such as a motor vehicle accident or relatively minor such as a fall onto a bicycle handlebar. In children traumatic abdominal wall hernia can occur even after relatively minor trauma and these cases typically have no associated intra-abdominal injury. We report a traumatic hernia of the anterior abdominal wall in a 7-year-old boy following a fall from a bicycle. A review of the literature revealed only nine similar reports. The presence of localised pain, bruising, and a reducible swelling or a cough impulse suggests the diagnosis. Primary repair with prosthetic material is the preferred treatment.

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Handlebar hernia: case report and review of pediatric cases

Cited by 25 publications

References 0 publications

Successful Conservative Treatment of a Bicycle-Handlebar Hernia: Report of a Case

Successful Conservative Treatment of a Bicycle-Handlebar Hernia: Report of a Case

A 7-year-old Boy with an Abdominal Wall Hernia and Ischemia of the Left Leg after a Bicycle Handle Bar Injury

Traumatic abdominal wall hernia: an unusual bicycle handlebar injury

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