Handlebar hernia with intra-abdominal extraluminal air presenting as a novel form of traumatic abdominal wall hernia: Report of a case

Shiomi, Hiroya; Hase, Takanobu; Matsuno, S; Izumi, Masahumi; Tatsuta, Takeshi; Ito, Fumito; Kishida, Akihiro; Tani, Tohru; Kodama, Masashi

doi:10.1007/bf02482224

Cited by 28 publications

(15 citation statements)

References 15 publications

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“…Many a times herniation is seen at anatomically weak points due to blowout near iliac crest( lumbar),inguinal region or lateral to rectus muscle away from site of primary impact. 7 Tension of abdominal musculature between pelvic bones increases potential for disruption in right lower abdomen lateral to rectus muscle through oblique and transverse muscle after blunt abdominal trauma.…”

Section: Discussionmentioning

confidence: 99%

Traumatic abdominal wall hernia: a rare case report and review

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Traumatic abdominal wall hernia: a rare case report and review

et al. 2016

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“…While ultrasonography provides adequate assessment of the presence or absence of free fluid following blunt abdominal trauma, it is of limited usefulness in evaluating the abdominal wall. If traumatic hernia is suspected, CT scan should be implemented preferentially in the diagnostic workup [14,[19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Delayed Presentation of a Traumatic Lumbar Hernia Caused by Seat Belt

Jarrahy¹,

Coimbra²,

Potenza³

et al. 2003

European Journal of Trauma

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Background: Traumatic abdominal wall hernia is seldom seen. Rarer still is delayed presentation of a traumatic lumbar hernia. Expedient diagnosis and early surgical intervention are the hallmarks of management. Case Study: A 37-year-old restrained male driver was involved in a high-speed rollover motor vehicle accident. Initial trauma evaluation, including abdominal ultrasound, was negative. 2 weeks later the patient presented to our institution with progressively worsening right flank pain. An abrasion (seat belt sign) was noticed above the iliac crest. Abdominal CT scan revealed a right lumbar hernia at the iliac crest. Intraoperatively, a 7-cm hernia defect was identified and repaired. The patient had an uneventful recovery and remains symptom-free at 6-month follow-up. Discussion: Traumatic abdominal wall hernia secondary to blunt trauma is a relatively uncommon injury. The fascia defect is usually located at anatomic weak points in the lower abdominal wall lateral to the rectus sheath or in the inguinal region. Up to two thirds of patients with large traumatic abdominal wall hernias have associated intraabdominal injuries. This is the rare case of a traumatic hernia in the inferior lumbar triangle. It emphasizes the need for a high index of suspicion for this injury and also underscores the importance of choosing appropriate adjunctive modalities to facilitate diagnosis.

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“…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: 94%

“…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%

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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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Handlebar hernia with intra-abdominal extraluminal air presenting as a novel form of traumatic abdominal wall hernia: Report of a case

Cited by 28 publications

References 15 publications

Traumatic abdominal wall hernia: a rare case report and review

Traumatic abdominal wall hernia: a rare case report and review

Delayed Presentation of a Traumatic Lumbar Hernia Caused by Seat Belt

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

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