Traumatic abdominal wall hernias: an emerging trend in handlebar injuries

Rathore, Animesh; Simpson, B. Joyce; Diefenbach, Karen A.

doi:10.1016/j.jpedsurg.2012.02.003

Cited by 26 publications

(17 citation statements)

References 29 publications

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“…In 1906 Selby was the first to report a case of abdominal wall hernia after the trauma but the credit to coin and describe ‘handlebar hernia’ goes to Dimyan et al which was published in 1980 3. Handlebar hernia forms a typical group of disease moiety because of its acute nature and typical pathophysiology which demands to be paused and pondered on.…”

Section: Discussionmentioning

confidence: 99%

Handlebar sign: a bruise with underlying visceral injury

et al. 2019

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A 14-year-old boy presented with a painful swelling topped by a bruise overlying the skin of the right inguinal region without peritonitis. This was the area of impact of bicycle handlebar while riding 6 days ago. On contrast-enhanced CT scan, we found a traumatic abdominal wall hernia (handlebar hernia) near the right deep ring without any solid organ, bowel or urinary bladder injury. Inguinal exploration revealed a defect in transversus abdominis and internal oblique muscle which was repaired and meshplasty was done.Delayed presentation and ignorance towards ‘handlebar sign’ is associated with visceral injury (haematoma/perforation) will incur the risk of rising morbidity and mortality. With CT scan we can assess the abdominal cavity to rule out associated visceral or vascular injury. Surgical repair for restoring disrupted anatomy with or without meshplasty is the preferred approach.

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Section: Discussionmentioning

confidence: 99%

Handlebar sign: a bruise with underlying visceral injury

et al. 2019

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“…The incidence of abdominal organs being involved varies between 25 and 79 % in the literature [1,6,7,14,15]. Although supraumbilical and lumbar hernias have a higher risk of coexisting visceral injuries, infraumbilical lesions are less likely to be so.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Abdominal Wall Hernia: Early or Delayed Repair?

Akbaba¹,

Gündoğdu²,

Temel³

et al. 2014

Indian J Surg

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Traumatic abdominal wall hernia after blunt trauma is a rare entity. They can easily be overlooked in patients who have multiple trauma, as its signs and symptoms may be variable due to the presence of multiple injuries. Imaging with computed tomography or ultrasound confirms the diagnosis as well as identifying any associated injuries. Although surgery is the standard treatment for traumatic abdominal wall hernias, there is no consensus on the early or late repair of the defect. Some authors recommend early surgical intervention in order to avoid the risk of intra-abdominal organ injury, incarceration, and strangulation. In this study, we report our experience in three cases, which did not involve emergency surgery. Long-term outcome is successful. Elective hernia repair may be safe and feasible in stable patients.

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“…Handlebar injuries have been cited in the literature as the most common cause (35%) followed by crush (25%) and seatbelt injury (19%) 3 13. The term ‘handlebar hernia’ was first introduced for TAWH by Dimyan et al in 1980, but the first case was described earlier in 1906 by Selby 2 4 6 8 10 12 14–16…”

Section: Discussionmentioning

confidence: 99%

“…TAWH is found mostly in boys, the incidence ranging from 79% to 100% 2 9 17. TAWH has been reported to occur in different parts of the abdominal wall, but it is most common in the lower abdomen.…”

Section: Discussionmentioning

confidence: 99%

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Paediatric abdominal wall hernia following handlebar injury: should we diagnose more and operate less?

Upasani

Bouhadiba

2013

BMJ Case Reports

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Traumatic abdominal wall hernia following handlebar injury can be easily missed and is thus underreported. A 12-year-old boy presented with handlebar injury to the left upper quadrant of his abdomen. Except for a localised swelling, thought to be related to a haematoma, he was haemodynamically stable. CT revealed an abdominal wall defect with herniating fat that was not evident clinically and was also missed on immediate ultrasound examination. As there were no associated injuries and the abdominal wall defect was small without any herniating bowel loops, masterly inactivity was observed. After 6 weeks, the swelling has disappeared completely and there is progressive reduction in the size of the defect.

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Traumatic abdominal wall hernias: an emerging trend in handlebar injuries

Cited by 26 publications

References 29 publications

Handlebar sign: a bruise with underlying visceral injury

Handlebar sign: a bruise with underlying visceral injury

Traumatic Abdominal Wall Hernia: Early or Delayed Repair?

Paediatric abdominal wall hernia following handlebar injury: should we diagnose more and operate less?

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