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Handlebar hernia in children: two cases and review of the literature

M Prada Arias1, T Dargallo Carbonell, E Estévez Martínez

  • 1Service of Paediatric Surgery, University Hospital of Santiago de Compostela, Spain. marcosprada@hotmail.com

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|June 9, 2004
PubMed

Insights

Handlebar hernias, caused by bicycle or motorcycle impacts, are rare abdominal injuries in children. Early diagnosis and surgical repair are crucial to prevent complications from these traumatic hernias.

Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Abdominal Wall Reconstruction

Background:

  • Localized traumatic abdominal hernias are infrequent injuries.
  • Handlebar hernias, often from bicycle or motorcycle accidents, represent a small subset of these cases.
  • Previous literature documents 20 such cases, with 12 involving children.

Observation:

  • Two pediatric cases of handlebar hernia are presented, aged 6 and 10 years.
  • Initial physical exams showed abdominal contusion and bruising, but muscle defects were not immediately apparent in both patients.
  • Abdominal ultrasonography was instrumental in diagnosing the hernias in both children.

Findings:

  • Delayed detection of the muscle defect highlights diagnostic challenges in traumatic abdominal hernias.
  • Ultrasonography offers a valuable, non-invasive method for identifying these injuries.
  • Prompt surgical intervention is indicated for effective management and complication avoidance.

Implications:

  • Pediatricians and emergency physicians should consider handlebar hernias in children with abdominal trauma from cycling incidents.
  • Increased awareness can lead to earlier diagnosis and treatment, improving patient outcomes.
  • This emphasizes the importance of thorough evaluation following blunt abdominal trauma in pediatric populations.

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