Traumatic handlebar hernia: a rare abdominal wall hernia
J Goliath1, V Mittal, J McDonough
1Department of General Surgery, Providence Hospital and Medical Centers, Southfield, MI 48075, USA.
Journal of Pediatric Surgery
|October 16, 2004
Summary
Traumatic abdominal wall herniation (TAWH) from bicycle handlebar injuries is rare. Prompt surgical repair of the abdominal wall defect is crucial for successful outcomes in pediatric patients.
Area of Science:
- Pediatric Surgery
- Trauma Surgery
- Abdominal Wall Reconstruction
Background:
- Traumatic abdominal wall herniation (TAWH) is an uncommon injury.
- Bicycle handlebar impacts are a rare cause of TAWH, with limited case reports.
Observation:
- An 11-year-old boy sustained a right lower quadrant abdominal wall defect after a bicycle accident.
- Clinical examination revealed a bulge, ecchymosis, and tenderness.
- CT scan demonstrated intestinal loops protruding through an abdominal wall defect into the subcutaneous space.
Findings:
- Surgical exploration confirmed a full-thickness abdominal wall defect involving fascia, muscle, and peritoneum.
- Bowel was found protruding into the subcutaneous space.
- The defect was successfully repaired surgically in layers.
Implications:
- A high index of suspicion for TAWH is recommended in pediatric patients with abdominal trauma.
- Surgical exploration and layered primary repair are the definitive treatments for TAWH.
- This case highlights the importance of timely surgical intervention for traumatic abdominal wall defects.
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