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Bicycle-handlebar hernia: a rare traumatic abdominal wall hernia
Hsien-Ying Chen1, Ming-Huei Sheu, Li-Ming Tseng
1Department of Radiology, Far Eastern Memorial Hospital, Pan-Chiao, Taipei, Taiwan, R.O.C. hsstudent2001@yahoo.com.tw
Journal of the Chinese Medical Association : JCMA
|June 30, 2005
Summary
A rare handlebar hernia occurred in a 9-year-old boy after a bicycle accident. Despite abdominal wall disruption, surgical repair led to an uneventful recovery, highlighting successful trauma management.
Area of Science:
- Trauma Surgery
- Pediatric Surgery
- Abdominal Wall Reconstruction
Background:
- Handlebar hernia is a rare abdominal wall injury resulting from high-velocity direct trauma.
- It involves disruption of abdominal muscles and potential herniation of bowel, posing significant risks.
Observation:
- A 9-year-old boy sustained a bicycle-handlebar hernia from a fall, with complete disruption of abdominal wall layers.
- Computed tomography revealed subcutaneous intestinal loops protruding through the abdominal wall defect.
- Notably, the boy's skin and intra-abdominal organs remained intact despite the severe injury.
Findings:
- The case demonstrates a rare instance of handlebar hernia in a pediatric patient.
- Successful primary surgical repair of the disrupted abdominal wall was achieved.
- The patient experienced an uncomplicated postoperative recovery.
Implications:
- This case highlights the importance of prompt diagnosis and surgical intervention for handlebar hernias.
- It underscores the potential for successful outcomes even with significant abdominal wall trauma.
- Further research into pediatric abdominal wall injuries and their management is warranted.