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Related Concept Videos

Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...
Barrett Esophagus-II: Clinical Manifestations and Management01:21

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Barrett Esophagus-I: Introduction01:21

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Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
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Pyloric Obstruction01:11

Pyloric Obstruction

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Esophageal Varices-I: Introduction01:24

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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
04:55

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Published on: September 11, 2018

Handlebar hernia in children.

P J Mitchell1, M Green, A N Ramesh

  • 1Department of General Surgery, University Hospital South Manchester NHS Trust, Wythenshawe Hospital, Southmoor Road, Manchester M23 9LT, UK. peter.mitchell40@btopenworld.com

Emergency Medicine Journal : EMJ
|November 25, 2010
PubMed
Summary
This summary is machine-generated.

Handlebar hernias, a rare traumatic abdominal wall injury in children from bicycle falls, often present with subtle external signs but require surgical repair due to significant internal damage. Early recognition based on history is crucial for prompt diagnosis and treatment of this pediatric condition.

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Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

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Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Abdominal Wall Injuries

Background:

  • Handlebar hernia is a rare traumatic abdominal wall hernia typically seen in children following bicycle accidents.
  • It results from blunt force trauma, often from bicycle handlebars, causing disruption to the abdominal musculature and peritoneum.
  • This condition is uncommon, with limited cases reported in the pediatric population.

Purpose of the Study:

  • To describe a classic case of handlebar hernia in a pediatric patient.
  • To review the existing English literature on handlebar hernias in children under 16.
  • To highlight the diagnostic challenges and management strategies for this rare injury.

Main Methods:

  • A case report of a 14-year-old boy with handlebar hernia is presented.
  • A comprehensive literature review was conducted to identify and analyze previously reported cases of handlebar hernias in children.
  • Data on patient demographics, injury mechanisms, clinical presentation, and management outcomes were extracted and synthesized.

Main Results:

  • The case involved a 14-year-old boy with minimal external injury signs but significant traumatic disruption of the abdominal wall.
  • The literature review identified 25 cases of handlebar hernias in children under 16 years old.
  • The average age of affected children is 9 years, with a 2:1 male predominance. Associated visceral injuries were infrequent. Surgical exploration and simple suture repair were the most common management approaches.

Conclusions:

  • Handlebar hernias, despite often having minimal external signs, represent significant traumatic abdominal wall disruptions in children.
  • A thorough history following a bicycle fall is critical for suspecting this injury.
  • Surgical intervention, typically simple suture repair, is the mainstay of treatment for handlebar hernias.