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Handlebar hernia: diagnosis by abdominal computed tomography.

J C Mitchiner¹

¹Department of Emergency Medicine, St Joseph Mercy Hospital, Ann Arbor, Michigan 48106.

Annals of Emergency Medicine

|July 1, 1990

Summary

A rare handlebar hernia in a child was successfully treated. Abdominal CT scans aided in diagnosing and confirming the incarcerated small bowel loop before surgery.

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Area of Science:

Pediatric Surgery
Abdominal Trauma
Medical Imaging

Background:

Traumatic handlebar hernia is an uncommon injury caused by direct abdominal impact.
Such injuries require prompt diagnosis and management to prevent complications.

Observation:

A 7-year-old boy presented with a traumatic handlebar hernia after bicycle handlebar impaction.
The hernia sac contained an incarcerated loop of small bowel, indicating a surgical emergency.

Findings:

Abdominal computed tomography (CT) accurately confirmed the diagnosis of incarcerated handlebar hernia.
CT imaging provided crucial details for surgical planning and reduction.

Implications:

Abdominal CT is a valuable, safe, and effective tool for diagnosing handlebar hernias.
Early diagnosis and surgical intervention are critical for favorable outcomes in pediatric abdominal trauma.

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