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Related Experiment Video

Updated: Feb 7, 2026

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Handlebar hernia - A rare complication from blunt trauma.

Hang-Fai So1, Hajir Nabi2

  • 1University of Queensland, Department of Colorectal Surgery, Logan Hospital, Brisbane, Australia.

International Journal of Surgery Case Reports
|July 14, 2018
PubMed
Summary

Handlebar hernias are rare injuries caused by blunt abdominal trauma. Prompt diagnosis with imaging and laparoscopic repair are crucial for successful outcomes in pediatric cases.

Keywords:
Handlebar herniaTraumatic abdominal hernia

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Area of Science:

  • Pediatric Surgery
  • Abdominal Trauma
  • Hernia Repair

Background:

  • Handlebar hernias are uncommon injuries resulting from blunt abdominal trauma.
  • The hernia site may be remote from the point of impact, complicating diagnosis.
  • Physical examination can be misleading, potentially delaying diagnosis.

Purpose of the Study:

  • To highlight the diagnostic challenges and successful management of a handlebar hernia in a child.
  • To emphasize the importance of high clinical suspicion for this rare injury.
  • To present laparoscopic herniorrhaphy as an effective treatment option.

Main Methods:

  • Case presentation of a 10-year-old boy with left-sided abdominal pain after a bicycle accident.
  • Diagnosis confirmed via abdominal CT scan after initial physical examination was inconclusive.
  • Surgical intervention using laparoscopic herniorrhaphy.

Main Results:

  • A handlebar hernia was diagnosed in a pediatric patient following blunt abdominal trauma.
  • Laparoscopic repair was successfully performed.
  • The patient experienced an uneventful post-operative recovery.

Conclusions:

  • Handlebar hernias require a high index of suspicion, even with seemingly minor trauma.
  • Imaging studies are essential when physical examination is not definitive.
  • Prompt surgical repair, including laparoscopic techniques, is recommended for effective management.