Traumatic abdominal wall hernia: an unusual bicycle handlebar injury.
Traumatic hernia of the abdominal wall is rare. The mechanism of injury can be severe such as a motor vehicle accident or relatively minor such as a fall onto a bicycle handlebar. In children traumatic abdominal wall hernia can occur even after relatively minor trauma and these cases typically have no associated intra-abdominal injury. We report a traumatic hernia of the anterior abdominal wall in a 7-year-old boy following a fall from a bicycle. A review of the literature revealed only nine similar reports. The presence of localised pain, bruising, and a reducible swelling or a cough impulse suggests the diagnosis. Primary repair with prosthetic material is the preferred treatment.
Mancel
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B
Department of Paediatric Surgery, Addenbrooke's Hospital, Box 201, CB2 2QQ, Cambridge, UK. mancel@doctors.org.uk
Aslam
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A
D000007:Abdominal Injuries / Q000150:complications*; D001642:Bicycling / Q000293:injuries*; D002648:Child; D006555:Hernia, Ventral / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000150:complications*