Handlebar hernia with jejunal and duodenal injuries: a case report.
Traumatic abdominal wall hernia is an uncommon complication of abdominal blunt trauma. Handlebar hernia is even more infrequent. To the best of our knowledge, there are fewer than 30 cases of handlebar hernia reported in the English literature. Associated intra-abdominal injuries are infrequent. We present a case of handlebar hernia with jejunal and duodenal injuries. Emergency surgical intervention included primary repair of the disrupted musculofascial defect and injuries of the duodenum and jejunum. Bile-stained discharge from the drain tube was noted, so a second operation was performed about 7 days after the first. Leakage from the sutured jejunal perforation and another irregular perforation in the posterior wall of the fourth portion of the duodenum were noted. The two perforations were debrided and repaired. The muscular and fascial defects were debrided and closed with interrupted sutures. The patient recovered smoothly and was discharged 30 days after the blunt injury. No other major complication was noted 11 months after surgery.
Huang
Ching-Wen
CW
Department of Gastroenterological Surgery, Yuan's General Hospital, Kaohsiung, Taiwan. baseball5824@yahoo.com.tw
Nee
Chung-Hunk
CH
Juan
Tung-Kung
TK
Pan
Ching-Kuen
CK
Ker
Chen-Guo
CG
Juan
Chung-Chou
CC
D000063:Accidents, Traffic; D000328:Adult; D004386:Duodenum / Q000293:injuries* / Q000601:surgery; D046449:Hernia, Abdominal / Q000150:complications* / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000293:injuries* / Q000601:surgery; D008297:Male; D016896:Treatment Outcome