Bicycle-handlebar hernia: a rare traumatic abdominal wall hernia.
Handlebar hernia is a rare, traumatic, abdominal wall hernia caused by high-velocity direct trauma. It involves disruption of the abdominal wall muscles, with bowel loop herniated through the defect in the abdominal wall, and may have major or even lethal complications. We report a case of bicycle-handlebar hernia in a 9-year-old boy who had all layers of his abdominal wall disrupted by a fall when bicycling; however, his skin and intra-abdominal organs were completely intact. Computed tomography demonstrated subcutaneous intestinal loops protruding through the rent. Primary repair was performed, and his postoperative course was uneventful.
Chen
Hsien-Ying
HY
Department of Radiology, Far Eastern Memorial Hospital, Pan-Chiao, Taipei, Taiwan, R.O.C. hsstudent2001@yahoo.com.tw
Sheu
Ming-Huei
MH
Tseng
Li-Ming
LM
D000007:Abdominal Injuries / Q000150:complications*; D034861:Abdominal Wall; D000058:Accidental Falls; D001642:Bicycling; D002648:Child; D046449:Hernia, Abdominal / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed