Bicycle Handlebar Hernia with Multiple Enterotomies: a Case Report

Abstract

Bicycle handlebar Hernia (BHH) is a type of traumatic abdominal wall hernia caused by a low impact energy direct blunt injury. We describe a case of BHH associated with small bowel injury which was treated with exploratory laparotomy through skin crease traverse incision. This surgical approach allowed an appropriate exploration of all the intrabdominal structures and primary repair of the hernial defect.

Delayed Presentation of the Traumatic Abdominal Wall Hernia; Dilemma in the Management – Review of Literature

“…Tonsi et al [34] treated a case of TAWH surgically, with the help of CECT, which revealed intestinal loops protruding through the abdominal wall defect with free air in the peritoneum suggesting hollow viscus perforation. Matsuo et al [35] have also reported successful conservative management of abdominal hernia caused by handlebar injury, using a cloth corset with the help of a CT scan which did not reveal any intra-abdominal injury But conservative treatment again depends on an individual clinical findings, and the studies have concluded that traumatic hernias diagnosed by a CT scan, and without any abdominal injuries requiring immediate laparotomy, may be addressed expectantly and repair can be delayed until the patient stabilizes clinically.…”