Severe Abdominal Trauma Involving Bicycle Handlebars in Children

Abstract

Children with an imprint made by the handlebar edge on the abdominal wall or give a clear history of injuries by a bicycle handlebar should be treated with great care. Early computed tomography evaluation may help to reduce the morbidity resulting from the delay in diagnosis of injuries to the internal organs.

Degloving injury to groin, scrotum and penis due to low-velocity handlebar injury

“…A review of 219 children with abdominal handlebar injuries documented no impalement trauma, which is in keeping with a number of other smaller studies 9 10…”

Serious Impact of Handlebar Injuries

“…2,[5][6][7][8]10 However, a delay in diagnosis and treatment can result in sepsis, hemorrhages, or even death. Their subtle or delayed presentation and deceptively minor history can cause them to be overlooked.…”

“…7 Physicians must maintain a high index of suspicion when dealing with patients with a history of handlebar impact and keenly observe them for signs that point toward severe abdominal trauma. 7 Physicians must maintain a high index of suspicion when dealing with patients with a history of handlebar impact and keenly observe them for signs that point toward severe abdominal trauma.…”

Pancreatic Injury: Case Report

“…Çocuklarda travma sonrasında, pankreatit ve erken veya geç dönemde majör duktal sistemin direkt travmasına bağlı olarak veya post travmatik enflamatuvar süreç sonrası pankreatik psödokist gelişebileceği belirtilmektedir. [10,11] Pankreas başı travmalarında duodenum ikinci ve üçüncü kısımlarında perforasyon, intramural hematom olabilir. Ancak çocuklarda bisiklet nedeniyle oluşan pankreas travması genellikle kontüzyon şeklindedir ve genellikle yakınmalar 24-48 saatte kaybolur, kandaki amilaz düzeyi yine aynı süre içinde düşmeye başlar.…”