Traumatic abdominal wall hernia after impact from handlebar: A case report

Chan, Kheng Hooi; Subramaniam, Sentilnathan; Hayati, Firdaus

doi:10.1016/j.tcr.2021.100557

Cited by 4 publications

(1 citation statement)

References 9 publications

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“…This rare injury, sometimes referred to as a "handlebar hernia," 1 is commonly associated with blunt abdominal trauma from a motorcycle handlebar. [1][2] This case demonstrates the under-reported but more common mechanism for this traumatic abdominal wall hernia following an MVC. 3 Three-point seatbelt harnesses are designed to secure over the sternum and hips, distributing deceleration forces in a way that decreases risk of serious injury.…”

Section: Discussionmentioning

confidence: 80%

A Woman with Abdominal Pain After Lap-belt Trauma

Davis,

Shufflebarger,

Hubbs

et al. 2023

Clinical Practice and Cases in Emergency Medicine

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Case presentation: A 24-year-old female presented to the emergency department with diffuse abdominal pain after involvement as a restrained driver in a motor vehicle collision (MVC). Computed tomography of the abdomen revealed a traumatic abdominal wall hernia due to rectus wall rupture with complete bowel herniation.Discussion: A traumatic abdominal wall hernia is a rare complication of blunt abdominal trauma that is typically associated with injury from a motorcycle handlebar but is more commonly seen after a MVC. It is important to consider this diagnosis when evaluating patients with abdominal pain after blunt abdominal trauma from either of these mechanisms.

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Section: Discussionmentioning

confidence: 80%

A Woman with Abdominal Pain After Lap-belt Trauma

Davis,

Shufflebarger,

Hubbs

et al. 2023

Clinical Practice and Cases in Emergency Medicine

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Handlebar hernia–unusual complication from blunt trauma

Vieira

Melo

Gomes

et al. 2022

Journal of Surgical Case Reports

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Handlebar hernia is a rare entity, mainly resulting from blunt abdominal trauma with a sudden deceleration mechanism. Diagnosis of handlebar at admission may be difficult because the rupture of abdominal wall layers often is not clinically recognized in the emergency department, which requires a high degree of suspicion to identify theses lesions. It is very important to rule out the presence of intra-abdominal injuries, and in adults, surgical repair is needed. Herein, the case of an adult man who presented to the emergency department with blunt abdominal trauma caused by a motorcycle handlebar is described.

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Unique laparoscopic emergency management of traumatic obstructed abdominal wall hernia: A case report and review of literature

Aljuhani,

Al Saied,

Reyaz

et al. 2024

International Journal of Abdominal Wall and Hernia Surgery

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Traumatic abdominal wall hernia (TAWH) is a rare clinical occurrence, with only limited cases published since 1906. This type of hernia is primarily caused by low- or high-energy blunt force trauma, resulting in damage to abdominal wall musculature while the skin is intact. The diagnosis and management of TAWH poses a lot of challenges and complexities. Herein, we present a case of a 32-year-old male Saudi patient who sustained significant abdominal trauma as a driver involved in a front collision while wearing a seat belt. Upon arrival at the trauma center, the patient was hemodynamically stable and exhibited clinical signs of left flank bulge, seat belt sign, and abdominal bruising. First, a focused assessment with sonography for trauma (FAST) was performed, which revealed minimal free fluid in the abdomen. Subsequent contrast-enhanced IV computed tomography (CT) scan confirmed a 3.6-cm left lateral abdominal wall defect with herniation of short segments of the large and small bowel loops and adjacent subcutaneous fluid. Following initial observation, the patient developed signs of bowel obstruction. A repeat CT scan showed interval progression of the hernia, partial small bowel obstruction, and other concerning findings. An emergency laparoscopic exploration revealed a large defect at the left lumber region containing omentum and long segments of the small bowel with mild distension. The bowel and omentum were reduced. The surgical repair included herniorrhaphy and mesh placement. The patient recovered well and was discharged on the third postoperative day. This case underscores the importance of thorough evaluation and timely intervention in TAWHs. Rapid surgical management, aided by advanced imaging techniques, can lead to favorable outcomes even in complex cases involving bowel herniation and associated complications.

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Traumatic abdominal wall hernia after impact from handlebar: A case report

Cited by 4 publications

References 9 publications

A Woman with Abdominal Pain After Lap-belt Trauma

A Woman with Abdominal Pain After Lap-belt Trauma

Handlebar hernia–unusual complication from blunt trauma

Unique laparoscopic emergency management of traumatic obstructed abdominal wall hernia: A case report and review of literature

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