Traumatic handlebar hernia: case report of rare type of abdominal wall hernia

Baderalmaarif, Mohamedsuror; Nugud, Faisal Abdelgalil; Alawad, Awad Ali M.

doi:10.15761/gos.1000119

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2018

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“…Management recommendation by most of the reports in the literature for HH is early or delayed surgical—open or laparoscopy—repair of the hernia to prevent complications like incarceration or strangulation [ 2 , 3 , 5 , 6 ]. However, since 2007 several surgeons were successful in managing TAWH conservatively [ 1 , 4 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

OUP accepted manuscript

Aggelidou

Deftereos

Foutzitzi

et al. 2018

Journal of Surgical Case Reports

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Handlebar hernias are very rare and occur after a blunt abdominal trauma by a bicycle handlebar or a handlebar-shape object. As a result the abdominal wall musculature and fascia are disrupted while the skin is still intact. A good history of the injury and physical examination are usually enough to pose a diagnosis. We report the case of bicycle-handlebar hernia in a 6-year-old boy who presented to our emergency department because of a reducible swelling above the left iliac crest after falling from his bicycle 3 days ago. The patient was treated conservatively with a weekly follow-up. Four weeks later the muscle disruption was healed. In pediatric patient in the absence of internal organ injuries, a handlebar hernia can successfully be managed conservatively.

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