Handlebar hernia: a case report and literature review on traumatic abdominal wall hernia in children

A J M van Bemmel, A G J van Marle, P M Schlejen, R F Schmitz, A J M van Bemmel, A G J van Marle, P M Schlejen, R F Schmitz

Abstract

A rare case of abdominal trauma, a handlebar hernia, is described, as well as a review of the pertinent literature. A 7-year-old boy presented to our emergency room after sustaining blunt force to the abdomen; he fell on the handlebar of his bicycle. Immediately after the accident, a bulge was noticeable at the point of impact. Handlebar hernia is a diagnosis that is easily missed, which can lead to strangulation and incarceration of the bowel. With this case report, we hope to augment the knowledge on traumatic abdominal wall hernia, hopefully leading to early diagnosis and treatment.

Figures

Fig. 1
Fig. 1
Circular contusion on the place of impact
Fig. 2
Fig. 2
Rupture of the musculus rectus abdominis, as well as a total rupture of the right rectus fascia
Fig. 3
Fig. 3
Ultrasonography showing abdominal wall hernia after trauma
Fig. 4
Fig. 4
Computed tomography (CT) scan showing abdominal wall hernia after trauma

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