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Case Reports
. 2018 Jul;6(3):257-261.
doi: 10.29252/beat-060313.

Handlebar Hernia with Triple Herniation and Perforation: A Case Report and Literature Review

Ankit Shukla  1 , Varun Verma  1 , Krishan Lal Kapoor  2 , Bhanu Gupta  2 , Rajesh Chaudhry  3
Affiliations
Case Reports

Handlebar Hernia with Triple Herniation and Perforation: A Case Report and Literature Review

Ankit Shukla et al. Bull Emerg Trauma. 2018 Jul.

Abstract

Blunt trauma abdomen is a very common entity but traumatic abdominal wall hernia is not that common. Herniation through abdominal wall usually occurs following trauma with seat belt, motor cycle, bicycle handle bar etc. Handlebar hernia is a less known variety of traumatic abdominal wall hernia as a consequence of injury with handlebar of a bicycle. It is difficult to diagnose and one should have high index of suspicion. Management in traumatic abdominal wall hernia is individualized based on various factors. We herein present an interesting case of a14-year-old boy, who sustained blunt trauma abdomen from bicycle handlebar leading to triple herniation and perforation of the small bowel and hematoma of the mesentery. Patient was resuscitated and operated with a favorable outcome. Blunt trauma abdomen is a very common and the possibility of traumatic abdominal wall hernia should always be borne in mind.

Keywords: Blunt trauma abdomen; Handlebar hernia; Traumatic abdominal wall hernia.

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Figures

Fig. 1
Fig. 1
Handle bar mark in left iliac fossa.
Fig. 2
Fig. 2
CECT abdomen showing handlebar hernia.
Fig.3
Fig.3
Small bowel protruding from abdominal wall with pouting perforation.
See this image and copyright information in PMC

References

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