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Case Reports
. 2022 Jun 3;2022(6):rjac195.
doi: 10.1093/jscr/rjac195. eCollection 2022 Jun.

Handlebar hernia-unusual complication from blunt trauma

Bruno Vieira  1 , Ana Melo  1 , Carina Gomes  1 , Leandro Lajut  1 , Artur Ribeiro  1 , Urânia Fernandes  1 , Gonçalo Guidi  1 , Clara Leal  1 , João Pinto-de-Sousa  1
Affiliations
Case Reports

Handlebar hernia-unusual complication from blunt trauma

Bruno Vieira et al. J Surg Case Rep. .

Abstract

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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Figures

Figure 1
Figure 1
Handlebar sign—bruising in the epigastric region (green arrow). Patient lying supine.
Figure 2
Figure 2
CT abdomen showing abdominal wall hernia containing a loop of small intestine (green arrow).
Figure 3
Figure 3
CT abdomen showing abdominal wall defect (green arrow).
Figure 4
Figure 4
Operative findings. Disruption to muscular layers and peritoneum from handlebar injury, revealing small bowel. Clips placed on posterior rectus sheath.
Figure 5
Figure 5
Operative findings. Retromuscular sublay mesh repair.
See this image and copyright information in PMC

References

    1. García Sánchez P, Bote Gascón P, González Bertolín I, Bueno Barriocanal M, López López R, de Ceano-Vivas la Calle M. Handlebar hernia: an uncommon traumatic abdominal hernia. Pediatr Emerg Care 2021;37:e879–81. - PubMed
    1. Shukla A, Verma V, Lal Kapoor K, Gupta B, Chaudhary R. Handlebar hernia with triple herniation and perforation: a case report and literature review. Bull Emerg Trauma 2018;6:257–61. - PMC - PubMed
    1. Pelletti G, Cecchetto G, Viero A, de Matteis M, Viel G, Montisci M. Traumatic fatal aortic rupture in motorcycle drivers. Forensic Sci Int 2017;281:121–6. - PubMed
    1. So HF, Nabi H. Handlebar hernia - a rare complication from blunt trauma. Int J Surg Case Rep 2018;49:118–20. - PMC - PubMed
    1. Huang CW, Nee CH, Juan TK, Pan CK, Ker CG, Juan CC. Handlebar hernia with jejunal and duodenal injuries: a case report. Kaohsiung J Med Sci 2004;20:461–4. - PMC - PubMed

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