Handlebar hernia in children: a conservative approach. Case report and literature review. Issue 4 (20th April 2018)

• Record Type: Journal Article
• Authors: Aggelidou, Maria; Deftereos, Savas; Foutzitzi, Soultana; Oikonomou, Panagoula; Kambouri, Katerina
• Is Part Of: Journal of surgical case reports. Issue 4(2018)
• Publication Date: 2018-04-20
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjy075
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: 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.