![]() ![]() Handlebar hernias, which are localized defects, are even more infrequent, only 28 cases reported since 1939. ![]() There are fewer than 50 cases reported in the literature. DiscussionĪcute abdominal wall hernias caused by traumatic force are exceedingly rare. The patient had uneventful recovery and has been under regular follow-up for the last 8 months.įigure 2. Interrupted skin stitches were given with 2-0 silk (Figure 2). The gap was repaired with prolene 3-0 without any tension. No attempt was made to separate the transverses abdominis from the internal oblique and mobilise the peritoneum. A plane was created between the internal oblique and the external oblique by sharp dissection with ease. Both the external and entire internal oblique aponeurosis was seen passing anterior to the semilunar edge of rectus abdominis very clearly. No viscus was adherent to the overlying external aponeurosis. The peritoneum was so adherent to the undersurface of external oblique aponeurosis that it got opened with external oblique aponeurosis. On splitting the external oblique aponeurosis, the rent was visible. We planned for an open surgery.Īn oblique incision was made over the defect. Ultrasonography revealed only a defect of 8 x 4 cm in the abdominal wall muscles in the left lower quadrant with bowel herniating through the defect. Routine investigations were within normal limits. He was diagnosed as acute handlebar hernia. Three years child with acute handlebar abdominal hernia. An impulse on coughing was present in the left lower quadrant and a defect could be felt in the anterior abdominal wall lateral to the rectus muscle and below the umbilicus.įigure 1. Abdomen was soft, but there was tenderness in the left lumber and left iliac fossa regions. There were contusions in the left lumber region with bulging swelling in the left iliac fossa, increased with crying, (Figure 1). Case reportĪ 3 -year old male was brought to our department with a reducible swelling measuring 6×4 cm in the left side of lower abdomen after sustaining a trauma by a bicycle handlebar, as it fell on his abdomen while he was lying flat. The patient had an uneventful postoperative course. The case was taken up for open surgery and anatomical repair was done with prolene. Ultrasonography confirmed the clinical diagnosis of traumatic hernia. We report a case of handlebar hernia a male child of 3 years, who came for treatment 2 days after the injury. It involves disruption of the abdominal wall muscles, with bowel loop herniated through the defect in the abdominal wall, and may have major or even lethal complications. Only 42 cases reported from September 1977 to November 2010. Handlebar hernias, which are localized defects, are even more infrequent. Few cases were reported in the literature. Traumatic abdominal wall hernia is a rare clinical entity despite the high incidence of blunt abdominal trauma. The final diagnosis was confirmed using U/S and surgical treatment was achieved. He is a boy of 3 years presented to emergency department after sustaining a blunt abdominal trauma by a handlebar. Acute Handlebar hernia is a rare type of hernia which might be a source of anxiety to the family as well as it could be associated with serious abdominal injuries. ![]()
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