Motorbike-handlebar hernia - a rare traumatic abdominal wall hernia: a case report and review of the literature
Tóm tắt
Handlebar hernias are very rare and arise following a sudden force from a handle-like object impacting a focal area of the abdomen, which results in a disruption of the underlying abdominal muscle and fascia without necessarily disrupting the overlying skin. Other than a reducible swelling on the abdominal wall, the physical examination of such patients is usually unremarkable and the diagnosis could easily be missed. An 8-year-old Cameroonian boy with no significant past history presented to our emergency service with a tender left flank swelling following a road traffic accident. He was knocked down by a motorbike with resulting impact of the handlebar on his abdomen. A handlebar hernia was diagnosed on the basis of a reducible abdominal swelling with a positive cough impulse. A herniorrhaphy was done the following day after resuscitation and his postoperative period was uneventful. Handlebar hernias, although rare, should be suspected when patients present with an abdominal swelling following blunt abdominal trauma involving a handlebar-like object. A good history and physical examination are usually enough to pose an early diagnosis of handlebar hernia. Management typically involves surgical intervention to prevent complications. The timing and surgical approach should be decided on a case-by-case basis.
Tài liệu tham khảo
Killeen KL, Girard S, DeMeo JH, Shanmuganathan K, Mirvis SE. Using CT to diagnose traumatic lumbar hernia. AJR Am J Roentgenol. 2000;174(5):1413–5.
Esposito TJ, Fedorak I. Traumatic lumbar hernia: case report and literature review. J Trauma. 1994;37(1):123–6.
Dimyan W, Robb J, MacKay C. Handlebar hernia. J Trauma. 1980;20(9):812–3.
Yarbrough 3rd DR. Intra-abdominal injury with handlebar hernia: case report and literature review. J Trauma. 1996;40(1):116–8.
Mitchiner JC. Handlebar hernia: diagnosis by abdominal computed tomography. Ann Emerg Med. 1990;19(7):812–3.
Sahdev P, Garramone Jr RR, Desani B, Ferris V, Welch JP. Traumatic abdominal hernia: report of three cases and review of the literature. Am J Emerg Med. 1992;10(3):237–41.
Kubalak G. Handlebar hernia: case report and review of the literature. J Trauma. 1994;36(3):438–9.
Jones BV, Sanchez JA, Vinh D. Acute traumatic abdominal wall hernia. Am J Emerg Med. 1989;7(6):667–8.
Damschen DD, Landercasper J, Cogbill TH, Stolee RT. Acute traumatic abdominal hernia: case reports. J Trauma. 1994;36(2):273–6.
Ganchi PA, Orgill DP. Autopenetrating hernia: a novel form of traumatic abdominal wall hernia – case report and review of the literature. J Trauma. 1996;41(6):1064–6.
Singal R, Dalal U, Dalal AK, Attri AK, Gupta R, Gupta A, et al. Traumatic anterior abdominal wall hernia: a report of three rare cases. J Emerg Trauma Shock. 2011;4(1):142–5.
Lane CT, Cohen AJ, Cinat ME. Management of traumatic abdominal wall hernia. Am Surg. 2003;69(1):73–6.
Wood RJ, Ney AL, Bubrick MP. Traumatic abdominal hernia: a case report and review of the literature. Am Surg. 1988;54(11):648–51.
Hassan KA, Elsharawy MA, Moghazy K, AlQurain A. Handlebar hernia: a rare type of abdominal wall hernia. Saudi J Gastroenterol. 2008;14(1):33–5.
Goliath J, Mittal V, McDonough J. Traumatic handlebar hernia: a rare abdominal wall hernia. J Pediatr Surg. 2004;39(10):e20–2.
Chen HY, Sheu MH, Tseng LM. Bicycle-handlebar hernia: a rare traumatic abdominal wall hernia. J Chin Med Assoc. 2005;68(6):283–5.
Cheng S-P, Ko W-C, Liu C-L. Handlebar hernia: a misleading term. Injury Extra. 2005;36(8):309–11.
van Bemmel AJ, van Marle AG, Schlejen PM, Schmitz RF. Handlebar hernia: a case report and literature review on traumatic abdominal wall hernia in children. Hernia. 2011;15(4):439–42.
Hebra A. Pediatric Hernias. Medscape. 2016. http://emedicine.medscape.com/article/932680-overview. Accessed 8 Nov 2016.
Dreyfuss DC, Flancbaum L, Krasna IH, Tell B, Trooskin SZ. Acute trans-rectus traumatic hernia. J Trauma. 1986;26(12):1134–6.
Hollwarth M. Traumatic abdominal-wall hernia in childhood. Chirurg. 1977;48(9):592–4.
Losanoff JE, Richman BW, Jones JW. Handlebar hernia: ultrasonography-aided diagnosis. Hernia. 2002;6(1):36–8.
Holmes JH, Hall RA, Schaller Jr RT. Thoracic handlebar hernia: presentation and management. J Trauma. 2002;52(1):165–6.
Litton K, Izzidien AY, Hussien O, Vali A. Conservative management of a traumatic abdominal wall hernia after a bicycle handlebar injury (case report and literature review). J Pediatr Surg. 2008;43(4):e31–2.
Zanetti EM, Franceschini G, Audenino AL. Rider-handlebar injury in two-wheel frontal collisions. J Mech Behav Biomed Mater. 2014;33:84–92.
Ruan JS, El-Jawahri R, Barbat S, Prasad P. Biomechanical analysis of human abdominal impact responses and injuries through finite element simulations of a full human body model. Stapp Car Crash J. 2005;49:343–66.