Surgery Today

, Volume 37, Issue 4, pp 349–351 | Cite as

Successful Conservative Treatment of a Bicycle-Handlebar Hernia: Report of a Case

  • Susumu Matsuo
  • Satoko Okada
  • Takashi Matsumata
Article

Abstract

Handlebar hernia is a rare type of blunt traumatic abdominal wall hernia (TAWH). It involves a disruption of the abdominal wall muscles, with bowel loop herniation through the defect in the abdominal wall. We report a case of bicycle-handlebar hernia in a 9-year-old boy who had all layers of his abdominal wall disrupted after falling from his bicycle. He was brought to our hospital with lower abdominal pain and bulging. A physical examination revealed left lower quadrant bulging in a standing posture, and a palpable fascial defect, 3 cm in diameter. Computed tomography showed a disruption of the abdominal rectal muscle layer, but his skin and intra-abdominal organs were completely intact. The patient was treated conservatively with abdominal wall compression using a cotton cloth corset. Within 3 weeks, his abdominal wall hernia had healed without the need for any surgical intervention.

Key words

Traumatic abdominal wall hernia Handlebar hernia Bicycle 

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Copyright information

© Springer-Verlag Tokyo 2007

Authors and Affiliations

  • Susumu Matsuo
    • 1
  • Satoko Okada
    • 1
  • Takashi Matsumata
    • 1
  1. 1.Department of Pediatric SurgeryNakatsu Municipal HospitalOitaJapan

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