• Med. J. Malaysia · Dec 2018

    Case Reports

    Traumatic abdominal wall hernia - a case of handlebar hernia.

    • K Vincent and S D Cheah.
    • Hospital Langkawi, Department of Surgery, Kedah Darul Aman, Malaysia. leo.vincentkhor@gmail.com.
    • Med. J. Malaysia. 2018 Dec 1; 73 (6): 425-426.

    AbstractTraumatic abdominal wall hernia (TAWH) after blunt injury is uncommon. Diagnosis requires careful examination and high index of suspicion. We report a case of a 12-year-old boy who complained of painful abdominal swelling over the left iliac fossa after a bicycle-handlebar hit his abdomen. TAWH was diagnosed clinically and confirmed with ultrasound and computed tomography (CT) scan. He developed incarceration after 12 hours of admission and subsequently underwent primary repair without mesh. As TAWH is usually associated with other concomitant injuries, it is important that we are meticulous to rule out other serious concomitant injuries.

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