• Pediatr. Surg. Int. · Dec 2003

    Case Reports

    Traumatic abdominal wall hernia: an unusual bicycle handlebar injury.

    • B Mancel and A Aslam.
    • Department of Paediatric Surgery, Addenbrooke's Hospital, Box 201, CB2 2QQ, Cambridge, UK. mancel@doctors.org.uk
    • Pediatr. Surg. Int. 2003 Dec 1; 19 (11): 746-7.

    AbstractTraumatic hernia of the abdominal wall is rare. The mechanism of injury can be severe such as a motor vehicle accident or relatively minor such as a fall onto a bicycle handlebar. In children traumatic abdominal wall hernia can occur even after relatively minor trauma and these cases typically have no associated intra-abdominal injury. We report a traumatic hernia of the anterior abdominal wall in a 7-year-old boy following a fall from a bicycle. A review of the literature revealed only nine similar reports. The presence of localised pain, bruising, and a reducible swelling or a cough impulse suggests the diagnosis. Primary repair with prosthetic material is the preferred treatment.

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