IMAGES IN EMERGENCY MEDICINE
An unusual abdominal injury in a child
Emergency Department, Russells Hall Hospital, Dudley, UK
Correspondence to:
Mr S A J Bokhari, Russells Hall Hospital, Dudley, UK; drsajbukhari@aol.com
Accepted 26 June 2007
| The first 150 words of the full text of this article appear below. |
We present an unusual penetrating abdominal injury secondary to falling off a pushbike. A 9-year-old boy presented to the emergency department with evisceration of omentum and small bowel loops from the left lower quadrant of the abdominal wall.
He sustained trauma to the abdomen after being thrown over the handlebar of his BMX bike, as he rode over a speed hump. He cart wheeled over the handlebar, with resultant penetration of the handlebar into his abdominal cavity. The handlebars were covered in soft rubber hand grips. No other injuries were sustained.
Emergency management of this injury entailed analgesia, antibiotic prophylaxis and coverage of the eviscerated bowel with sterile saline soaks. He was immediately taken to theatre. Laparotomy was performed which revealed no further bowel injury. The handlebar wound was closed in two layers in the standard fashion.
He was discharged home with no further complications.
Figure 1 Evisceration of omentum and small | |||||||||
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
