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Traumatic abdominal wall hernia secondary to handlebar injury: a case report
  1. Hsu-Tung Kuo1,2,
  2. Chao-Te Lee3,4,5,
  3. Jenn-Perng Chen6,
  4. His-Fu Chen3,
  5. Tsung-Hsing Lin3,
  6. Jian-Ming Xu5
  1. 1Department of Family Medicine, Lin-Shin Medical Corporation, Lin-Shin Hospital, Taichung, Taiwan
  2. 2Graduate Institute of Biomedical Engineering, National Chung Hsing University, Taichung, Taiwan
  3. 3Department of Emergency Medicine, Lin-Shin Medical Corporation, Lin-Shin Hospital, Taichung, Taiwan
  4. 4Graduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan
  5. 5Graduate Institute of Geriatric Medicine, Anhui Medical University, China
  6. 6Division of Gastroenterology Surgery, Department of Surgery, Lin-Shin Medical Corporation, Lin-Shin Hospital, Taichung, Taiwan
  1. Correspondence to Dr Chao-Te Lee, Department of Emergency Medicine, Lin-Shin Medical Corporation, Lin-Shin Hospital, No. 36, Sec. 3, Hui-Chung Road, Nan-Tun District, Taichung 408, Taiwan; chaote.lee{at}gmail.com

Abstract

A traumatic abdominal wall hernia (TAWH) caused by a handlebar collision is very rare. It is difficult for the emergency physician to exclude the possibility of mesenteric or intestinal injuries when viewing handlebar trauma. Because TAWH may have no other clinical symptoms, early recognition and differentiation from haematoma is important. An unusual case of TAWH caused by a handlebar injury is reported, where a multi-layer muscular defect was found along with a segment of incarcerated jejunum and omentum. The latest literature is reviewed, and valuable ideas on the management of blunt abdominal trauma with TAWH are shared.

  • Abdomen- non trauma
  • gastro-intestinal
  • emergency care systems
  • emergency departments
  • imaging
  • ultrasound
  • trauma
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http://dx.doi.org/10.1136/emj.2009.089847

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.

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