RT Journal Article SR Electronic T1 Traumatic abdominal wall hernia secondary to handlebar injury: a case report JF Emergency Medicine Journal JO Emerg Med J FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine SP 981 OP 982 DO 10.1136/emj.2009.089847 VO 28 IS 11 A1 Kuo, Hsu-Tung A1 Lee, Chao-Te A1 Chen, Jenn-Perng A1 Chen, His-Fu A1 Lin, Tsung-Hsing A1 Xu, Jian-Ming YR 2011 UL http://emj.bmj.com/content/28/11/981.abstract AB 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.