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Abstract
Handlebar hernias are very rare and occur after a blunt abdominal trauma by a bicycle handlebar or a handlebar-shape object. As a result the abdominal wall musculature and fascia are disrupted while the skin is still intact. A good history of the injury and physical examination are usually enough to pose a diagnosis. We report the case of bicycle-handlebar hernia in a 6-year-old boy who presented to our emergency department because of a reducible swelling above the left iliac crest after falling from his bicycle 3 days ago. The patient was treated conservatively with a weekly follow-up. Four weeks later the muscle disruption was healed. In pediatric patient in the absence of internal organ injuries, a handlebar hernia can successfully be managed conservatively.
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Details
1 Department of Pediatric Surgery, Faculty of Medicine, Alexandroupoli University Hospital, Democritus University of Thrace, Dragana 68100, Alexandroupoli, Greece
2 Department of Radiology, Faculty of Medicine, Alexandroupoli University Hospital, Democritus University of Thrace, Dragana 68100, Alexandroupoli, Greece
3 Second Department of Surgery, Faculty of Medicine, Alexandroupoli University Hospital, Democritus University of Thrace, Dragana 68100, Alexandroupoli, Greece