Case Report: PDF OnlyBicycle-handlebar Hernia: A Rare Traumatic Abdominal Wall HerniaChen, Hsien-Ying1, *; Sheu, Ming-Huei1; Tseng, Li-Minga Author Information 1Department of Radiology, Far Eastern Memorial Hospital, Pan-Chiao, Taipei, Taiwan, R.O.C. aDepartment of Surgery, Far Eastern Memorial Hospital, Pan-Chiao, Taipei, Taiwan, R.O.C. *Correspondence to: Dr. Hsien-Ying Chen, Department of Radiology, Far Eastern Memorial Hospital, 21, Section 2, Nan-Ya South Road, Pan-Chiao, Taipei 220, Taiwan, R.O.C. E-mail: [email protected] Received: September 16, 2004 • Accepted: January 13, 2005 Journal of the Chinese Medical Association: June 2005 - Volume 68 - Issue 6 - p 283-285 doi: 10.1016/S1726-4901(09)70152-2 Metrics Abstract Handlebar hernia is a rare, traumatic, abdominal wall hernia caused by high-velocity direct trauma. It involves disruption of the abdominal wall muscles, with bowel loop herniated through the defect in the abdominal wall, and may have major or even lethal complications. We report a case of bicycle-handlebar hernia in a 9-year-old boy who had all layers of his abdominal wall disrupted by a fall when bicycling; however, his skin and intra-abdominal organs were completely intact. Computed tomography demonstrated subcutaneous intestinal loops protruding through the rent. Primary repair was performed, and his postoperative course was uneventful. © 2005 by Lippincott Williams & Wilkins, Inc.