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Title: A concealed small bowel perforation in an adult secondary to bicycle handlebar trauma
Authors: Ghosh, Simon C ;Nolan, G.J.;Simpson, R.R.
Affliation: Central Coast Local Health District
Gosford Hospital
Issue Date: 2017
Source: 95(4):e69-70
Journal title: Annals of the Royal College of Surgeons of England
Department: General Surgery
Abstract: Traumatic abdominal wall hernia (TAWH) secondary to bicycle handlebar is a rare injury. The majority of the literature describes abdominal wall herniation in children. We present a rare case of TAWH in an adult with a concealed small bowel perforation. Although clinical examination in conjunction with computed tomography can exclude the majority of solid organ injuries, small bowel injuries can often be missed. Our case initially revealed a serosal tear in the small bowel but, on close inspection, a separate 3mm perforation was identified, hidden in the small bowel mesentery. We strongly support a low threshold for operative intervention if there is any suspicion. Moreover, we stress the importance of meticulous examination during laparotomy as this injury could have been easily missed, resulting in potential morbidity or mortality in a patient sustaining such an injury.
DOI: 10.1308/003588413X13511609957894
ISSN: 0035-8843
Publicaton type: Journal Article
Keywords: Surgery
Appears in Collections:Health Service Research

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