A handlebar injury to the abdomen

Discussion Handlebar injuries have been reported to account for 8-13% of cases of blunt abdominal trauma in children, second only to falls and road traffic crashes. 1 2 After blunt abdominal trauma the spleen and liver are the most commonly injured organs, followed by the kidneys, pancreas, and duod...

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Bibliographic Details
Published inBMJ (Online) Vol. 16; no. Suppl S4; p. 804162
Main Authors Sierakowski, Adam M, Self, Alex, Memtsa, Maria, Selvakumar, Sadasivam, Alaeddin, Fida
Format Journal Article
LanguageEnglish
Published London BMJ Publishing Group Ltd 01.04.2008
BMJ Publishing Group LTD
Subjects
Abdomen
Abdominal injuries
Blunt trauma
Care and treatment
Case studies
Children
Injuries
Kidneys
Liver
Medical imaging
Pancreas
Pediatric injuries
Spleen
Tomography
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Summary:Discussion Handlebar injuries have been reported to account for 8-13% of cases of blunt abdominal trauma in children, second only to falls and road traffic crashes. 1 2 After blunt abdominal trauma the spleen and liver are the most commonly injured organs, followed by the kidneys, pancreas, and duodenum. 3 4 Blunt force causes injury to intra-abdominal organs by three different mechanisms. 5 Shear forces, created by rapid deceleration, can cause organs and vascular pedicles to tear. Specific findings of retroperitoneal duodenal perforation include air bubbles along the right margin of the psoas or the upper pole of the right kidney ( fig 1 ).
ISSN:1756-1833
0966-6494
1756-1833
1752-069X
DOI:10.1136/sbmj.0804162