Bicycle handlebar injuries in children : findings on CT abdomen of 3 cases

Introduction Blunt abdominal injuries in children caused by bicycle handlebar are often difficult to diagnose, and the severity of the underlying injury may not be realized during the initial patient admission to the Emergency Department. High index of suspicion with proper radiologic evaluation ca...

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Main Authors:	Che Mohamed, Siti Kamariah, Abd. Aziz, Azian, Hassan, Radhiana, Sa'at@Yusof, Azlin, G , Krishna Kumar
Format:	Article
Language:	English
Published:	2010
Subjects:	RJ Pediatrics
Online Access:	http://irep.iium.edu.my/23330/ http://irep.iium.edu.my/23330/ http://irep.iium.edu.my/23330/1/COR_2010_Bicycle_Handlebar_Injury%5B1%5D.pdf

id	iium-23330
recordtype	eprints
spelling	iium-233302013-04-26T10:35:23Z http://irep.iium.edu.my/23330/ Bicycle handlebar injuries in children : findings on CT abdomen of 3 cases Che Mohamed, Siti Kamariah Abd. Aziz, Azian Hassan, Radhiana Sa'at@Yusof, Azlin G , Krishna Kumar RJ Pediatrics Introduction Blunt abdominal injuries in children caused by bicycle handlebar are often difficult to diagnose, and the severity of the underlying injury may not be realized during the initial patient admission to the Emergency Department. High index of suspicion with proper radiologic evaluation can help identify presence of internal injuries. This will lead to appropriate and timely treatment. Case Series We report and illustrate 3 cases of blunt abdominal injuries resulting from trauma due to the bicycle handlebar in children. All patients had an imprint of the handlebar edge on their hypochondrium. One patient showed no signs of severe abdominal injury immediately after the trauma and were assessed as being fit to remain at home, but presented again 2 days later with abdominal pain and vomiting. The other 2 patients were admitted to the Emergency Department within 12 hours post trauma. All injuries were evaluated with ultrasound and computed tomographic (CT) scans. On ultrasound, intra abdominal free fluid was identified in 1 patient, while the other 2 patients showed no remarkable findings. However, further evaluation with CT scan revealed pancreatic transection in 2 patients and stomach perforation in 1 patient. The patients with pancreatic transection were treated conservatively while the patient with stomach perforation underwent surgery. Conclusion Children with suspected blunt abdominal injury caused by bicycle handlebar should be assessed and evaluated with great care. Thorough clinical assessment and appropriate radiological evaluation may help reduce morbidity from delay in diagnosis, which may hinder a timely management. 2010 Article NonPeerReviewed application/pdf en http://irep.iium.edu.my/23330/1/COR_2010_Bicycle_Handlebar_Injury%5B1%5D.pdf Che Mohamed, Siti Kamariah and Abd. Aziz, Azian and Hassan, Radhiana and Sa'at@Yusof, Azlin and G , Krishna Kumar (2010) Bicycle handlebar injuries in children : findings on CT abdomen of 3 cases. pp. 1-15. (Unpublished) http://www.radiologymalaysia.org/
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RJ Pediatrics
spellingShingle	RJ Pediatrics Che Mohamed, Siti Kamariah Abd. Aziz, Azian Hassan, Radhiana Sa'at@Yusof, Azlin G , Krishna Kumar Bicycle handlebar injuries in children : findings on CT abdomen of 3 cases
description	Introduction Blunt abdominal injuries in children caused by bicycle handlebar are often difficult to diagnose, and the severity of the underlying injury may not be realized during the initial patient admission to the Emergency Department. High index of suspicion with proper radiologic evaluation can help identify presence of internal injuries. This will lead to appropriate and timely treatment. Case Series We report and illustrate 3 cases of blunt abdominal injuries resulting from trauma due to the bicycle handlebar in children. All patients had an imprint of the handlebar edge on their hypochondrium. One patient showed no signs of severe abdominal injury immediately after the trauma and were assessed as being fit to remain at home, but presented again 2 days later with abdominal pain and vomiting. The other 2 patients were admitted to the Emergency Department within 12 hours post trauma. All injuries were evaluated with ultrasound and computed tomographic (CT) scans. On ultrasound, intra abdominal free fluid was identified in 1 patient, while the other 2 patients showed no remarkable findings. However, further evaluation with CT scan revealed pancreatic transection in 2 patients and stomach perforation in 1 patient. The patients with pancreatic transection were treated conservatively while the patient with stomach perforation underwent surgery. Conclusion Children with suspected blunt abdominal injury caused by bicycle handlebar should be assessed and evaluated with great care. Thorough clinical assessment and appropriate radiological evaluation may help reduce morbidity from delay in diagnosis, which may hinder a timely management.
format	Article
author	Che Mohamed, Siti Kamariah Abd. Aziz, Azian Hassan, Radhiana Sa'at@Yusof, Azlin G , Krishna Kumar
author_facet	Che Mohamed, Siti Kamariah Abd. Aziz, Azian Hassan, Radhiana Sa'at@Yusof, Azlin G , Krishna Kumar
author_sort	Che Mohamed, Siti Kamariah
title	Bicycle handlebar injuries in children : findings on CT abdomen of 3 cases
title_short	Bicycle handlebar injuries in children : findings on CT abdomen of 3 cases
title_full	Bicycle handlebar injuries in children : findings on CT abdomen of 3 cases
title_fullStr	Bicycle handlebar injuries in children : findings on CT abdomen of 3 cases
title_full_unstemmed	Bicycle handlebar injuries in children : findings on CT abdomen of 3 cases
title_sort	bicycle handlebar injuries in children : findings on ct abdomen of 3 cases
publishDate	2010
url	http://irep.iium.edu.my/23330/ http://irep.iium.edu.my/23330/ http://irep.iium.edu.my/23330/1/COR_2010_Bicycle_Handlebar_Injury%5B1%5D.pdf
first_indexed	2023-09-18T20:35:20Z
last_indexed	2023-09-18T20:35:20Z
_version_	1777409008050634752

Bicycle handlebar injuries in children : findings on CT abdomen of 3 cases

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