HYBRID EVENT: You can participate in person at Paris, France or Virtually from your home or work.

3rd Edition of Global Conference on Surgery and Anesthesia

September 14-15, 2022 | Hybrid Event

September 14 -15, 2022 | Paris, France
GCSA 2021

Traumatic lower anterior abdominal wall hernia: A precise diagnosis not easy to reach

Muhammad Abdelhafez Mahmoud, Speaker at Surgery Congress
Al-Hussein University Hospital, Egypt
Title : Traumatic lower anterior abdominal wall hernia: A precise diagnosis not easy to reach


Background: Pediatric traumas are routinely categorized into blunt and penetrating types. Bicycle handlebar exerts a biphasic or dual effect (it is primarily a blunt mechanism but due to its focused effect, it disrupts the muscles without cutting the skin). In 1964, Roberts reported a 9-year-old boy with acquired abdominal wall hernia after a fall upon a bicycle handlebar to be the second case of traumatic abdominal wall hernia (TAWH) after Landry report in 1956.

Since then, more than 66 pediatric cases have been reported. In dealing with cases having this type of injury, radiologic studies are warranted to reveal the injured anatomic walls and organs, address these injuries, and achieve optimum case stabilization. Here in this article, we present our experience in management of pediatric traumatic abdominal wall hernia case and literature review.

Case Presentation: An 11-years-old boy presented to the ER of Al-Hussein university hospital with traumatic ventral hypogastric hernia caused by bicycle handlebar impact to his lower abdomen. The case was initially assessed, stabilized, managed operatively and followed until improved and became ready for discharge.

Conclusion: Traumatic abdominal wall hernias occur in response to concentrated impact by handlebar to the abdomen leading to muscle yielding but the resilient elastic nature of the skin keeps it intact. These injuries should be suspected in the setting of suggestive trauma mechanism followed by abdominal swelling and should be dealt with timely and seriously on an individual basis to restore the disrupted anatomy.


Dr. Muhammad Abdelhafez Mahmoud joined Al-Azhar Faculty of Medicine and received the MBBCh on December 2006. He completed his residency at Al Azhar university- hospitals and received MSc degree in General Surgery on November 2011. He worked as assistant lecturer of pediatric surgery at Al-Azhar University and its hospitals. On April 2018, after completion the education/training semesters & exams, he received MD degree in Pediatric Surgery. He has a special interest in pediatric traumatology, neonatal congenital anomalies, gastroenterology, inguinoscrotal & pediatric urology, and pediatric laparoscopy. He is a member of Egyptian pediatric surgical association (EPSA). He has many articles about pediatric complete rectal prolapse, congenital anomalies/ syndromes, pediatric urology traumatology over >14 years’ experience in pediatric surgery field. Now, he is working as assistant consultant pediatric surgeon at KSA, teaching medical students, writing & reviewing researches & articles.