Öz
The bicycle is a fun vehicle for children and creates a sense of freedom. It can also be the cause of life-threatening injuries. In this article, a case brought to the emergency room due to bicycle handlebar injury and its management will be presented.
An 11-year-old boy was brought to the emergency room with a history of falling off the bicycle. When the child was examined, swelling in the right lower quadrant of the abdomen and a sign of hitting the handlebar on the abdominal skin were detected. Computed Tomography imaging confirmed abdominal wall damage. In the exploration of the abdomen, it was observed that the fascia and muscles of the abdominal wall were fragmented in the area of the handlebar mark, there was free blood in the abdomen and a defect in the terminal ileum mesentery. Mesentery, muscle and fascia defects were repaired. The case was discharged on the third postoperative day with full recovery.
The first finding in handlebar injuries is in the abdominal skin. Despite the skin findings, the cases should be followed up for intraabdominal organ damage and ventral wall hernia. Cycling-related accidents can be prevented by providing behavioral improvement trainings on safe cycling.
Anahtar Kelimeler
Kaynakça
- Alkan M, Iskit SH, Soyupak S, Tuncer R, Okur H, Keskin E, et al. Severe Abdominal Trauma Involving Bicycle Handlebars in Children. Pediatr Emer Care.2012; (28): 357-60.
- Çevik M, Boleken ME, Söğüt Ö, Gökdemir MT, Karakaş E. Abdominal injuries related to bicycle accidents in children. Pediatr Surg Int (2013) 29:459–463.2013; (29): 459-63.
- Winston FK, Shaw KN, Kreshak AA, Schwarz DF, Gallagher PR, Cnaan A. Hidden Spears: Handlebars as Injury Hazards to Children. Pediatrics. 1998; 102 (3): 596-601.
- Kiss K, Pótó Z, Pintér A, Sárközy S. Bicycle injuries in children: An analysis based on demographic density. Accident Analysis and Prevention. 2010; (42): 1566–9.
- Nadler EP, Potoka DA, RN BLS, Morrison KE, BS, Ford HR. The High Morbidity Associated with Handlebar Injuries in Children. J Trauma. 2005; 58 (6): 1171–4.
- Kumar A, Hazrah P, Bal S, Seth A, Parshad R. Traumatic abdominal wall hernia: A reappraisal. Hernia. 2004; 8: 277–80.
- A GP, Dennis O. Autopenetrating Hernia: A Novel Form of Traumatic Abdominal Wall Hernia--Case Report and Review of the Literature. The Journal of Trauma: Injury, Infection, and Critical Care. 1996; 41: 1064-1066.
- Amoros E, Chiron M, Thélot B, Laumon B. The injury epidemiology of cyclists based on a road trauma registry. BMC Public Health. 2011; (11): 653-63.
- İnan M, Ceylan T, Ayvaz S, Aksu B, Pul M. Pediatrik travma skorunun künt karın travmalarındaki tanısal değeri. Ulus Travma Dergisi. 2005; 238-42.
- Liasis L, Tierris I, Lazarioti F, Clark CC, Papaconstantinou HT. Traumatic abdominal wall hernia: Is the treatment strategy a real problem? J Trauma Acute Care Surg. 2013; 74 (4): 1156-62.
Öz
Bisiklet kullanımı çocuklar için eğlenceli ve özgürlük hissi yaratan bir araç olduğu kadar, yaşamı tehdit eden kazaların nedeni de olabilir. Bu yazıda bisiklet gidon yaralanması ile acil servise başvuran bir olgu sunulacaktır.
Bisikletten düşme öyküsü ile acil servise getirilen 11 yaşında erkek çocuğun muayenesinde, sağ alt kadranda şişlik ve batın derisinde gidon ucuna ait vurma izi saptandı. Tomografi batın duvarı hasarını doğruladı. Batın eksplorasyonunda; gidon izine uyan bölgede fasya ve kasların parçalandığı, batında serbest kan olduğu ve terminal ileum mezenterinde defekt oluştuğu görüldü. Mezenter, kas ve fasya defekti onarıldı. Olgu postoperatif üçüncü günde şifa ile taburcu edildi.
Gidon yaralanmalarında ilk bulgu cilt üzerindedir. Olgular batın içi organ hasarı ve ventral duvar hernisi açısından izlenmelidir. Güvenli bisiklet kullanımına ilişkin davranış geliştirici eğitimlerin yapılması bisiklet kaynaklı kazaları önlemede etkili olabilir.
Anahtar Kelimeler
Kaynakça
- Alkan M, Iskit SH, Soyupak S, Tuncer R, Okur H, Keskin E, et al. Severe Abdominal Trauma Involving Bicycle Handlebars in Children. Pediatr Emer Care.2012; (28): 357-60.
- Çevik M, Boleken ME, Söğüt Ö, Gökdemir MT, Karakaş E. Abdominal injuries related to bicycle accidents in children. Pediatr Surg Int (2013) 29:459–463.2013; (29): 459-63.
- Winston FK, Shaw KN, Kreshak AA, Schwarz DF, Gallagher PR, Cnaan A. Hidden Spears: Handlebars as Injury Hazards to Children. Pediatrics. 1998; 102 (3): 596-601.
- Kiss K, Pótó Z, Pintér A, Sárközy S. Bicycle injuries in children: An analysis based on demographic density. Accident Analysis and Prevention. 2010; (42): 1566–9.
- Nadler EP, Potoka DA, RN BLS, Morrison KE, BS, Ford HR. The High Morbidity Associated with Handlebar Injuries in Children. J Trauma. 2005; 58 (6): 1171–4.
- Kumar A, Hazrah P, Bal S, Seth A, Parshad R. Traumatic abdominal wall hernia: A reappraisal. Hernia. 2004; 8: 277–80.
- A GP, Dennis O. Autopenetrating Hernia: A Novel Form of Traumatic Abdominal Wall Hernia--Case Report and Review of the Literature. The Journal of Trauma: Injury, Infection, and Critical Care. 1996; 41: 1064-1066.
- Amoros E, Chiron M, Thélot B, Laumon B. The injury epidemiology of cyclists based on a road trauma registry. BMC Public Health. 2011; (11): 653-63.
- İnan M, Ceylan T, Ayvaz S, Aksu B, Pul M. Pediatrik travma skorunun künt karın travmalarındaki tanısal değeri. Ulus Travma Dergisi. 2005; 238-42.
- Liasis L, Tierris I, Lazarioti F, Clark CC, Papaconstantinou HT. Traumatic abdominal wall hernia: Is the treatment strategy a real problem? J Trauma Acute Care Surg. 2013; 74 (4): 1156-62.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Mart 2021 |
| Gönderilme Tarihi | 4 Aralık 2020 |
| Yayımlandığı Sayı | Yıl 2021Cilt: 60 Sayı: 1 |
