Abstract
This short article presents a case report of blunt trauma from a bicycle handlebar causing a significant and unusual abdominal injury in an adult. In this case, a 49-year-old woman who presented to the emergency department (ED) after developing gradually worsening abdominal pain 1 hour after a fall from her bicycle. She sustained a direct impact to her abdomen from her bicycle's handlebar. The work-up included an immediate trauma surgery consult and computed tomography scan of her abdomen and pelvis; laboratory data were unremarkable. The CT scan revealed a moderate to large hemoperitoneum and a possible small bowel rupture; surgical repair followed. The patient had an unremarkable postoperative course and was discharged home on the seventh postoperative day. The authors describe the nature of this case and encourage clinicians to maintain a high index of suspicion when evaluating an injured adult cyclist for these types of injuries.
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