HERNIES POST-TRAUMATIQUES DITES GUIDON A PROPOS DE DEUX OBSERVATIONS. EXPERIENCE DE L’HOPITAL DE DISTRICT SANITAIRE DE TESSAOUA/MARADI/NIGER

Abstract

Abstract Handlebar hernias or “handbar hernias” are hernias of the abdominal wall resulting from direct trauma to the anterior abdominal wall.. Hernia through the abdominal wall usually occurs as a result of trauma with seat belts, motorcycles, bicycle handlebars, etc. They usually occur at weak anatomical locations in the abdominal wall. These traumatic hernias are rare, requiring a high index of suspicion for clinical diagnosis. Observation. They were two patients aged 14 and 45 years old, received in surgical consultation for left paraumbilical swelling. The anamnesis revealed a notion of a fall on a bicycle handlebar with direct landing on the left side. The clinical examination objectified a swelling of the left flank, painless, reducible, impulsive and expansive with the effort of coughing. The diagnosis of a handlebar hernia was made and a midline laparotomy indicated. The surgical intervention had made it possible to discover a parietal defect for the two patients, a parietal repair was carried out. Conclusion. A hernia handlebar when it is simple its discovery can be late, exposing to the risk of strangulation. Hence the importance of a well-directed questioning and a meticulous physical examination. Keywords: Hernia; Handlebar; Trauma.