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Intriguing Gas Shadow From Penetrating Handlebar Injury Of Abdomen - Abstract

Junaid Ashraf, Sarah Newell, Anies Mahomed, Lavanya Vitta




Penetrating injuries of the abdomen secondary to bicycle handle bars are uncommon. Due to presence of padded handle grips, deep penetration is exceedingly rare. Reported is a case of a handle bar breaching the anterior abdominal wall, traversing depths of the peritoneal cavity & disrupting the coccyx posteriorly.  A large amount of air in the right pararectal and left ischiorectal fossa on plain abdominal X ray and CT scan raised the possibility of bowel perforation. With integrity of the bowel confirmed at laparotomy a discourse on the origins of the air is mandated.  

Keywords: Penetrating injuries, bicycle handle bars