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Sigmoid perforation and bucket-handle tear of the mesocolon after bicycle handlebar injury: a case report and review of the literature

Authors
Journal
Journal of Pediatric Surgery
0022-3468
Publisher
Elsevier
Publication Date
Volume
46
Issue
12
Identifiers
DOI: 10.1016/j.jpedsurg.2011.09.045
Keywords
  • Handlebar Injury
  • Perforation
  • Pediatric Trauma
  • Bicycle
  • Bucket Handle

Abstract

Abstract We describe an unusual case of sigmoid colon perforation secondary to a bicycle handlebar injury. Because the patient presented 2 days after the initial injury, we suspected that the colon perforation was not the immediate result of the bicycle accident but, rather, was secondary to devascularization. At operation, we found a bucket-handle tear of the colonic mesentery, which was the patient's primary injury and cause of the perforated colon.

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