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Case Reports in Emergency Medicine
Volume 2013, Article ID 678678, 4 pages
http://dx.doi.org/10.1155/2013/678678
Case Report

Isolated Jejunal Perforation Following Bicycle Handlebar Injury in Adults: A Case Report

Department of Surgery, Nicosia General Hospital, Palaios Dromos Lefkosias-Lemesou, No. 215, Strovolos, 2029 Nicosia, Cyprus

Received 2 June 2013; Accepted 18 July 2013

Academic Editors: A. K. Exadaktylos, J. D. Lin, W. Mauritz, and V. Papadopoulos

Copyright © 2013 Kyriakos Neofytou et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The small intestine is the third in frequency intraperitoneal organ which is injured after blunt trauma of the abdomen. In most of the cases, this type of injuries is accompanied by other injuries, which make it more difficult to diagnose. Failure of diagnosis and delay in treating these injuries significantly increase the morbidity and mortality of these patients. Abdominal visceral injuries after flipping the handlebar of the bike are common in children. Such injuries can cause injury to both solid and hollow abdominal viscera. Unlike children, adults’ abdominal visceral injuries after flipping the bike’s handlebar are extremely rare. A 25-year-old man was admitted to our department due to progressively abdominal pain after an accident with the handlebar of his bike. The subsequent CT scan after per os administration of contrast medium revealed the presence of free intraperitoneal contrast. It is a rare case of jejunal perforation after flipping the handlebar of the bicycle which was treated by partial removal of the injured part of jejunum and end-to-end anastomosis. To the best of our knowledge this is the first time we describe such an injury with this mechanism to an adult.